Back pain is very hard (often impossible) to diagnose and to specify, hence heavy painkillers are thrown at people. But the only way to beat the pain is to understand it. Based on cutting-edge research into back pain and the psychology of pain itself, David Rogers and Grahame Brown have set up the Functional Restoration Service at the Royal Orthopaedic Hospital in Birmingham - the UK's leading centre for back pain. Here they have developed the pioneering BIOPSYCHOSOCIAL approach: BIO - How your body processes pain; what physical triggers you have and why; where your body holds pain PSYCHO - where your pain is coming from; what exactly your pain is; the power of your mind to deal with and stop pain SOCIAL - all the environmental factors that will contribute to your back pain, and how, why and when to change them Based on this revolutionary and already hugely successful approach, Back to Life offers a whole new way of dealing with back pain: - Understand the psychology of pain - Debunk the myths - Find the source of your pain - Manage your pain - including all the emotions and anxiety that go with it - Master exercises and stretches - Identify and solve the social factors - Get lasting relief

Le situazioni critiche in medicina d urgenza e in terapia intensiva rappresentano una tra le sfide piu difficili nella pratica clinica. La natura stessa dell ambiente di cura, l incertezza, il rischio elevato, i tempi ristretti e lo stress, rendono queste discipline particolarmente vulnerabili agli errori nella gestione dei pazienti. Nell ultimo decennio e diventato sempre piu evidente, che la capacita di erogare trattamenti sicuri in queste circostanze dipende da un approfondita conoscenza dei meccanismi all origine dell errore umano. Questo volume, che e la traduzione italiana della seconda edizione di Crisis Management in Acute Care Settings, propone una rassegna originale e completa di tutti i problemi correlati ai fattori umani, rilevanti per la sicurezza dei pazienti durante l erogazione di trattamenti urgenti. Le energie di medici e psicologi si sono mescolate in un testo facilmente accessibile, che aiutera i medici e altri professionisti della salute a comprendere meglio i principi del comportamento umano e del processo decisionale nelle situazioni critiche, per evitare errori e garantire un trattamento piu sicuro ai loro pazienti.

Distilling the ideas central to managing operating theatres, this book provides a practical and easy to use toolkit to improve theatre efficiency and patient outcomes. It advocates using time as the key measurement and proposes a new norm of operating theatre management based on rational, data-driven principles. Notions of 'efficiency' and 'scheduling' are clearly defined, and a scheduling toolkit available to download accompanies the work. The book's easy to use format supports managers in list planning, performance monitoring and demand-capacity matching while considering limited budgets and resources. It includes contributions from around the world, demonstrating the global application of its core approach. Aimed primarily at operating theatre managers, this book will also interest consultants, senior trainees, nurses and administrators who are involved in the daily running of the operating theatre and/or want to develop their leadership/managerial skills.

Palliative care is rapidly evolving as a multidimensional therapeutic model devoted to improving the quality of life of all patients with life-threatening illness. Symptom control, management of psychosocial and spiritual concerns, decision making consistent with values and goals, and care of the imminently dying that is appropriate and sensitive to the unique needs of the individual and family - these are among the critical issues addressed through palliative care. As this discipline has evolved, the need for research in all these areas has become widely acknowledged. Issues in Palliative Care Research describes both the progress that already has been made in the investigation of these issues and the methodological elements that must be addressed in future studies. The perspective is broad and the overriding goal is to inform about the state of the art in these rapidly evolving areas of research.

Offering a unique, multidisciplinary approach to the complexities of CPB, the 4th Edition of Cardiopulmonary Bypass and Mechanical Support: Principles & Practice remains the gold standard in the field. This edition brings you fully up to date with every aspects of cardiopulmonary bypass, including new information on management of pediatric patients, CPB's role with minimally invasive and robotic cardiac surgery, mechanical circulatory support, miniaturized circuits and CPB, sickle cell disease and CPB management, and much more. A newly expanded title reflects the rapidly evolving nature of extracorporeal technology, encompassing both short-term and long-term forms of cardiac and pulmonary support. Key Features The most comprehensive and authoritative text in the field, widely used by anesthesiologists, perfusionists, and cardiothoracic surgeons, as well as intensive care specialists, neonatologists, and interventional cardiologists. Provides expert, full-color guidance on equipment, physiology and pathology, hematology, clinical applications, and neonates, infants, and children. Addresses univentricular and biventricular assist devices, as well as the various forms of extracorporeal pulmonary support that may or may not include circulatory assistance. Includes a brand-new look at the Development of Cardiopulmonary Bypass, offering an up-to-date analysis of the history of the field. Two new co-editors, Drs. John W. Hammon and Barry D. Kussman, provide a fresh perspective and additional expertise. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

