As recently detailed in an Institute of Medicine Report, pain represents one of the most costly and prevalent public health conditions in the United States, and the burden of pain is substantially greater for women than men. Women make up half of the world's population. Yet, the overall treatment of pain in women remains challenging to this day. The differences between men and women are anatomical, physiological and psychosocial in nature. Consequently, several unique features come to mind when discussing pain as experienced by women, such as pain related to pregnancy, pain related specifically to female organs, and chronic painful conditions which have a higher prevalence in the female population. The purpose of this book is to address the current understanding of mechanisms related to sex differences, and the clinical management of common acute and chronic painful conditions in women, using up-to-date evidence-based information. The painful conditions discussed include those that are specific to female anatomy and physiology and conditions that have a higher female prevalence. The book is divided into three sections. The first section covers basic science topics related to sex differences in pain. The epidemiology of painful conditions with female prevalence; sex differences in response to pain, and to analgesics; the role of sex hormones and genotype in pain perception and analgesia; sex differences in cerebral responses to pain revealed by brain imaging ; and the role of psychosocial factors, including psychological interventions will be discussed in this section. The second and third sections are clinically directed. The second section focuses on pain specific to female patients. Topics include the management of labor pain; the management of painful conditions during pregnancy; and the management of pain in the opioid tolerant pregnant patient. The latter includes discussion on the impact of pain management on the fetus in utero, and on the newborn who is breastfed. Chronic pain specific to females, including dysmenorrhea, chronic pelvic pain and vulvodynia will be discussed in this section. Cancer-related pain issues in women will be addressed in the chapter on persistent pain after breast cancer treatment and the chapter on interventional management of pelvic cancer pain. The third section covers painful conditions with high female prevalence. These include fibromyalgia, chronic fatigue syndrome and neuropathic pain in complex regional pain syndrome. Visceral pain with female prevalence such as irritable bowel syndrome, chronic pelvic pain of undetermined etiology will also be addressed in this section. This section also includes chapters on the presentation of cardiac pain in women; headaches including migraine; and temporomandibular joint disorders and orofacial pain. The book is intended for a wide readership, including physicians and allied healthcare professionals who encounter female patients with acute or chronic painful conditions. In addition, residents and medical students in training as well as graduate students in health sciences will benefit greatly from this book as they continue to learn about and manage difficult and complex issues related to pain in female patients.

Pain is a pervasive symptom present in multiple areas of medicine. It is imperative that physicians not only evaluate and diagnose the source of pain, but that they also recognize how to manage the actual pain symptoms with effective treatment. Handbook of Acute Pain Management is an essential reference for professionals to enhance their knowledge of pain therapies. Covering both pharmacologic and non-pharmacologic approaches to treatment, this text provides updates on the most recent developments in the management of pain. This includes information on potential drug-drug and drug-disease interactions, patient controlled analgesia devices, and the emergence of continuous catheter techniques. The text also addresses pain management issues in special populations such as pediatric, opioid tolerant, and elderly patients.

Whether initiated by injury or disease, induced and sustained by changes in the nervous system, or manifested by society and culture, chronic pain can change one's first-person experience of the body and the world, and ultimately impacts cognitions, emotions, and behavior. Many fine medical books address the causes and management of chronic intractable pain, but rarely do they focus on the ways that such pain creates illness and is experienced and expressed by persons in pain. Maldynia: Multidisciplinary Perspectives on the Illness of Chronic Pain is about chronic pain that has progressed to a multidimensional illness state in and of itself. Although often dismissed as such, this pain is not imaginary, but rather represents an interaction of neurobiological processes, emotional and behavioral responses, and socio-cultural effects and reactions that become enduring elements in the life and world of the pain patient, and often remain enigmatic for those who provide care. Taking a comprehensive approach that covers science, humanities, and culture, this volume emphasizes the need for researchers, clinicians, and caregivers to regard the ways in which chronic intractable pain becomes illness and affects a patient's biological, social, and psychological states, as well as his or her sense of self. Edited by neuroscientist and neuroethicist James Giordano, this book contains 17 insightful chapters representing medicine, neuroscience, psychology, philosophy, ethics, history, art, and the ministry, this volume: * Provides an overview of the history of pain and its treatment since Hippocrates * Addresses the neurobiology and experience of chronic pain * Discusses possible relationships of chronic pain to spirituality * Details the role and value of narrative and expression, as well as technology in assessing maldynic pain * Posits the basis for an ethic of pain care * Explores the problematic nature and implications of pediatric maldynia * E

