This issue of Anesthesiology Clinics, guest edited by W. Andrew Kofke, features contributions by the Society for Neuroscience in Anesthesiology and Critical Care. Topics include: Anesthetics, Neuropathophysiology, CBF Autoregulation and Dysautoregulation, Chronic Pain in Neurosurgery, Anesthesia for Endovascular Approaches to Stroke, Pharmaclologic Innovations in Neuroanesthesia MMM, Intraoperative Monitoring, Brain Oxygen Monitoring, Neuromuscular Disease, and more!

Theodore H. Stanley, M.D. Anesthesiology and Pain Management contains the Refresher Course manuscripts of the presentations of the 36th Annual Postgraduate Course in Anesthesiology which took place at The Cliff Conference Center in Snowbird, Utah, February 22-26, 1991. The chapters reflect new data and concepts within the general framework of "pain research and basic science," "clinical topics in pain management." The purposes of the textbook are to 1) act as a reference for the anesthesiologists attending the meeting, and 2) serve as a vehicle to bring many of the latest concepts in anesthesiology to others within a short time of the formal presentation. Each chapter is a brief but sharply focused glimpse of the interests in anesthesia expressed at the conference. This book and its chapters should not be considered complete treatises on the subjects addressed but rather attempts to summarize the most salient points. This textbook is the ninth in a continuing series documenting the proceedings of the Postgraduate Course in Salt Lake City. We hope that this and the past and future volumes reflect the rapid and continuing evolution of anesthesiology in the late twentieth century. ix list of Contributors Ashburn, Michael A. Department of Anesthesiology, University of Utah, Salt Lake City, Utah Basbaum, Allan Department of Anatomy & Physiology, University of California - San Francisco, San Francisco, California Bonica, John J. Department of Anesthesiology, The University of Washington, Seattle, Washington Cousins, Michael J.

Written by a psychologist and a psychiatrist noted for their expertise as both practitioners and researchers, the book illustrates how hypnosis can significantly alleviate the pain of childbirth, medical or dental surgery, burns or other accidental injuries, cancer, and chronic syndromes. With over 600 references covering the field of modern research into the mechanisms of pain, the authors convey a thorough understanding of findings and limitations of available empirical studies. Yet the book remains exceptionally clear and non-technical and will appeal not only to professionals involved with pain reduction but to lay people as well. The Hilgards address a broad spectrum of topics relating to hypnosis and pain, ranging from an historical review to a consideration of future areas for investigation. They thoughtfully tackle the controversy still surrounding the nature of hypnosis - is it an altered state of consciousness or a pattern of behaviour adopted by both subject and hypnotist? The concluding section presents the Hilgards' neo-dissociation theory of hypnosis as well as a highly useful technique for assessing susceptibility in clinical situations. Pain has been called the greatest unsolved problem in medicine. Hypnosis in the Relief of Pain, with its honest and complete appraisal of the role of hypnosis on pain reduction, will contribute significantly to the understanding and broader use of this noninvasive and natural healing phenomenon.

* Complete coverage of the FFICM Structured Oral Examination curricullum ensuring confidence in sitting the exam * Facilitates structured study and revision * Organised by sub specialty area to enable focused revision * Up to date guidance in key areas

Provides insight into emerging therapeutic options. Fully illustrated to enhance understanding. Authored by renowned experts from multiple disciplines.

A comprehensive revision guide, Get Through Final FRCA: Single Best Answers provides candidates with a definitive resource to aid passing their challenging Final FRCA written examination. This latest edition contains 180 new SBA questions along with detailed answer justifications. The questions have been completely updated to follow the current format and curriculum of the Final FRCA examination. Questions are organised randomly to provide five sets of thirty-question SBA practice papers, providing a realistic and concentrated exam practice. Written by an experienced team of anaesthesia authors and edited by Dr. Nawal Bahal, an experienced teacher and author of the bestselling Get Through Final FRCA MCQs, this book this is essential reading for postgraduate candidates preparing for the written part of this challenging examination.

