From childhood to millennials and beyond, it is essential we take a life-course approach to occupation and work when in pain. Written by experts in the field, Work and pain: A lifespan development approach provides an authoritative summary and analysis of the relationship between all forms of occupation and pain. Divided into three sections, 'Foundations', provides a critical account of the nature of work and of pain. The next section, 'Investigations', analyses the bi-directional relationships between children living with chronic pain and parents; between being a child in pain and schooling; what it is to be a millennial in pain; the implications of pain which is determined to be occupational in origin; and enabling a life lived well with pain as one ages. The final section, 'Interventions', critically reviews what individuals can change, what workplaces can do, and how governments can innovate to try to maximise workability for people living with pain in the context of current working practices. Work and pain: A lifespan development approach investigates and guides the reader on understanding how and why people seek to be occupied, and how we can maximise their social and personal involvement when living with ongoing pain, suggesting ways forward in research, practice, and policy.

Global ageing, in both developed and undeveloped countries, has made the need for high-quality knowledge and research on anaesthesia for the elderly increasingly important. The second edition of Anaesthesia for the Elderly Patient offers the anaesthetist guidance on the evaluation and management of elderly patients that present at hospital for surgery and anaesthesia. Containing 15 chapters on key topics such as emergency anaesthesia, orthopaedic surgery, and neurosurgery, as well as a new chapter on 'Anaesthesia for Non-Theatre Environments', this book ensures the reader is fully prepared for the clinical challenges they may face when working with this ever-growing vulnerable group. Part of the Oxford Anaesthesia Library series, this second edition of Anaesthesia for the Elderly Patient offers a fully up-to-date comprehensive introduction to the major clinical issues facing anaesthetists working with elderly patients. All chapters are fully updated and content is presented in a concise and easy to read format, with helpful key points listed at the start of each chapter.

Pierre Pfutsch zeigt, dass mit dem Notfallsanitatergesetz aus dem Jahr 2014 die berufliche Tatigkeit im Rettungsdienst stark aufgewertet wurde. Den Berufsangehoerigen wurde eine dreijahrige Ausbildung, die Moeglichkeit zur akademischen Bildung und sogar die Ausubung bestimmter heilkundlicher Massnahmen zugestanden. Nach Ansicht des Autors wird seitdem die Frage nach Delegation bzw. Substitution arztlicher Leistungen verhandelt. Zu Beginn waren Rettungssanitater zum uberwiegenden Teil ehrenamtliche Mitarbeiter, die kaum mehr als eine Erste-Hilfe-Ausbildung besassen und lediglich fur den Transport zustandig waren. Aufgrund des medizinischen Fortschritts und der steigenden Unfallzahlen im Strassenverkehr setzte Ende der 1960er-Jahre eine Professionalisierung dieses Berufsfeldes ein. Treffen Notfallsanitater vor dem Notarzt am Unfallort ein und mussen bei lebensbedrohlichen Zustanden tatig werden, begeben sie sich in eine juristische Grauzone, die einige Unsicherheiten mit sich bringt. Der Autor: Dr. Pierre Pfutsch ist Historiker und wissenschaftlicher Mitarbeiter am Institut fur Geschichte der Medizin der Robert Bosch Stiftung in Stuttgart und forscht dort zur deutsch-deutschen Zeitgeschichte von Gesundheitsberufen.

Thoroughly revised to reflect new advances in the field, Savage & Aronson's Comprehensive Textbook of Perioperative and Critical Care Echocardiography, Third Edition, remains the definitive text and reference on transesophageal echocardiography (TEE). Edited by Drs. Alina Nicoara, Robert M. Savage, Nikolaos J. Skubas, Stanton K. Shernan, and Christopher A. Troianos, this authoritative reference covers material relevant for daily clinical practice in operating rooms and procedural areas, preparation for certification examinations, use of echocardiography in the critical care setting, and advanced applications relevant to current certification and practice guidelines. Contains significantly expanded content on the use of TEE and transthoracic echocardiography (TTE) in the critical care setting-more than twice the material offered in the previous edition and ideal for Critical Care Echocardiography certification preparation Features new chapters on transcatheter procedures Includes up-to-date information on organizing education and training in perioperative echocardiography and on ultrasound for vascular access, assessment of the patient with endocarditis and using echo during resuscitation, epiaortic and epicardial imaging; endovascular management of thoracic vascular disease, transcutaneous management of valvular heart disease, and more Chapters provide key point summaries and review questions and answers throughout, making it an excellent tool for study and review 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.