In this issue of the Anesthesiology Clinics, there are many exciting pharmacology reviews giving us a glimpse into future practice. It begins with a definitive review by Drs. Pamela Palmer and Ronald Miller on current and developing methods of patient-controlled analgesia. There are five focused reviews on drugs designed and utilized in pain management and drug addiction: buprenorphine, acetaminophen, an oral sufentanil preparation, and tapentadol. These reviews are timely because so many new drugs have come to market to modulate and to better target pain and inflammation. Likewise, there has been an explosion in use of a number of anticoagulants that modulate the coagulation cascade. Two reviews provide a clear understanding of how many of these newer agents work, discussion of the new recombinant activated factor VII (Novo7?), and guidelines for these drugs in clinical anesthesia and pain practice. Evolving understanding and clinical use of dexmetomidine, in the OR, ICU, and peripheral sites has reshaped the practice of sedation for a large population of patients. These topics describe highly clinically relevant perioperative agents. There are also reviews on pharmacological options in the management of patients with hypertension, cardiac disease, and new cardiac anesthesia agents in the OR and ICU. There is a special review on the role of statins in cardiac anesthesia, a very exciting and evolving topic. Also reviewed is levosimendan, a calcium sensitizer utilized for acutely decompensated congestive heart failure and shown to reduce cardiac troponin release after cardiac surgery. Lastly, the future of induction and inhalation agents and structure-based modifications are examined.

Here is the perfect text you need to provide your learners with real-life clinical scenarios that are ideal for Case-Based Learning and Discussion. Presents real-world patients in a real-world clinical setting, making learning fun and engaging. The Case-Based Learning approach focuses learners and clinicians on the key elements for each diagnosis and helps develop a deep understanding of how to diagnose and treat each condition. Covers everyday clinical problems such as arthritis pain at the wrist and at the at the carpometacarpal joints, carpal tunnel syndrome, trigger thumb and trigger finger, Dupuytren's contracture, and more. Cases unfold just the way they do in your clinic. Each case is accompanied with thoughtful clinical commentary and key messages from the author. Each chapter uses high-quality radiographic images, clinical photos, and full-color drawings to facilitate a clear, easy-to-understand approach to evaluation and diagnosis. An ideal self-assessment and review tool for pain medicine practitioners and trainees, as well as those preparing for the American Board of Anesthesiology Pain Medicine certification and recertification exam. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Accurately details the history of laughing gas through to modern times (including historical ramblings & jest), and delves into the medical side of things -- in a light-hearted manner. Finally, while it never promotes nor condones the use of this fascinating substance and clearly highlights the serious dangers of its consumption, Laughing Gas suggests scientifically based means of ameliorating -- preventing -- the known negative possible effects of its consumption. -- Shedlin & Wallechinsky

Guest Editor Dane Nichols, MD, has assembled a panel of experts focusing on Hemodynamic Support in Septic Shock. Topics include: Oxygen Delivery and Consumption: A Macro-Circulatory Perspective; Mean Arterial Pressure: Therapeutic Goals and Pharmacologic Support, Mechanisms; Detection and Potential Management of Microcirculatory Disturbances; Detection of Hypoxia at the Cellular Level; Type A & B Lactic Acidosis: Recognition, Kinetics, and Associated Prognosis; Venous blood gases: What Can They Tell Us About the State of the Circulation; Noninvasive Assessment of Cardiac Preload and Performance through CO2 Rebreathing/ETCO2 Monitoring.

Chronic pain and chronic illness can be overwhelming for both patients and the clinicians who treat them. Patients must navigate an unfamiliar psychological and physiological landscape with few (initially) recognizable resources. These challenging circumstances, in turn, require that the clinician develop an integrated skill set that addresses the patient's painful physical symptoms while effectively dealing with the feelings of hopelessness, defeat, and fear that inevitably accompany the experience of chronic pain and illness.
Recrafting a Life: Solutions for Chronic Pain and Illness directly meets this complex challenge by presenting a new treatment approach that creatively incorporates powerful Ericksonian hypnosis interventions with effective solution-focused therapy techniques. Resource focused and rooted firmly in self-care theory, this integrative approach enables the clinician to effectively reduce physiological pain and suffering while successfully addressing the psychological issues associated with a chronic condition.
Engaging the reader with the transformational metaphor of Robinson Crusoe , the authors describe the five stages of recrafting a life through which patients pass in the journey to transcend their chronic condition. The clinician can utilize the dynamics of this framework to construct therapeutic strategies that best fit each stage, substantially improving treatment outcomes. The rich case examples that illustrate this process are accompanied by specific hypnotic and clinical interventions.
Readily accessible for both clinicians and their patients, the clinical material in Recrafting a Life: Solutions for Chronic Pain and Illness is supplememted by a virtual "self-care toolkit," offering interactive scales and inventories, solution-finding interview interventions, self-hypnosis protocols, self-care experiments, and healing homework assignments.

