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.

Total intravenous anaesthesia (TIVA) is an innovative alternative to traditional inhalational anaesthesia. Often incorrectly perceived as overly complex, TIVA has numerous advantages over inhalational drugs, such as a lower risk of nausea, less pain and better cognitive recovery. Taking on TIVA is a practical, easy to read and engaging guide to TIVA. It demystifies this important technique and will empower the novice but also support more experienced practitioners. It is a clear step-by-step approach to treating everything from routine elective to paediatric, geriatric, obese and pregnant patients. Pharmacokinetic models, dosage calculations, and the use of TIVA in emergency medicine are also elucidated. Written by international experts in the field with many years of experience both conducting and teaching TIVA, this handbook is an essential resource for experienced and novice anaesthetists alike who want to improve their understanding and confidence with the technique.

Dieses Buch fasst den aktuellen Forschungsstand zum Thema Cannabis zusammen. Hierfur wurden alle bedeutsamen, in den letzten 10 Jahren in deutscher und englischer Sprache publizierten Forschungsarbeiten systematisch recherchiert und ausgewertet. Dargestellt werden: - psychische, organische und soziale Risiken des Konsums pflanzlicher und synthetischer Cannabisprodukte zu Rauschzwecken, - Wirksamkeit, Vertraglichkeit und Sicherheit von Cannabisarznei bei organischen und psychischen Erkrankungen, - Motive und Erwartungen eines nichtarztlich verordneten Gebrauchs von Cannabis im Sinne einer Selbstmedikation. Die Expertise liefert einen umfassenden UEberblick uber die aktuelle Literatur. Sie bewertet das therapeutische Potenzial und die Risiken von Cannabis entsprechend internationaler methodischer Vorgaben der evidenzbasierten Medizin. Die Expertise dient somit als solides Nachschlagewerk. Ihr Auftraggeber war das Bundesministerium fur Gesundheit.

Pain has many valuable functions. It can be a warning or force us to rest our bodies. Yet most ongoing chronic pain, such as unrelenting backache or headache, has no discernable cause and diminishes countless lives. Over the years a scientific revolution has taken place in chronic pain research and therapy. A major catalyst for this was the introduction of the 'gate theory' by Professor Ronald Melzack and Professor Patrick D. Wall, which argued that pain is a unified stream of experience generated by the brain, incorporating a whole host of psychological functions. Their now-classic book, with a new introduction taking in all the latest medical developments, examines every facet of pain: the psychological and clinical aspects, the physiological evidence, the major theories of pain and the developments in its control. The challenge in the twenty-first century is to look at how memories, personal and social expectations, genetics, gender, aging and stress patterns all play a role in pain, and how understanding this could lead to the relief of the suffering endured by millions.

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.

For nearly 40 years, Oh's Intensive Care Manual has been the quick reference of choice for ICU physicians at all levels of experience. The revised 8th edition maintains this tradition of excellence, providing fast access to practical information needed every day in today's intensive care unit. This bestselling manual covers all aspects of intensive care in sufficient detail for daily practice while keeping you up to date with the latest innovations in the field. New coverage of the latest developments in ICU imaging techniques, including ultrasound. New information on the latest advances in ECMO (Extracorporeal Membrane Oxygenation) for cardiac and respiratory failure, ARDS, septic shock, neurologic disorders, muscle function, and hemodynamic therapy. New co-editor Dr. Jonathan Handy shares his knowledge and expertise on acid-base disturbances during critical illness, critical care transfers, intravenous fluid therapy, cardiovascular physiology, burn management, sepsis, and the immunological impact of surgery and burn injury. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Providing an easily readable source of information about the current spectrum of anesthesia and critical care management of patients undergoing thoracic surgery, this book forms part of the successful Core Topics brand. The book provides practical assistance to those commencing careers in thoracic anesthesia and will also to be a useful aide-memoire to those already working in the field. The comprehensive content includes discussion of some of the more contentious issues in the management of thoracic patients as well as giving a flavour of the rapid evolution of new techniques that are of increasing importance in the field, such as lung-assist devices, different modes of ventilation and VAT surgery. Both editors are practising cardiothoracic anesthetists/intensivists at an internationally recognized centre for thoracic surgery, particularly lung transplantation. The contributors are chosen for their clinical expertise and to give a spectrum of opinion across the range of thoracic anesthesia.