Preparing to Pass the FRCA: Strategies for Exam Success equips you with the skills of effective revision and time management to maximise your success. The book takes each element of the FRCA exam and provides tips and techniques on how to approach the different types of questions, and includes worked examples with answers, so that you can undertake your revision accordingly. It will help you to target your revision so you can cover the breadth of topics in the FRCA syllabus and ensure that you structure your revision in an efficient way, as well as helping you to approach the exam and convey your knowledge through writing or speech correctly. Taking many common problems candidates face when preparing for this exam, the book covers motivation, effective studying, managing nerves, and scheduling time to study amongst other commitments.

Anesthesia Emergencies contains relevant step-by-step information on how to detect, manage, and treat complications and emergencies during the perioperative period. Concisely written, highlighted sections on immediate management and risk factors reinforce essential points for easy memorization, while consistent organization and checklists provide ease of learning and clarity. Anesthesia providers will find this book an indispensable resource, describing assessment and treatment of life-threatening situations, including airway, thoracic, surgical, pediatric, and cardiovascular emergencies. The second edition contains a revised table of contents which presents topics in order of their priority during emergencies, as well as two new chapters on crisis resource management and disaster medicine.

Pediatric Anesthesiology: A Comprehensive Board Review is a high-yield, streamlined study aid. It contains more than 800, realistic, multiple-choice questions tailored to the keywords in the outline of the Pediatric Anesthesiology Certification Examination published by the American Board of Anesthesiology (ABA). To maximize reading efficiency, annotated answers are followed by bulleted key facts and key references. With this book as guide, readers will be able to efficiently prepare for the written primary certification pediatric anesthesiology board exam.

Das Buch beinhaltet ubersichtlich und pragnant eine Zusammenstellung aller in der Schmerztherapie wichtigen Arzneimittel, deren Wirkungen, Nebenwirkungen und Kombinationsmoeglichkeiten. Somit leistet es einen wertvollen Beitrag zur Umsetzung einer adaquaten, an die individuelle Situation des Patienten angepassten Schmerztherapie. In der 7. Auflage wurden die Inhalte komplett uberarbeitet und auf den aktuellen Wissensstand gebracht. Des Weiteren wird der Einsatz von Cannabinoiden diskutiert und die Therapie von Migrane mit CGEP Antikoerper sowie CGRP Antigonisten neu behandelt. Ferner wird das Nebenwirkungsspektrum gut bekannter Schmerzmittel neu diskutiert.

An indispensible pocket reference for critical care trainees, consultants and intensive care nurses, this new Oxford Specialist Handbook provides an evidence-based approach to all aspects of patient care in cardiothoracic intensive care. Written in the Oxford Handbook format, each section is comprised of short topics ideal for quick reference. Portable, accessible, and reliable, the book equips the clinician with the basic scientific and clinical knowledge to safely assist in formulating management plans, based on current best practice. Cardiothoracic Critical Care addresses major recent developments in cardiothoracic critical care, such as cardiovascular support, mechanical support (IABP, VADS, and ECMO), and drug therapies such as nitric oxide and other new inotropic agents. The management of postoperative bleeding is covered in detail, as it increasingly involves updated fluid and blood-product therapies including blood preservation techniques such as cell salvage.

The role of the operating department practitioner has evolved considerably in recent years, and both trainee and practising ODPs need a practical, up-to-date resource on terminology and current practice. Each entry in the second edition of Operating Department Practice A-Z has been fully updated and contains both a short definition and a more detailed description of the term or procedure, with supporting information to give the reader a deeper understanding of the field. In addition, the book contains useful appendices on medical terminology and abbreviations, normal values, medical and scientific symbols, and a list of useful websites for further reference. Written by two of the UK's most experienced Operating Department Practice lecturers, Operating Department Practice A-Z, second edition provides practical, concise information for all peri-operative staff members.

