"I found this book extremely easy to read. It does much more than tell us what pain is and how to limit or prevent it. It explains the ethical aspects of pain management and makes us think about why and how we should manage patients' pain, and what our rights and duties are in pain management. The book takes us from an explanation of pain, through pain assessment, pharmacology and management, and informs us how to plan for pain management, rather than only focussing on reactive pain control. It also looks at pain from the patient's perspective and teaches us how to assess pain using a variety of recognised tools ... I will use this book again and again, and would recommend it to fellow students who are placed on wards where pain management and planning is required." Conor Hamilton, Student Nurse, Queens University Belfast, UKThis practical introductory text provides an accessible guide to pain and how it affects patients and care giving. It considers: Different pain types including acute, chronic and palliativeAssessing painTreatment and pharmacology of pain controlChallenging situations and dilemmasCommunicating with patients in painEthical and legal aspects of treating pain The book also considers the experience of pain from the patients' perspective, to help healthcare students better understand the needs of patients who are in pain and how they can improve the care they give. Case studies, tools for decision making, insights on patient experiences and reflective exercises provide opportunities for you to reflect upon your own practice and to develop problem-solving and critical thinking skills.Principles and Practice of Managing Pain is ideal for students preparing to practice in a health care environment.Contributor: Maria Parry, Senior Lecturer Palliative Care, University of Glamorgan, UK

This text explains how the respiratory system functions and provides a framework for understanding many respiratory diseases. It was developed as a working text with problem-solving exercises for students. The book covers pulmonary anatomy and microstructure, mechanics, gas exchange, acid-base balance, and control mechanisms. Unlike other texts, it strikes a good balance between the principles of pulmonary gas exchange, neural control, and integrative aspects of respiration.

Written by a leading neuroscientist, Splitting tells the fascinating true story about headaches, and the secrets they reveal about your brain and overall health. Did you know... - chocolate doesn't give you a headache - and may in fact prevent one happening? - 30% of us sneeze at sunlight? - you can see off a headache with an orgasm? - that you shouldn't wear a striped top if your spouse gets migraines? From migraines to sinus pain to tension headaches - and everything in between - Splitting separates fact from fiction, putting you in control and helping you practise habits that will protect you from headache.

With new chapters on herbs and vitamins, "triptans," headache during breast feeding, menstrual migraine, opiate abuse, cervicogenic causes of headache, and exercise and sexual headache plus full revisions and updates, Management of Headache and Headache Medication presents a full and indepth range of information for the management of headache by primary care physicians and neurologist.

Within the last decade music therapists have developed their work with people who have life-threatening illnesses and with those who are dying. This book presents some of that work from music therapists working in different approaches, in different countries, showing how valuable the inclusion of music therapy in palliative care has already proved to be. It is important for the dying, or those with terminal illness, that approaches are used which integrate the physical, psychological, social and spiritual dimensions of their being. The contributors to this book emphasize the importance of working not only with the patient but with the ward situation, friends and family members. By offering patients the chance to be creative they become something other than patients - they become expressive beings, and there is an intimacy in music therapy that is important for those who are suffering. Many of the contributors write in their own personal voice, providing a particular insight which will be valuable not only to other music therapists seeking to enrich their own ways of working, but to all those involved in caring for the sick and the dying. Contributors describe their work with both children and adults living with HIV/AIDS, cancer and other chronic degenerative diseases.

Chapters on pain definition and assessment, basic mechanisms, and epidemiology provide a foundation for a detailed discussion of the most common pain syndromes. The identification and treatment of specific syndromes are highlighted in separate chapters on headache, neuropathic pain, low back pain, fibromyalgia and myofascial pain, arthritis and cancer pain. An entire section devoted to therapeutics provides current information about a broad spectrum of analgesic approaches, including drug therapy, anesthetic techniques, surgery, physiatric modalities, and psychologic interventions.