The two previous editions of "Applied Physiology in Intensive Care Medicine" proved extremely successful, and the book has now been revised and split into two volumes to enhance ease of use. In this second volume some of the most renowned experts in the field offer detailed reviews on measurement techniques and physiological processes of crucial importance in intensive care medicine. Throughout, a key aim is to help overcome the fundamental unevenness in clinicians understanding of applied physiology, which can lead to suboptimal treatment decisions. "Applied Physiology in Intensive Care" has been written by some of the most renowned experts in the field and provides an up-to-date compendium of practical bedside knowledge essential to the effective delivery of acute care medicine. It will serve the clinician as an invaluable reference source on key issues regularly confronted in everyday practice.

What is pain? What does it mean to have a relationship with it and how does this affect your identity and existence? The author's definition of pain is derived from that proposed by scientists, such as Melzack, Wall and Freud. Pain is a dynamic, multi-layered, diverse collection of experiences, which impacts and influences us throughout life. Pain is a kind of conglomerate of past, traumatic, neurobiological, psychological and emotional imprints--pain as in suffering or being in pain. The author argues that it is not pain, as such, but our relationship with pain, which is most significant to the processes of our lives. In examining the combination of Freud's psychosexual theory of development and Melzack's theory of the neuromatrix, the author endeavours to evidence her theory that there is the distinct possibility for the existence of what she has named a Psychomatrix-patterns of pain (loss, abandonment, grief, rejection, desire) imprinted from infancy.

From time to time, professional journals and edited volumes devote some of their pages to considerations of pain and aging as they occur among the aged in different cultures and populations. One starts from several reasonable assumptions, among them that aging per se is not a disease process, yet the risk and frequency of disease processes increase with ongoing years. The physical body's functioning and ability to restore all forms of damage and insult slow down, the immune system becomes compromised, and the slow-growing pathologies reach their critical mass in the later years. The psychological body also becomes weaker, with unfulfilled promises and expectations, and with tragedies that visit individuals and families, and the prospect that whatever worlds remain to be conquered will most certainly not be met with success in the rapidly passing days and years that can only culminate in death. Despair and depression coupled with infirmity and sensory and or motor inefficiency aggravate both the threshold and the tolerance for discomfort and synergistically collaborate to perpetuate a vicious cycle in which the one may mask the other. Although the clinician is armed with the latest advances in medicine and phar macology, significant improvement continues to elude her or him. The geriatric specialist, all too familiar with such realities, usually can offer little else than a hortative to "learn to live with it," but the powers and effectiveness of learning itself have declined."

Cancer Pain provides a comprehensive, practical guide to the management of pain in cancer patients. Beginning with a discussion of current issues in the control of cancer pain, the initial chapters provide a clear, concise explanation of cancer pain syndromes, an up-to-date understanding of the pathophysiological mechanism and recent developments in creating pre-clinical cancer pain models. The book offers the reader the wide and improved options for management of cancer pain in clinical practice including the use of opioid and non-opioid drugs and the role of non-pharmacological methods in pain control. Subsequent chapters address particular challenges in pain control, such as breakthrough pain, neuropathic cancer pain, as well as pain associated with cancer treatment which, until recently, has not been fully appreciated. Recent issues relating to new adverse side effects to chronic opioid medications such as hyperalgesia and neurotoxicity are explained, and best practice to reduce or avoid them is stated. The book also aims to aid in the overall educational need for young doctors as well as established primary care physicians by highlighting the available tools and the importance of early pain interventions in the overall cancer treatment strategy.

This issue provides a glimpse into how pain can be assessed and managed by several medical disciplines and approaches. It covers classical and conventional techniques as well as innovative techniques.

In the Users Guide to Brain-Boosting Nutrients, leading nutritionist and author of the Real Vitamin and Mineral Book Shari Lieberman teams up with top nutrition writer and former editor of Better Nutrition magazine James Gormley to describe the best brain-boosting dietary supplements including vitamin E, ginkgo, amino acids, huperzine A, and acetyl-L-carnitine and how to use them safely and effectively to achieve optimum brain power.