The literature increasingly supports the position that elective surgery on poorly prepared chronic pain patients is not smart and ultimately in no-one's best interest. Just as patients with ischemic heart disease, obstructive lung disease, or diabetes can and need to be optimized prior to surgery, so too should chronic pain patients. The complex dynamics of chronic pain require a priori intervention - targeting enhanced recovery before surgery. Preoperative Optimization of the Chronic Pain Patient is a groundbreaking collaborative effort written by medical and psychological experts in the field of pain management with a specific interest in the perioperative arena. The modern emphasis on biopsychosocial-spiritual care is as important here as anywhere in medicine as comprehensive mind-body preparation is essential to optimize outcomes. That preparation entails replacing toxic thoughts (e.g., anxiety and pain catastrophizing) and behaviors (e.g., tobacco and opioid dependence; poor sleep, nutrition and exercise patterns) with beneficial ones. Such replacement of maladaptive cognitive-behavioral patterns requires the enhancement of patients' motivation and the cultivation of healthy habits. This book provides the framework for an evidence-based synthesis of counseling and intervention for preoperative optimization of chronic pain patients. Clinicians will learn to improve health and economic outcomes affecting their patient, health care team, and institution; to identify and target relevant issues, utilizing a holistic yet focused approach to optimization; and to collaborate with the patient and requisite multidisciplinary care team in a streamlined, efficient, and effective manner.

Opioids have been used as analgesics for many years, and their use in the management of acute pain related to trauma and surgery is well established. However, patients with persisting pain need a pain management plan that brings relief of symptoms without adverse effects in both the short and longer terms. The prescribing of opioids for chronic non-cancer pain has increased substantially since the first edition of this pocketbook was published, prompting considerable debate regarding the appropriateness of prescribing for this indication and the potential harms to individuals and to society that may result from this trend. This second edition of Opioids in Non-Cancer Pain brings clinicians up to date on the current use of opioid drugs in patients with non-cancer pain, and highlights the potential benefits of therapy as well as the problems that can occur. The edition includes new chapters on the history of opioids to help contextualize the following discussions, and a new chapter covering the emerging field of pharmacogenomics which provides explanations for differing responsiveness to opioids and propensity to adverse effects. An international perspective on opioid prescribing trends is also a valuable new addition.

Most people have back surgery to relieve pain, but all too often it doesn't help. For the half million people who undergo back surgery each year, and the additional million who are seriously contemplating it, Do You Really Need Back Surgery?, Second Edition, is a godsend-an informed, reliable guide to when you should consider surgery and when you should not. Written by an internationally recognized expert in nerve and spinal surgery, this highly readable guide covers everything back patients need to know to make informed decisions about their treatment. The book discusses the details of spinal anatomy; explains the difference between acute, chronic, and recurring pain; shows how to keep the spine healthy; and defines such terms as spurs, stenosis, and slippage. It also reveals what clues your physician uses to predict whether a given type of pain is likely to go away with rest and exercise, and which types may become emergencies. Dr. Filler discusses the risks of surgery, the decisions you may be faced with and what options you have, and your expectations for recovery. He provides detailed explanations of the wide array of spinal injections and surgeries, including discectomies and fusions, as well as innovative procedures such as electrothermic and laser techniques and artificial disks. He explains the various medical imaging and diagnostic tests available and even covers the complexities of health insurance. The new and extensively revised edition of this book is expanded to cover the impact of dozens of new advanced technologies in spinal diagnostics and treatment that have emerged in the eight years since the original very successful edition. Advances in new types of pain medications and new types of surgeries that minimize recovery time and achieve better outcomes are explained. In addition, this book examines the problems in the case of a few new devices in spinal surgery where money from medical device manufacturers has led to distorted research that had to be withdrawn. A major change from the previous edition is the inclusion of two chapters that describe a series of different nerve entrapment syndromes that can cause headache, neck, shoulder and arm pain as well as causing buttock and leg pain - but are not caused by spine problems. This includes information about piriformis syndrome causing sciatic, thoracic outlet syndrome causing shoulder and neck pain and about pudendal nerve entrapments causing groin and pelvis pains. From Pilates to pedicle screws, and from osteoporosis to spina bifida, Do You Really Need Back Surgery?, Second Edition, covers all the questions your doctor usually doesn't have the time to answer. Featuring almost 100 illustrations, it is an essential manual for every neck or back pain sufferer.