On occasion nearly everyone experiences short-term back pain from sore or strained muscles. But for many who come to treat their back gingerly because they fear further "injury," a cycle of worry and inactivity results; this aggravates existing muscle tightness and leads them to think of themselves as having a "bad back." Even worse is the understandable but usually counterproductive assumption that back pain is caused by "abnormalities"–bulging disks, a damaged spine, and so on. However, these abnormalities are frequently found in those who have absolutely no pain whatsoever. In reality, most backs are strong and resilient, built to support our bodies for a lifetime; truly "bad backs" are rare.

Drawing on their work with patients and studies from major scientific journals and corporations, the authors of Back Sense–all three are former chronic back pain sufferers themselves–developed a revolutionary self-treatment approach targeting the true causes of chronic back pain. It is based on conclusive evidence proving that stress and inactivity are usually the prime offenders, and it allows patients to avoid the restrictions and expense of most other treatments. After showing readers how to rule out the possibility that a rare medical condition is the source of their problem, Back Sense clearly and convincingly explains the actual factors behind chronic back pain and systematically leads readers toward recapturing a life free of back pain.

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.

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.

This clinical textbook will update the reader on the relevant anatomy, known biomechanics, clinical assessment, musculoskeletal conditions and treatment of the thorax and how these relate to the function of the whole body. An integrated biopsychosocial model (the Integrated Systems Model - ISM) will be highlighted in this text and used as a foundation for clinicians to organize their knowledge from multiple sources. The text emphasizes the current suggestion from the evidence that treatment be individualized and that clinical reasoning form the basis for treatment decisions. Richly illustrated with 3D-rendered colour anatomical drawings, and over 250 clinical photographs, The Thorax: An integrated approach is the definitive manual on the thorax for all bodyworkers helping patients improve mobility and control of the trunk.

50 Studies Every Anesthesiologist Should Know presents key studies that have shaped the practice of anesthesiology. Selected using a rigorous methodology, the studies cover topics ranging from pain medicine, critical care, cardiothoracic anesthesiology to general anesthesiology. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. Brief information on other relevant studies is provided, and an illustrative clinical case concludes the review. This book is a must-read for health care professionals in anesthesiology and pain medicine, and anyone who wants to learn more about the data behind clinical practice in anesthesiology, pain medicine, critical care and its broad subspecialties.

In 2012, the American Board of Medical Specialties (ABMS) approved Interventional Radiology (IR) as its own specialty. Born out of the field of Diagnostic Radiology, IR requires a more clinical focus on initial consultation and post-procedural management, rather than its previous role of performing image-guided procedures. Interventional Radiology: Fundamentals of Clinical Practice is written with this new focus in mind to help readers incorporate their procedural knowledge into a holistic approach of patient management. Chapters explore topics across a broad spectrum of IR, with a focus on etiology and pathophysiology of disease, followed by discussions on intra-procedural and post-procedural management. Numerous tables and boxes, and over 420 total figures complement chapter content. This comprehensive text is a must-have for IR residents and all practicing interventional radiologists.

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.

Anesthesiology Applied Exam Board Review is a comprehensive guide for preparing for the American Board of Anesthesiology Applied Exam, which includes the traditional Standardized Oral Examination (SOE) and a new Objective Structured Clinical Examination (OSCE) component. This guide is also a useful review for residents preparing for in-training examinations in Anesthesiology. The text contains over 40 long and short exam stems, with questions regarding the preoperative, intraoperative, and postoperative care. Included with the book is access to the questions online for an e-learning experience. Topics chosen are based on ABA-released exams and student feedback regarding what are the highest yielding topics for the oral board exam. Each chapter includes not just questions and answers based on ABA-provided grading criteria, but also an emphasis on how to formulate answers and break down complex topics and processes into simpler formats.