Pain is felt by everyone, yet understanding its nature is fragmented across myriad modes of thought. In this compact, yet thoroughly integrative account uniting medical science, psychology, and the humanities Ronald Schleifer offers a deep and complex understanding along with possible strategies of dealing with pain in its most overwhelming forms. A perfect addition to many courses in medicine, healthcare, counseling psychology, and social work.

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.

Pain is felt by everyone, yet understanding its nature is fragmented across myriad modes of thought. In this compact, yet thoroughly integrative account uniting medical science, psychology, and the humanities Ronald Schleifer offers a deep and complex understanding along with possible strategies of dealing with pain in its most overwhelming forms. A perfect addition to many courses in medicine, healthcare, counseling psychology, and social work.

Hone your pain injection skills with Atlas of Pain Injection Techniques! This highly illustrated, "off-the-shelf" guide offers easy-to-follow descriptions of today's best techniques for administering basic nerve blocks. Ideal for relative newcomers to pain management as well as for anesthesiology trainees, this medical reference book provides exactly the fundamental guidance you need to master these essential procedures. Find information quickly with a user-friendly, templated format that guides you through each nerve block in a consistent and easy-to-follow manner. Rely on expert recommendations when considering local anesthetics, corticosteroids, and neurolytic agents. Offer proven, reliable treatment options to patients with persistent, severe or chronic pain. This introductory atlas provides a description of many basic regional anesthetic tools as well as common joint and muscular injections for pain relief. See exactly how to proceed to achieve optimal results and avoid problems. Step-by-step instructions - with concise text accompanied by line drawings and color photographs - demonstrate correct needle placement and anatomical structure for 29 techniques and procedures. Apply ultrasound guided therapies for optimal needle placement in delivery of anesthetic agents. Access the full text online at Expert Consult.

Arriving in the anaesthetic room for the first time can be a daunting experience. You will be closely supervised, but everything will seem very new. Surgery is a stressful life-event for the patient and your job as an anaesthetist is to make it as safe and as comfortable as you can whilst ensuring the best outcome possible. Anaesthesia is no longer the preserve of the medical anaesthetist. It increasingly features in undergraduate and postgraduate healthcare education, and many of the competencies required need to be attained quickly, in conjunction with new drugs and equipment. This guide provides practical and clinically relevant advice in easily understandable sections to give you confidence and prepare you for your days in theatre - without the complicated physiology, pharmacology and physics. It allows you to understand the most common drugs and provides a rationale for using them. It's the perfect quick, clinical reference for dealing with common problems and emergencies; ideal for everyday use. This book is invaluable for anaesthetists starting out in their career, but is also highly recommended for Foundation, ACCS, ICM trainees, medical students, operating department trainees and nurses. It also provides an excellent revision basis for Primary FRCA candidates. 'This book provides the basic background and ground rules for how anaesthetists work, how they approach a problem and how one can prepare for it. Some of the initial chapters could be usefully read by all surgeons, especially those in Foundation Training posts, and medical students considering an anaesthetic or intensive placement. The use of lists, key points and limited use of references help make the book easy to read, or dip into between cases, and keep it a manageable size whilst still providing a mine of information for the target audience.' From the Foreword by Peter Nightingale

Here is the second, completely revised and updated edition of the successful practical guide to image-guided spine intervention. It contains revised text and images as well as new sections and chapters. The updated text thoroughly discusses both well-established and new interventions that are applied to the spine for the purpose of pain relief.