Local-regional anesthesia and pain therapy represent two areas of common interest for all physicians. A thorough preparation in functional anatomy and general pharmacology, including familiarity with local anesthetics and analgesics, is considered fundamental background for further study or clinical application of such techniques. Knowledge of the mechanisms of action, efficacies and side effects of the relevant drugs is essential, as is appreciation of possible drug interactions to evaluate eventual toxic effects. Local-regional anesthesia and pain management are being increasing used in diverse medical specialties, including those requiring manual dexterity. In contemporary medicine correct evaluation of the medical outcome becomes essential, especially in relation to the cost-benefit balance, not only in terms of the resources consumed, also and more importantly for the quality of life of the patient.

This book is a comprehensive guide to the monitoring of different organ systems in anaesthetics and intensive care. Divided into nine sections, the text begins with an introduction to the evolution of monitoring equipment, computerised reporting, and minimum standards. The following sections cover monitoring techniques for different systems of the body - cardiovascular, respiratory, central and peripheral nervous, musculoskeletal, metabolic, and coagulation. The final chapters discuss the monitoring of pain and related topics such as ventilator waveforms, foetal monitoring, and future technologies. The book also features discussion on research-based monitoring ideas for the future, including quantifying pain, sedation, and maternal-foetal safety management. Key points Comprehensive guide to the monitoring of organ systems in anaesthetics and intensive care In depth coverage of many different systems of the body Includes discussion on pain monitoring and future technologies Highly illustrated with clinical photographs and diagrams

Many patients come to the Accident and Emergency department in pain or with conditions requiring local or general anaesthesia. Close co-operation between the staff of the Anaesthesia and Accident and Emergency departments is vital if anaesthesia and analgesia are to be dealt with efficiently and safely. This new edition has been extensively revised throughout, especially with regard to resuscitation techniques. It provides a concise guide to anaesthesia and pain relief in emergency medicine. Throughout, the emphasis is on the practical management of problems, giving clear instructions about the treatment of common conditions.

Providing safe, effective anaesthesia for patients undergoing oral and maxillofacial surgery presents unique challenges involving a wide range of complex procedures, treatments, and interventions to manage an array of pathologies. This textbook is a practical, easy to read and engaging guide to the entire perioperative management process, encompassing everything that the practitioner needs to know. It utilises a clear, step-by-step approach to managing all aspects of anaesthesia for oral and maxillofacial surgery, from routine elective procedures to emergencies, difficult airways, cancer, and pain. A contemporary, evidence based approach and the most up-to-date techniques are described, with reference to current guidelines and standards. This comprehensive second edition will empower the novice, but also support more experienced practitioners and those who may occasionally be called upon to manage emergency cases. Written by international experts in the field with many years of experience both conducting and teaching oral and maxillofacial anaesthesia, this textbook is an essential resource for all members of the multidisciplinary team who wish to improve their understanding of and confidence with anaesthesia for this surgery.

Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control. Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult. The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.

Many effective analgesic drugs are available for the relief of acute pain, but their clinical use is widely regarded as being inadequate. The reasons cited for this include concern about the adverse effects of opioids and also insufficient adjustment of therapy to the patient's needs. Non-opioid anal- gesics are the staple drugs for mild to moderate pain and are generally better tolerated than opioid drugs. Differences exist, however, among the non-opioid analgesics which affect the choice of drug for individual pa- tients and specific acutely painful conditions. In an associated symposium of the 7th International Symposium: The Pain Clinic, held in Istanbul, Turkey, the ways were discussed in which treatment with non-opioid analgesics can be tailored to meet the needs of individual patients with acute pain. The highlights of this Hoechst sympo- sium, emphasize the distinctions between the non-steroidal anti-inflamma- tory drugs, and the non-acidic antipyretic analgesics, particularly dipyrone. 9 Mechanisms of action of non-opioid analgesics Professor F. C. Tulunay, M.D. Ankara, Turkey The non-opioid analgesics are among the oldest class of synthetic drugs still in widespread clinical use. They can be divided into the non-steroidal anti-inflammatory drugs (NSAIDs), such as acetylsalicylic acid, and the non-acidic, antipyretic analgesics, paracetamol and dipyrone. The pharma- cology of these various agents will be reviewed briefly.