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

Our understanding of how pain in early life differs to that in maturity is continuing to increase and develop, using a combination of approaches from basic science, clinical science, and implementation science. The new edition of the Oxford Textbook of Pediatric Pain brings together an international team of experts to provide an authoritative and comprehensive textbook on all aspects of pain in infants, children, and youth. Divided into nine sections, the textbook analyses pain as a multifactorial problem to give the reader a comprehensive understanding of this challenging subject. Evidence-based chapters look in depth at topics ranging from the long-term effects of pain in children, to complementary therapy in paediatric pain. The text addresses the knowledge-to-practice gap through individual and organizational implementation, and facilitation strategies. Case examples and perspective boxes are provided to aid learning and illustrate the application of knowledge. Written by clinicians, educators, trainees, and researchers, hand selected by the Editors for their practical approach and expertise in specific subject areas, the new edition of the Oxford Textbook of Pediatric Pain is an essential reference text in the assessment and treatment of patients and families in the field of paediatric pain. Purchasers of the print version of the second edition will have free access on Oxford Medicine Online to all the content for the life of the edition.

In dem etablierten Standardwerk zur Schmerzpsychologie und -psychotherapie geben die renommierten Herausgeber und Autoren sowohl eine Einfuhrung in die wissenschaftlichen Grundlagen und Konzepte als auch einen UEberblick uber bereits etablierte und in der Entwicklung befindlichen Behandlungskonzepte. Damit foerdert das Werk das Verstandnis fur die schmerztherapeutische Praxis und ist hervorragend geeignet fur die schmerzpsychotherapeutische Fort- und Weiterbildung.Die 8. Auflage wurde grundlegend uberarbeitet und wird von den Ausbildungskommissionen der Deutschen Gesellschaft fur Schmerztherapie e.V. und der Deutschen Gesellschaft fur psychologische Schmerztherapie und -forschung empfohlen.

The book takes an integrated approach to pain rehabilitation and combines pain science, rehabilitation and yoga with evidence-based approaches from respected contributors. They demonstrate how to integrate the concepts, philosophies and practices of yoga and pain science in working with people in pain. An essential and often overlooked part of pain rehabilitation is listening to, working with, learning from, and validating the person in pain's lived experience. The book expounds on the movement to a more patient-valued, partnership-based biopsychosocial-spiritual model of healthcare where the patient is an active and empowered participant, as opposed to a model where the healthcare provider is 'fixing' the passive patient. It also explains how practitioners can address the entire human being in pain, and how to include the person as an expert for more effective and self-empowered care.

Obesity is a global public health issue; significant numbers of the world's population are overweight, growing numbers are obese, and many are morbidly obese. As obesity is associated with a range of co-morbidities (namely cardiovascular disease, diabetes, cancer, depression, and sleep apnoea), it presents a daunting peri-operative challenge to the anaesthetist. The increasing size and weight of patients presenting for surgery involves multiple issues from starting intravenous lines through to intubation and ventilation challenges. The Oxford Textbook of Anaesthesia for the Obese Patient is a highly authoritative, evidence-based account of the principles and clinical practice within the field. Across 36 chapters, this resource provides comprehensive coverage of all aspects of the subject including physiological and pharmacological modifications in the obese patient, bariatric and non-bariatric surgery, specific clinical issues such as fluid management and tissue oxygenation, as well as challenges arising from obesity in the setting of paediatrics, obstetrics, intensive care and trauma. Written and edited by experts in the field, this resource is the definitive guide to clinical management of the obese patient, exploring various international approaches to practice, with helpful case studies, and practical advice on common intra-operative challenges, and how to resolve them using evidence and best practice.