Critically ill paediatric transfers have expanded rapidly over the past ten years and, as such, the need for transfer teams to recognise, understand and treat the various illnesses that they encounter is greater than ever. This highly illustrated book covers a multitude of clinical presentations in a case-based format to allow an authentic feel to the transfer process. Written by clinicians with experience in thousands of transfers, it brings together many years of experience from a world-renowned hospital. Following the case from initial presentation, to resuscitation and referral and finally with the transfer itself; the book explores the clinical stabilisation, human factors decisions and logistical challenges that are encountered every day by these teams. Following the entire journey, this is an ideal resource for all professionals who may be involved in critical care transfer and retrieval medicine, particularly those working in paediatrics, emergency medicine, anaesthesiology, intensive care, or pre-hospital settings.

Basic Anesthesiology Examination Review is a high-yield, streamlined study aid specifically designed for Anesthesiology residents preparing for the American Board of Anesthesiology (ABA) Basic Anesthesiology Exam. Chapters deliver succinct and efficiently communicated summaries of all content listed in the ABA exam outline, plus highlighted key facts, mneomnics, and relevant images and diagrams. Chapters conclude with board-style practice questions and annotated answers, followed by key references and further reading. With this book as a guide, readers will be able to efficiently prepare for the Basic Anesthesiology Examination and master the key facts and concepts that provide the scientific roundation for the practice of Anesthesiology.

Authored by top anesthetists, this Second Edition of Primary FRCA in a Box contains over 200 revision flashcards addressing almost all the topics needed to pass the Primary FRCA. Broad and wide-ranging subject areas are covered in easy-to-learn note format, including physiology, pharmacology, physics, and clinical measurement. The cards include key diagrams to aid understanding and are easy to reproduce in the oral exam.The cards include key diagrams to aid understanding and are easy to reproduce in the oral exam. Using standard question formats from the Royal College exams, Primary FRCA in a Box is an essential tool for effective revision and preparation for the Primary FRCA exams. It also provides essential revision for candidates studying for the Final FRCA exam who wish to have a concise review of Primary FRCA topics. These flashcards are recommended for all qualified and trainee anaesthetists and their trainers, and related health professionals.

Pain Medicine, a relatively new specialty, has proven increasingly relevant to medical practitioners in every field. The specialism of pain has emerged over the past 50 years, largely due to the persistence of experts and new medical evidence that points to its necessity. Today, it is a distinct and integral part of global medical practice. Landmark Papers in Pain offers a comprehensive inventory of over 80 key studies in pain medicine from the last 100 years. Each paper is accompanied by a concise commentary on the significance of the original findings written by an expert in pain. The reviews discuss how the paper influenced the development of the speciality, and how the findings have advanced our global comprehension of pain. Together, the selected papers and reviews chart the growth of an embryonic field into the modern speciality of pain medicine. Complied by leading specialists in the field, the papers included in this book are significant for any student, researcher, clinical practitioner, or medical historian interested in pain medicine. Organised into eight distinct topics and cross-referenced by topics and author of original paper, the book is comprehensive in its coverage and easy to use. A review of the contemporary and historical research that shaped the speciality of pain, Landmark Papers in Pain is essential reading for all medical practitioners with an interest in pain medicine.

The effective management of pain from cancer is a top priority for patients, carers and healthcare professionals, and has been the subject of extensive research. Approximately two-thirds of cancer patients will experience severe pain, and many of them will have more than one pain. However, because of the increasing number of available treatments for cancer, patients are surviving for longer periods, and are developing complex consequences of their cancer and its treatment, such as central and peripheral neuropathic pain syndromes. Approximately 8 - 10% of cancer pain remains unrelieved by conventional means.
Interventional cancer pain management implies the use of invasive techniques, such as neuraxial (epidural, intrathecal and intracerebroventricular) drug administration, brachial and lumbar plexus blocks, autonomic blockade, neurolytic blocks and cordotomy. It can also include TENS, acupuncture and complementary therapies. This book describes specifically the difficult pain problems that are now faced in palliative care and highlights the need for greater collaboration between the disciplines of pain medicine and palliative care. It refers to the psychological and spiritual needs of patients, and provides patient experience data on specialist techniques. The book is an invaluable resource for all healthcare professionals working in palliative care, pain management, and primary care to inform them about the range of interventional techniques available, with evidence of efficacy, side effects and management advice.