This book is a comprehensive guide to ophthalmic anaesthesia detailing different types of anaesthesia, techniques, subsequent effects and possible complications. Divided into six sections the book begins with basic clinical knowledge including anatomy and physiology and the effects of ocular medications. The following sections examine the techniques and uses of regional anaesthesia, concluding with a chapter on emergencies in ocular surgery. The second half of the book covers general anaesthesia covering the physiological and pharmacological effects on the eye, and its use for numerous subspecialty surgical procedures including for examination and diagnosis, for paediatric surgeries, vitreoretinal surgery, glaucoma, emergency eye surgery and more. The final section is dedicated to the causes and management of chronic ophthalmic pain. Each chapter features an abstract and 'nuggets of wisdom' providing useful points on the topic. Nearly 200 clinical images and tables enhance learning. Key Points Comprehensive guide to ophthalmic anaesthesia covering types, techniques, effects and complications Discusses both regional and general anaesthesia for numerous ocular surgeries Includes chapters on emergencies in ocular surgical procedures Each chapter includes an abstract and 'nuggets of wisdom'

This comprehensive text describes the origins, mechanisms, beneficial applications and practical details of frequency specific therapy - a treatment technique that uses frequencies, micro amperage current and the principles of biological resonance to treat pain and a wide range of medical conditions. It includes condition specific frequency protocols for the treatment of various pain complaints, and multi-center clinical case reports documenting successful application of the technique. Each section includes a review of condition pathophysiology and differential diagnosis, plus current research. A website http://booksite.elsevier.com/9780443069765 features a lecture from the author, practical demonstrations of techniques, fully searchable text and downloadable images from the book!

Pharmacology for Nurse Anesthesiology provides appropriate chemical, biological, and physical information of the actions, interactions, and reactions of medication, particularly as they apply and impact the practice of nurse anesthesia. Written by CRNAs for CRNAs, the information about various drugs is based on theoretical aspects based in chemistry, biochemistry, biology, and physics/biophysics and practical aspects straight from actual CRNAs who administer and deal with the medications on a case-by-case, daily basis. The perfect resource for both practicing professionals and students in CRNA programs!

This new addition to the highly successful Core Topics in Anaesthesia series provides a clinically relevant text for both trainees and consultants, covering the entire sub-specialty of obstetric anaesthesia. In-depth coverage of pregnancy-related physiology and pharmacology makes this book an excellent revision tool for basic science examinations. It is also a troubleshooting guide for anaesthetists when managing parturients suffering with concurrent medical conditions including obesity, sepsis, hypertensive, renal, respiratory, neurological, haematological and endocrine diseases. Chapters provide recommended management plans for specific conditions such as HIV and neuropraxia following regional anaesthesia, and include algorithms to guide clinical decision-making. Guidance on the required infrastructure for setting up services such as antenatal clinics is also included. Experts in their fields have contributed sections including allergy testing and immunology, the immunocompromised parturient, and maternal collapse. This practical resource will serve as a survival guide for all those caring for parturients on the delivery suite.

Transesophageal echocardiography (TEE) is a valuable diagnostic modality now routinely used during cardiac surgery and in the intensive care unit. Increasingly, anesthesiologists, cardiologists and critical care physicians trained in TEE provide the service in both settings where they face the challenge of integrating numerous current TEE guidelines into day-to-day practice. Perioperative Two-Dimensional Transesophageal Echocardiography: A Practical Handbook, 2nd Edition has been designed to be a concise, portable guide for using TEE to recognize cardiac pathology during the perioperative period. This compact guide has a diverse appeal for anesthesiologists, cardiac surgeons and cardiologists desiring comprehensive up-to-date echocardiographic information at their fingertips. Features Updated to include 4 new chapters Now contains more than 600 full-color, high quality clinical images and illustrations Includes the most recent guidelines Retains a compact format that highlights key information Synopsis of cardiac pathology commonly encountered in cardiac surgery patients On-the-spot reference for echocardiographers with a wide range from novice to expert experience