Schock, Lungenversagen, Multiorganversagen: Bei zahlreichen intensivmedizinischen Krankheitsbildern sind extrakorporale organunterstutzende Verfahren lebensnotwendig. Oft handelt es sich um hochkomplexe Systeme, fur deren Implantation, Bedienung und UEberwachung ein fundiertes Fachwissen benoetigt wird. Wenn Sie sich dieses aneignen moechten, dann greifen Sie zu diesem Manual. Lernen Sie Schritt fur Schritt, beginnend mit Begriffserklarungen und der Nomenklatur, die verschiedenen Verfahren zur Herz-Kreislauf- und Lungenunterstutzung kennen: V-A ECMO, V-AV ECMO, V-V ECMO, ECCO2 R, periphere ventrikulare Assist Devices (PVADs) sowie extrakorporale Reanimation (eCPR). Die zahlreichen, exzellenten Abbildungen und UEbersichten, gepaart mit Inhalten, die sich auf das Wesentliche konzentrieren, erleichtern das Verstehen und Merken der komplexen Zusammenhange. Aus der Praxis fur die Praxis geschrieben - fur alle, die arztlich oder pflegerisch auf einer Intensivstation tatig sind.

Developed decades ago to treat a legitimate medical need, benzodiazepines promisingly displaced less-effective and less-safe drugs, though prescribing has since exceeded their intended use and outpaced the available data. The current situation is characterized by excessive prescribing and extended utilization beyond good therapeutic practice. Evidence indicates that prolonged use of benzodiazepines causes a wide range of adverse reactions, and withdrawal can be particularly challenging. Misused, abused, diverted, and counterfeited, benzodiazepines have serious potential for substance use disorder, and are among the leading causes of drug-related overdose deaths. The Benzodiazepines Crisis sounds the alarm against the overuse of benzodiazepines, presenting an updated, evidence-based overview of this class of drugs and their negative consequences. Bringing together years of research, clinical expertise, and scientific evidence, this book aims to address a perceived lag between evidence and action in order to call for rational and dramatically reduced usage of benzodiazepines.

There is a decreased tolerance for error when pediatric patients undergo medical procedures. It is, therefore, important to accomplish procedures as quickly and accurately as possible. Pediatric Anesthesia Procedures is designed to provide rapid access to information in order to solve a clinical problem as it is occurring. Its pictorial, highly visual format will allow anesthesiologists and other clinicians to review and 'see' the procedures during planning stages, making it a practical resource to keep in the operating room for quick and easy reference during time-pressured situations. This will make it especially useful for practitioners doing procedures that they perform infrequently-or must perform for the first time during an emergent or urgent situation. The chapters within cover a wide variety of basic and advanced pediatric anesthesia procedures and provide generously illustrated step-by-step guidelines for performing them. Each is introduced with an accessible description, followed by a variety of high-quality graphic images-including detailed photographs, magnetic resonance images, computed tomography images, and ultrasound images-and detailed instructions.

Eine adaquate Therapie von Schmerzen bei Kindern, egal welchen Alters, stellt die beste Pravention von chronischen Schmerzen dar. Lesen Sie in dem Standardwerk zum Thema nach, wie Sie gezielt die Therapie gestalten koennen: - Aktuelle Erkenntnisse zum Schmerzgeschehen bei Kindern, deren Schmerzwahrnehmung und -verarbeitung, - Moeglichkeiten zur Schmerzanamnese, medikamentoesen Therapie und psychologischen Intervention, - Hinweise zur speziellen Pflege inkl. alternativer Pflegemethoden, - Ambulante und stationare multimodale Schmerztherapie. Die 5. Auflage erscheint komplett aktualisiert und fachlich erweitert. Neu sind die Themen Gesprachsfuhrung bei chronisch schmerzkranken Kindern und Jugendlichen, Qualitatssicherung in der postoperativen Schmerztherapie, Therapie chronischer Schmerzen bei jungen Erwachsenen und mehr. Plus: Online-Zusatzmaterial u.a. mit zusatzlichen Informationen zur Fort- und Weiterbildung. Wissenschaftlich fundiert und praktisch anwendbar: Zahlreiche Tabellen, Fragebogen und Dokumentationshilfen zu Medikamentendosierungen, UEberwachungsbogen, Adressen von Websites und Selbsthilfegruppen. Ein idealer Begleiter fur alle Mitglieder im therapeutischen Team: Padiater, Anasthesisten, Schmerztherapeuten, Physiologen, Psychologen und Kinderkrankenschwestern.