Public health approaches to palliative care have been growing in policy importance and practice acceptance. This innovative volume explores the major concepts, practice examples, and practice guidelines for this new approach. The goal of 'comprehensive care' - seamless support for patients as they transition between home based care and inpatient services - relies on the principles of health promotion and community development both to ensure services are available and importantly appropriate for patients' needs. In developing contexts, where hospitals and hospices may be inaccessible, a public health approach provides not only continuity of care but greater access to good end of life care. This book provides both a historical and conceptual overview whilst offering practical case examples from affluent and developing contexts, in a range of clinical settings. Finally, it draws together research-based guidelines for future practice. Essential reading for public health researchers and practitioners with an interest in end of life care and global health as well as those involved in developing palliative care provision, International Perspectives on Public Health and Palliative Care is the first volume to present an overview of theory and practice in this emerging field.

"This book is a 'must have' resource in every physician/clinician practice setting."--Martin Grabois, M.D., Professor of PM&R, Baylor College of Medicine, Houston,TX. Dr. Vasudevan draws upon an accumulated reservoir of clinical expertise to provide readers with an up-to-date and highly readable guide to multidisciplinary pain management. . . . If only this book was available years ago"--Francis J. Keefe, PhD. Professor of Psychology, Psychiatry and Anesthesiology, Duke University, Durham, NC. This practical volume brings multidisciplinary innovations to the treatment of chronic pain. It argues expertly for the benefits of a biopsychosocial approach over current pain treatments more suited to acute care. The author's insights into the complexity of chronic pain and critiques of common but inconsistent unimodality pain management methods underscore the need for targeted multi-disciplinary pain programs. Among a wealth of useful clinical nuggets, readers will find guidance on adding "virtual" support to a pain management team, details on ways patients can take an active role in dealing with their chronic pain, and the original concept of the "back attack." Included in the coverage: Pain theories and factors behind chronic pain-its application in treatment. Cognitive behavioral coping strategies. Treatments that have questionable or controversial evidence. Evaluation of disability in patients with chronic pain. Creating a virtual multidisciplinary team. Common pain problems: low back pain, complex regional pain syndrome, myofascial pain syndrome, fibromyalgia. Multidisciplinary Pain Management will enhance the work of diverse practitioners, including health and clinical psychologists, family and other primary care physicians, psychiatrists, occupational and physical therapists, and rehabilitation specialists.

This invaluable resource presents a state-of-the-art account of the psychology of pain from leading researchers. It features contributions from clinical, social, and biopsychological perspectives, the latest theories of pain, as well as basic processes and applied issues. The book opens with an introduction to the history of pain theory and the epidemiology of pain. It then explores theoretical work, including the gate control theory/neuromatrix model, as well as biopsychosocial, cognitive/behavioral, and psychodynamic perspectives. Issues, such as the link between psychophysiological processes and consciousness and the communication of pain are examined. Pain over the life span, ethno-cultural, and individual differences are the focus of the next three chapters. Pain: Psychological Perspectives addresses current clinical issues: * pain assessment and acute and chronic pain interventions; * the unavailability of psychological interventions for chronic pain in a number of settings, the use of self-report, and issues related to the implementation of certain biomedical interventions; and * the latest ethical standards and the theories. Intended for practitioners, researchers, and students involved with the study of pain in fields such as clinical and health psychology, this book will also appeal to physicians, nurses, and physiotherapists. Pain is ideal for advanced courses on the psychology of pain, pain management, and related courses that address this topic.

The concept of integrating pain management into the surgical process as a single entity is new and exciting. The use of local anaesthetic to block post-operative pain at the site of its generation is here refined into a management program allowing early mobilisation and dramatic pain control in the early post-operative period. This multimodal technique is demonstrated here with application to lower limb arthroplasty and spinal surgery. This is not only a detailed explanation and instruction in the technique and concept, but a historical perspective on its development, and will be of great interest to all orthopaedic surgeons as well as anaesthetists.