Structured Oral Examination Practice for the Final FRCA offers well-researched, relevant, and carefully constructed questions with evidence-based answers. The book specifically addresses the new clinical emphasis in the FRCA examination, giving candidates an insight into the way the viva works, offering general guidance on examination techniques, and providing readily accessible information relating to a wide range of potential questions. The book is organized into 16 chapters, each offering trainees and trainers complete examinations as in the real structured oral examination, covering around 70 relevant topics. Each chapter includes clinical anaesthesia and basic science broadly organized into the six areas covered by the exam: long-cases, short-cases, applied anatomy, physiology, pharmacology and clinical measurement. The book also includes a hot topics chapter addressing recent advances beloved of examiners.

In the 21st century, people in the developed world are living longer. They hope they will have a healthy longer life and then die relatively quickly and peacefully. But frequently that does not happen. While people are living healthy a little longer, they tend to live sick for a lot longer. And at the end of being sick before dying, they and their families are frequently faced with daunting decisions about whether to continue life prolonging medical treatments or whether to find meaningful and forthright ways to die more easily and quickly. In this context, some people are searching for more and better options to hasten death. They may be experiencing unacceptable suffering in the present or may fear it in the near future. But they do not know the full range of options legally available to them. Voluntary stopping eating and drinking (VSED), though relatively unknown and poorly understood, is a widely available option for hastening death. VSED is legally permitted in places where medical assistance in dying (MAID) is not. And unlike U.S. jurisdictions where MAID is legally permitted, VSED is not limited to terminal illness or to those with current decision-making capacity. VSED is a compassionate option that respects patient choice. Despite its strongly misleading image of starvation, death by VSED is typically peaceful and meaningful when accompanied by adequate clinician and/or caregiver support. Moreover, the practice is not limited to avoiding unbearable suffering, but may also be used by those who are determined to avoid living with unacceptable deterioration such as severe dementia. But VSED is "not for everyone." This volume provides a realistic, appropriately critical, yet supportive assessment of the practice. Eight illustrative, previously unpublished real cases are included, receiving pragmatic analysis in each chapter. The volume's integrated, multi-professional, multi-disciplinary character makes it useful for a wide range of readers: patients considering present or future end-of-life options and their families, clinicians of all kinds, ethicists, lawyers, and institutional administrators. Appendices include recommended elements of an advance directive for stopping eating and drinking in one's future if and when decision making capacity is lost, and what to record as cause of death on the death certificates of those who hasten death by VSED.

This book offers a comprehensive solution to any person wishing to sit, and ultimately pass, the SAQ paper for the Final FRCA exam. It is designed specifically to fit the examination format, with each double page spread containing a sample question and detailed model answer, acting both as a revision guide and as a template for answering similar questions in the exam. It includes the most recent guidelines and evidence base, whilst also covering in detail areas not included in other revision books. Written by two recent and successful exam candidates, and a highly respected senior anaesthetist, this book holds the key to passing the final FRCA examination.

How can I teach more interactively? What is the best way to use visual aids? Why should I vary my teaching method? How should I prepare for a lecture? When should I use a simulator? Good teaching skills are essential for passing on knowledge so that it will be retained and practised for a lifetime. Thus being able to teach well is vital to patient care. This book is written for the busy clinician to help improve their teaching and pass their skills and learning on to others in the most effective way. The text covers every aspect of teaching, from lesson planning and how to use resources, to evaluating teaching and dealing with difficult situations. A combination of practical advice, step-by-step instructions and sample lesson plans will help and inspire the reader to become the best teacher possible. The text is also written for those who teach others to teach; for those running a course for their department, or running official teacher training courses. The Notes for Trainers section within each chapter gives specific guidance, helpful tips and sample lesson plans to help you run a new course. The authors share their extensive range of clinical and teaching experience in this highly readable book.