Personalized Anaesthesia presents a modern vision of anaesthesia. Integrating technology and knowledge from leading experts in the field, this book will change the way anaesthesia is both taught and practiced. Modern practice requires the anaesthetist to provide patient-specific management. This is the first resource to be organised by the desired physiological effect, rather than by drug groupings, explaining how physiological changes can be produced and controlled according to the characteristics of each patient and the particular surgical context. The book integrates physiology, pharmacology and technology, and applies these concepts in a systematic manner to each homeostatic system. This will optimise drug titration, effect quantification and decision making in anaesthesia practice to match the needs of the individual patient. Complex mathematical and scientific concepts are explained using accessible text, colour illustrations throughout and graphs. This is an essential text for any consultant or trainee working in anaesthesia.

An essential reference text, the fifth edition of this popular book details drugs in anaesthesia and intensive care in an A-Z format. The book describes the pharmacokinetics and pharmacodynamics of all the drugs commonly used by anaesthetists. The A-Z organisation allows rapid access to specific information on the properties and characteristics of almost 200 drugs. The new edition includes a complete revision of all the featured drugs, and the addition of key new drugs. New diagrams of particular drug structures and comparison tables aid comparison of differences within a drug class for exam revision. Improved navigation in the index enables prompt discoverability of information. Written in a concise, bullet-point style to allow quick access to information, the book contains all necessary drug references for anaesthetists in training, consultant anaesthetists, intensive care nurses, and anaesthetic assistants.

Many spiritual caregivers, including chaplains, spiritual directors and clergy, are unaware of how they can support people with chronic health conditions. This book combines insights on chronic illness with spiritual care skills and suggestions to enhance well-being for people living with long-term illness. Using a narrative approach, the author reflects on the stories of two women - Dorothy from The Wizard of Oz, who travels from Kansas (a state of health) to Oz (an illness experience), alongside the author's personal experiences of managing an incurable autoimmune disease. Chapters will include guidelines and exercises that help equip caregivers to facilitate healing with people who live with long-term health conditions.

Dedicated to Camillo Golgi, a neuroscience pioneer, the volume deals with the process of diagnosis and the strategies of treatment of pain. The most recent data on the biochemical basis of neurotransmission are reported, and the results of updated researches in pain processing, either concerning the brainstem, the thalamus and the limbic system are analysed. The importance of the ethical aspect in decision-making during the treatment of terminally ill patients is underlined.

Now on Netflix as a 4-part documentary series! "Pollan keeps you turning the pages . . . cleareyed and assured." -New York Times A #1 New York Times Bestseller, New York Times Book Review 10 Best Books of 2018, and New York Times Notable Book A brilliant and brave investigation into the medical and scientific revolution taking place around psychedelic drugs--and the spellbinding story of his own life-changing psychedelic experiences When Michael Pollan set out to research how LSD and psilocybin (the active ingredient in magic mushrooms) are being used to provide relief to people suffering from difficult-to-treat conditions such as depression, addiction and anxiety, he did not intend to write what is undoubtedly his most personal book. But upon discovering how these remarkable substances are improving the lives not only of the mentally ill but also of healthy people coming to grips with the challenges of everyday life, he decided to explore the landscape of the mind in the first person as well as the third. Thus began a singular adventure into various altered states of consciousness, along with a dive deep into both the latest brain science and the thriving underground community of psychedelic therapists. Pollan sifts the historical record to separate the truth about these mysterious drugs from the myths that have surrounded them since the 1960s, when a handful of psychedelic evangelists inadvertently catalyzed a powerful backlash against what was then a promising field of research. A unique and elegant blend of science, memoir, travel writing, history, and medicine, How to Change Your Mind is a triumph of participatory journalism. By turns dazzling and edifying, it is the gripping account of a journey to an exciting and unexpected new frontier in our understanding of the mind, the self, and our place in the world. The true subject of Pollan's "mental travelogue" is not just psychedelic drugs but also the eternal puzzle of human consciousness and how, in a world that offers us both suffering and joy, we can do our best to be fully present and find meaning in our lives.