Using easy-to-understand terminology, this text covers:

• LIA methods
• Pre- and postoperative management
• How to select a needle injection location
• The benefits of combining the LIA technique with the drugs Naropin, Marcain, and Xylocaine

Color images throughout the text highlight the advantages of LIA, including:

• avoidance of sedation
• simple execution for physicians
• reduced risk of infection and blood clots
• little physiological disturbance
• earlier patient discharge and return to the workforce
• improved patient performance, outlook, and mobility
• fewer medical expenses

Named a 2013 Doody's Core Title 2012 Third Place AJN Book of the Year Award Winner in Psychiatric-Mental Health Nursing

"This is a great resource for any nurse working with women."--Score: 94, 4 Stars. Doody's Medical Reviews

This is a quick-access clinical guide to the range of mental health issues and diagnoses that commonly affect women across the life span. It focuses on the unique biopsychosocial factors that make women especially vulnerable to psychological disorders and emphasizes key stressors specific to women that are precursors to mental illness. Frequent headings and bulleted, concise presentation of information facilitates reading.

In addition to discussing mental health issues specific to women, the guide covers unique populations such as disabled women, lesbian and transgendered women, female veterans, women with forensic health concerns, and women who have been the object of violence. Chapters also address childbearing issues, including menstruation-related problems, infertility and its psychological implications, and antepartum, intrapartum, and postpartum psychological disorders. Developmental milestones, the impact of culture on mental illness, and global health issues are covered as well. Tables and charts present key facts in an easy-to-read format. Key Features:

Provides a concise, easy-to-use guide to women's mental health issues across the life span for new and seasoned nurse practitioners Focuses on stressors unique to women as precursors of mental illness Delivers commonly occurring DSM-IV disorders in women, using a consistent format that includes etiology, assessment, and drug and behavioral therapeutic approaches Discusses preconception and childbearing issues, the impact of violence, female veterans, disabled women, lesbian women, and transgendered women

Advances over the past two decades have enabled physicians to revolutionize the manner in which they can assess and manage children's pain. Thirty years ago it was thought that young children did not experience pain and therefore it was not necessary to treat it. Today professionals from a variety of disciplines have contributed data that have revolutionized medical perspectives. Technological advances now enable doctors to treat acute pain in fetuses, premature neonates, infants, toddlers, children, and adolescents with increasing precision and efficacy. Research highlighting the context of chronic pain has moved them away from a mind-body dichotomy and toward an integrated, holistic perspective that leads to substantial improvement in children's adaptive functioning as well as subjective discomfort. This book covers these topics and is intended for anyone who provides medical care to children. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies. The role of the primary care practitioner is highlighted, both as a front-line resource as well as a consumer of specialized pediatric pain treatment services. Each chapter ends with a summary and specific bullet points highlighting the most central elements, making for quick and easy reference.

Won First Prize at 2012 BMA awards in Anaesthesia Category. Lavishly illustrated by clear line diagrams and photographs, Ward's Anaesthetic Equipment is a highly accessible single source to aid understanding of the key principles behind equipment function and design. This sixth edition of the classic reference text on anaesthetic equipment is again extensively revised to reflect the very latest advances. Ward's is an invaluable resource for qualified anaesthetists, as well as essential reading for those in training or approaching examinations such as those of the Primary and Final Fellowship in the UK and Ireland. Trainees in Intensive Care Medicine, anaesthetic assistants, operating department practitioners, electronic and biomedical engineers in hospitals and manufacturers' representatives will also benefit from this most trusted guide. Provides a simple and comprehensive explanation of the function of anaesthetic equipment, ensuring its safe use in clinical practice Covers the relevant syllabus required by the FRCA and similar exams taken by trainee anaesthetists Clear line diagrams explain the working principles of each piece of equipment The physics and technology of ultrasound gains a devoted chapter, as does patient warming. There are enhancements on depth of anaesthesia monitoring, error management and ultrasound imaging in regional anaesthesia. Particular coverage of supraglottic airway devices substantially augments an extended chapter on airway equipment. Updates throughout, including on the anaesthetic workstation, infusion devices and equipment for anaesthesia in difficult locations, ensure Ward's remains the most comprehensive and current text on anaesthetic equipment.