Understanding Low Back Pain chart uses low back pain guidelines from the American Pain Society (APS) and the American College of Physicians (ACP) as a key reference, this visual and textual overview of the condition explains: Types of low back pain Causes and risk factors Signs and symptoms Treatment and management Prevention techniques This chart illustrates: A human figure (posterior view) with pain radiating into the leg and numbness and tingling in the leg Sagittal view of lower spine with: tumor of the spinal cord, bone spur impinging on spinal nerves, compression fractures and herniated disc impinging on spinal nerve Anterior view of the lower spine and pelvis showing tumors, infections, degenerative diseases, ankylosing spondylitis, sacroiliitis, arthritis, and intrapelvic mass Correct postures and techniques to avoid low back pain Made in USA Available in the following versions: 20" x 26" heavy weight paper laminated with grommets at top corners ISBN 9780781782432 20" x 26" heavy weight paper ISBN 9780781782425

Principles of Anaesthesia Equipment provides guidance on the safe use of a wide range of anaesthesia apparatus, edited by recognised experts based in Boston, USA and the University of the West Indies, Barbados. Divided into thirteen chapters, the book begins with the applied physics of anaesthesia equipment, before covering individual instruments and groups of instruments by chapter. Equipment covered includes anaesthesia machines and work stations, anaesthesia breathing systems, equipment for endotracheal intubation, electrocautery and lasers, equipment for regional anaesthesia, and ultrasound equipment for neuraxial blocks. The final chapter covers the use of simulators in anaesthesia training. Safety tips are included in chapters on pre-use checks of anaesthetic equipment, electrical safety, disinfection and sterilisation. A separate chapter on monitoring features capnography and state-of-the-art cardiac output monitors. Enhanced by 85 full colour illustrations, Principles of Anaesthesia Equipment is an essential resource for anaesthetists and anaesthesia trainees. Key Points Comprehensive guide to the safe use of a range of anaesthesia equipment Recognised editorial team from Brigham and Women's Hospital, Boston, USA and University of West Indies 85 full colour illustrations

Ideal for hands-on, day-to-day use in practice, Atlas of Pain Management Injection Techniques, 5th Edition, helps you master the key nerve blocks you need to know to successfully treat 200 common and uncommon pain syndromes. Focusing on the "how to" details of pain management injection techniques, this bestselling atlas by Dr. Steven D. Waldman equips you to deliver safe, accurate and cost-effective pain relief to your patients using the most clinically appropriate imaging modalities. It demonstrates exactly how to evaluate the causes of pain, identify the most promising injection technique, locate the injection site with precision, and deliver effective relief to patients. Helps you find information quickly with a logical organization by anatomic region, and templated chapters that cover indications and clinical considerations, clinically relevant anatomy, technique, side effects and complications, and Dr. Waldman's own clinical pearls. Includes 14 brand-new injection techniques, including Chalazion Injection; Botox Injection for Migraine; Intra-articular Injections of the Glenohumeral, Hip, Ankle, and Knee Joints; Rectus Sheath Block; Fascia Iliaca Plane Block; Penile Block; and more. Incorporates all clinically useful imaging modalities including expanded information on office-based ultrasound-guided techniques as well as fluoroscopy and CT-guided procedures. Illustrates the anatomical targets for each procedure and the appropriate needle placement and trajectory used to reach each target. Features new full-color anatomic drawings as well as photographs, radiographs, ultrasound, CT, and MRI images throughout. Provides clear guidance on the risks and benefits of each procedure/technique. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