Offering a comprehensive, multidisciplinary approach to a complex topic, Foot and Ankle Pain Management is a first-of-its-kind reference to this commonly presenting problem. Drs. Rock G. Positano, Neel Mehta, Andrew J. Rosenbaum, and Amitabh Gulati provide authoritative clinical guidance from areas of expertise in musculoskeletal podiatry, pain medicine, physiatry, and orthopaedic surgery. This first-line resource covers relevant anatomy, pain conditions, and treatments in a well-organized, easily referenced manner-offering a complete approach to care for foot and ankle specialists, pain medicine specialists, primary care physicians, pediatricians, and other clinicians who encounter patients with foot and ankle pain. Addresses common causes of foot and ankle pain including sports-related injury, diabetes, cancer (including treatment-induced pain), arthritis, neuropathy, infectious disease, and more Covers the muscles, bones, and nervous system of relevant anatomy Describes the epidemiology, pathology, and diagnosis of each pain condition, along with appropriate treatments Includes a dedicated treatment section that covers the science and methodology of specific treatments in greater detail Ideal for clinicians in primary care, podiatry, pain medicine, physiatry, sports medicine, orthopaedics, neurology, neurosurgery, rheumatology, oncology, and pediatrics Enrich Your eBook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

Selected as a Doody's Core Title for 2022! Apply the latest advances in regional anesthesia and acute pain medicine! Originally authored by Michael F. Mulroy, MD, this respected title has helped practitioners provide effective regional anesthesia for nearly 30 years. Now it has been retitled A Practical Approach to Regional Anesthesiology and Acute Pain Medicine to reflect the Accreditation Council for Graduate Medical Education's recent establishment of Regional Anesthesiology and Acute Pain Medicine as an anesthesiology fellowship. This clinical reference has evolved with the many changes in this subspecialty to continue bringing you the up-to-date, clinically focused, hands-on guidance you need to offer your patients the best possible care. Master the latest advances in the field with expanded coverage of truncal blocks, systems-based practice, acute pain medicine, and much more. Make optimal use of ultrasound guidance as a nerve localization tool for peripheral nerve blocks, thanks to updated and expanded coverage as well as many new and improved illustrations. The techniques, approaches, and systems-based practices covered in 5th edition will enhance the application and role of regional anesthesia in Enhanced Recovery After Surgery (ERAS) pathways and the perioperative surgical home. Easily find and apply the answers you need thanks to a highly readable, focused, richly illustrated format that provides balanced discussions of indications, complications, and techniques. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click See the inside front cover to find out how to access your eBook! 3 Stars from Doody's Review Service! " With a focus on perioperative blocks, the book is full of practical tips and has a very useful focus on the anatomy of each block... The book is quite handy in providing a quick refresher course for anesthesiologists and trainees in busy practices." - Doody's Review Service

Learn to prevent, recognize, and manage complications of local anesthesia administration. Written by Dr. Stanley Malamed, the leading expert on anesthesia in dentistry, the Handbook of Local Anesthesia, 7th Edition covers all the latest advances in science, instrumentation, and pain control techniques. From basic concepts to specific injection techniques, from dosage charts to the proper care and handling of equipment, this how-to guide provides in-depth, full-color coverage of key anesthesia topics, including specific hazards and errors in technique that may result in complications. Recognized as THE local anesthesia textbook in dentistry for over 30 years, the seventh edition has been thoroughly updated with the latest in safe anesthesia practices in dentistry. NEW! Updated and enhanced content throughout reflects latest research evidence. NEW! Two added chapters cover problems in achieving pain control and their solutions; and recent advances in local anesthesia. NEW! Addition of an Expert Consult Site allows you to search the entire book electronically.

Anliegen des Buches ist es, einer Psychotherapie mit Schmerzpatienten den Nimbus des Schwierigen und Belastenden zu nehmen. Anhand zahlreicher Beispiele werden Aspekte therapeutischen Handelns diskutiert, die Betroffenen dabei helfen, sich selbst zu bejahen als Mensch, der wertvoll ist und bleibt, unabhangig davon, ob seine Schmerzen weniger, starker oder gleich bleiben werden. Im Hinblick auf dieses Ziel werden therapeutische Grundhaltungen sowie konkrete Interventionen beschrieben, abgeleitet aus den Wunschen und Bedurfnissen schmerzkranker Menschen zum einen, aus Untersuchungsbefunden von Neurowissenschaften und Psychotherapieforschung zum anderen.