Until recently, it was thought that the adult brain is modifiable only during early stages of ontogenesis. However, neurophysiological and neuroimaging studies now indicate that the mature human brain is under certain conditions capable of substantial neuroplastic changes. The concept of plasticity is complex and can be applied to all levels of neural organisation from molecular to systemic level of neural networks. Neuroplasticity reflects the ability of human brain to alter the pattern of neural activation in response to previous experience, and recent findings indicate that the effects of experience can lead to both structural as well as functional reorganisation. This book presents current research in the study of neural plasticity in chronic pain.

This new book examines the issue of pain in individuals with intellectual disabilities by introducing the topic, as well as suggesting a model for pain in this population. A couple of articles suggest different approaches to the complex subject of evaluation in this group of clients, and also in depth approaches to specific syndromes. In this yearbook for 2010, you will find research published from the Journal of Pain Management by leading researchers from all over the world, which produces sound and evidence-based research that can help mankind to suffer less and enjoy a good quality of life.

Diagnose and treat your patients confidently with Fundamentals of Pain Medicine. This comprehensive new resource addresses the concerns you face when treating your patients with acute and chronic pain. Chapters present the key pain management options available today along with expert advice and insight into overcoming diagnostic and therapeutic obstacles, including prescribing medications and avoiding opioid abuse. In addition to interventional and non-interventional treatments, multidisciplinary approaches such as physical therapy, complementary therapy, and chiropractic treatment are presented. Fundamentals of Pain Medicine is an essential guide for any healthcare professional seeking to improve the quality of pain treatments and patients' comfort. Features: eBook with searchable text, accessible image bank, and patient education materials Illustrations accompanying text with numerous images and boxed elements Numerous case examples and most common treatments, relevant and applicable to everyday clinical use Step-by-step instruction on office-based procedures Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access Complete content with enhanced navigation A powerful search that pulls results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future

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.

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 is the one book that anyone who has taken care of a loved one with cancer wished they had from the beginning. Starting with a review on why cancer pain is still an everyday tragedy when modern medical techniques can relieve it in almost every case, it teaches families everything they need to know about cancer pain and its treatments. Viewing pain as a whole-body phenomenon that comprises physical and psychological well-being, this book outlines the latest medical treatments and medications as well as psychological, cognitive, and spiritual approaches to coping and relieving cancer pain.

This interdisciplinary account provides an integrated and practical guide to the management and treatment of burns. Experts from all the major disciplines involved in critical care have focused their attention on specific problems and areas of treatment involved in the care of burned patients. Although it is essentially a practical guide to the management of thermal injury, with explicit recommendations for courses of treatment, it also provides explanatory background information on the manifestations and clinical consequences of this common source of injury. Between them, the contributors encompass all the major facets of critical care of the burned patient: from initial assessment and monitoring, resuscitation, nutritional aspects, infection, anaesthesia and surgical management, right through to postoperative care and prognosis. The volume will be useful to specialists in critical care, intensive and emergency medicine, surgery and anaesthesia, and to all staff associated with intensive care and burns units.

Neuropathic pain is one of the most common, debilitating, costly, and difficult to treat categories of chronic pain conditions characterized by a lesion or disease of the somatosensory nervous system. Neuropathic Pain, part of the What Do I Do Now? Pain Medicine series, brings together in one volume 45 cases which expertly explore the diagnoses, assessment, management, and treatment of various types of neuropathic pain including less common and complex cases. Treatment of neuropathic pain requires skillful assessment and management. Neuropathic Pain provides an engaging collection of thought-provoking cases which clinicians can utilize when they encounter challenging situations. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

"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

The Right to Pain Relief and Other Deep Roots of the Opioid Epidemic offers a new lens through which to view the opioid epidemic as a consequence of serious misunderstandings of both opioids and pain. Based on their extensive research and experience with chronic pain care, science, ethics, and policy, the authors look beyond the usual villains-pharmaceutical companies and pharmacotherapy distributors-to examine the ethical and scientific concepts about pain that made the opioid epidemic possible. The book explores the history of pain in Western society, the role of innovation in end-of-life care, the conception of pain control as an important medical responsibility, and the various models of pain that have led to our current understanding of it, ultimately arguing that we must reintegrate pain with the rest of human suffering as a necessary part of a full life. Containing patient vignettes as well as scientific and policy controversies that have emerged as the opioid epidemic has evolved, The Right to Pain Relief and Other Deep Roots of the Opioid Epidemic examines these implications in a more human and holistic way than has been ever addressed before by the popular press and professional literature.

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.