In this new edition of Headache and Facial Pain in the "What Do I Do Now?" series, the authors have added cases dealing with issues that were not included in the first edition, eliminated several chapters that were no longer topical or in which recommendations were not current, and updated the rest. The book continues to simulate the "curbside consultation" in our selection of 37 cases about headache and facial pain. Each "case" poses an important question to be discussed and each are addressed, much as a consultant would do over the phone or in the hallway, using current evidence and experienced-based information. We have divided this volume into four sections that cover the typical ground for head/face pain consultation: Section 1, Diagnostic Questions; Section 2, Treatment Questions; Section 3, Questions Related to Special Populations; and Section 4 Prognostic, Social, and Legal Issues. Diagnostic reasoning is presented along the lines of the International Classification of Headache Disorders, third edition (ICHD-III). Additionally, recommendations for adding or modifying new treatment modalities (pharmacologic and devices) that have been approved since publication of the first edition have been incorporated based on updates from the AHS consensus statement. A list of key clinical points again appears at the end of each case discussion, followed by a list of suggested articles or chapters for those interested in doing further reading on the subject.

Stress is everywhere, experienced by all. No one is immune, particularly the nurse anesthetist or CRNA. A qualitative inquiry was launched to explore occupational stress among Certified Registered Nurse Anesthetists (CRNAs) and to answer four research questions: 1.What are the roles and responsibilities of the CRNAs as they see them? 2.What are the CRNAs perceived stressors encountered on the job? 3.What are their coping strategies related to the perceived stressors? 4.What is the relationship between CRNA job stress and interpersonal work connections? The answers to the research questions underscore the necessity that the shortage of Registered Nurses and anesthetists needs to be addressed in order to more effectively tackle the participants perceived stressors. This book is a rare gem given its unique qualitative, in-depth inquiry into a topic of ever-increasing importance. This work is aimed at the healthcare professional, especially CRNAs and operating room personnel, and also nursing and anesthesia students. If you have ever stepped foot into an operating room, whether as a professional or a patient, you will find this research revealing and honest

Prescription opioids are dangerous in the hands of drug abusers, but they are also beneficial or even lifesaving for millions of people who otherwise would live with chronic pain. Clinicians who prescribe opioids are often caught between their professional obligation to relieve suffering and their desire to avoid contributing to the nonmedical consumption of controlled substances.

What's in the Syringe? offers a succinct overview of the psychological skills of outpatient palliative care, teaching clinicians how to help patients live well and acknowledge end of life as patients meet five challenges of serious illness. It explores how to help patients develop prognostic awareness, through which they pair hopes and worries and see themselves with clarity and empathy. The book also teaches clinicians how to support patients' coping skills. As patients use these skills, they improve their quality of life and deepen their prognostic awareness, helping them make informed medical and personal decisions as they approach end of life. Illustrated, case-based chapters are organized from diagnosis to end of life and draw on two decades of research and clinical experience. Each chapter describes how palliative care and oncology clinicians can collaborate and explains the interpretive role of the palliative care clinician in helping the patient and oncologist understand each other. What's in the Syringe? is an essential resource for palliative care fellows, trainees, and clinicians, for oncologists, primary care clinicians, and medical students, and for all care providers working with patients facing serious illness.

Egal, ob Sie Weiterbildungsteilnehmer sind oder bereits erfahrene Fachpflegekraft in der Anasthesie und Intensivmedizin, mit diesem Arbeitsbuch koennen Sie Ihr Fachwissen gezielt uberprufen und festigen: Multiple-Choice-Fragen, Zuordnungsfragen und Abbildungen zum Beschriften helfen Ihnen dabei. Aus dem Inhalt: Physiologische und pathophysiologische Zusammenhange, Wirkungen und Nebenwirkungen von Medikamenten, Dosierungen, Beatmung, Therapie und Symptome von intensivpflichtigen Krankheitsbildern, postoperative Versorgung nach schweren Operationen, Anzeichen von Komplikationen, Covid-19 und vieles mehr. Die ideale Erganzung zu den grossen Standardwerken der pflegerischen Fachweiterbildung wie z.B. "Larsens Anasthesie und Intensivmedizin fur die Fachpflege". Die 4. Auflage ist komplett aktualisiert und um Fallbeispiele zu typischen Komplikationen in der Anasthesie und Intensivmedizin erweitert.