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Linking theory to practice through the use of authentic clinical cases, Dr. Steven D. Waldman's Pain Medicine: A Case-Based Learning Series helps readers acquire the valuable skill of effective diagnostic thinking in daily practice. The Spine volume uses an in-depth case format, preparing you to correctly analyze clinical vignettes and formulate a clinically sound, evidence-based approach to realistic patient scenarios. This highly effective leaning and assessment tool provides practical clinical insights into the best methods for diagnosis and treatment for the successful management of patients with spine-related pain. Presents real-world patients in a real-world clinical setting, making learning fun and engaging. The Case-Based Learning approach focuses learners and clinicians on the key elements for each diagnosis and helps develop a deep understanding of how to diagnose and treat each condition. Covers everyday clinical problems such as Herniated Disc, Lumbar Strain, Thoracic Vertebral Compression Fracture, Epidural Abscess, Spondylosis, Spinal Stenosis, Sacroiliac Joint Pain, and more. Cases unfold just the way they do in your clinic. Each case is accompanied with thoughtful clinical commentary and key messages from the author. Each chapter uses high-quality radiographic images, clinical photos, and full-color drawings to facilitate a clear, easy-to-understand approach to evaluation and diagnosis. An ideal self-assessment and review tool for pain medicine practitioners and trainees, as well as those preparing for the American Board of Anesthesiology Pain Medicine certification and recertification exam. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Practical Ultrasound in Anesthesia for Critical Care and Pain Management is a stand-alone comprehensive reference that covers important aspects of ultrasound for the practicing anesthesiologist. Beginning with a background on the physics of equipment and practical applications, this text takes the specialist through subjects like needle visualization, teaching, training, accreditation, and getting the best out of your ultrasound equipment. With high-resolution ultrasound photographs Practical Ultrasound in Anesthesia for Critical Care and Pain Management covers topics that explore: vascular access nerve blockade echocardiography transesophageal echocardiography - evaluation of the valves basic echo Doppler transesophageal Doppler transcranial Doppler the respiratory system Also included is a fully developed CD, that includes high-resolution video clips of actual ultrasound examples, organized in an easy cross-referenced fashion for the busy clinician.

Chronic pain places a tremendous burden on both the patient and the healthcare system. The use of opioids to address pain has resulted in negative impacts. As practitioners work to undo the current opioid crisis, options to manage pain need a new approach. Advanced Therapeutics in Pain Medicine offers pioneering approaches to this intransigent problem providing a functional medicine approach toward treating pain. This book is dedicated to the advancement of non-opioid therapeutic options that offer real progress in reaching a future of better pain management. With an emphasis on pathophysiology, chapters review various types of pain and propose comprehensive treatment plans. These include manual therapies, novel pharmacologic and plant-based approaches, hormonal effects on pain pathways, as well as psychological and lifestyle interventions. Features * Written by a multi-discplinary team, the book provides clinicians with multiple non-opioid treatment considerations. * Enables practitioners to shift from a "one size fits all' treatment approach toward individualized patient care. * Includes case studies to help educate the provider on how to implement treatment plans in practice. Written by a team of physicians, pharmacists, psychologists and researchers, this important book offers a much needed step forward in optimizing pain care and benefits practitioners who care for patients experiencing chronic pain.

Due to the recent explosion of placebo research at many levels the Editors believe that a volume on Placebo would be a good addition to the Handbook of Experimental Pharmacology series. In particular, this volume will be built up on a meeting on Placebo which will be held in Tuebingen (Germany) in January 2013, and where the most prominent researchers in this field will present and exchange their ideas. The authors who will be invited to write chapters for this volume will be the very same speakers at this meeting, thus guaranteeing high standard and excellence in the topic that will be treated. The approach of the book is mainly pharmacological, including basic research and clinical trials, and the contents range from different medical conditions and systems, such as pain and the immune system, to different experimental approaches, like in vivo receptor binding and pharmacological/behavioral conditioning. Overall, the volume will give an idea of modern placebo research, of timely concepts in both experimental and clinical pharmacology, as well as of modern methods and tools in neuroscience.

In this issue, Guest Editors Pratik Panharipande and Wesley Ely look at modern Sedation techniques in the critically ill. Topics include: "Pharmacology of commonly used sedatives and analgesics in the ICU," "Pharmacology of newer agents for sedation and analgesia in the critically ill," "Current sedation practices: lessons learned from recent international surveys," "Sedation and Immunomodulation," "Sedation and sleep disturbances in the ICU," and more!

Imagery for Pain Relief, the first book of its kind, familiarizes the reader with basic scientific information about pain and mental imagery and shows why imagery is a valuable tool for pain management. Scientifically grounded and easy-to-read, it provides readers with a wealth of practical information, including imagery techniques that have been successfully used in the past. This is a useful text not only for physicians and clinical psychologists, but also for counselors, social workers, nurses, and graduate students in all health related fields, including sports medicine.

You may be able to rid yourself of migraines or seizures completely! The debilitating pain of a migraine...the disability of poorly controlled seizures. If this describes you or someone you care about, you are not alone. A staggering 3 million people in the United States alone have been diagnosed with epilepsy. When you consider that migraines share very similar characteristics to seizures, you can add another 35 million to the pool. Then consider the fact that neurodegenerative disorders such as Parkinson's and Alzheimer's may be the long-term result of uncontrolled damage to the brain from epilepsy and migraines. This means a very large number of people alive today are affected by this process that produces a progressive degeneration of the brain. Migraines and Epilepsy: How to find relief, live well and protect your brain , unlike other books on this topic, brings together many of the concepts that help to heal your brain, improve brain function, and eliminate debilitating conditions that negatively affect your brain. It is designed as a guide to protect the most important thing you own-your brain. While nothing in the physiology of the brain is guaranteed, the majority of those who follow the recommendations in this book will find relief

This issue of the Anesthesiology Clinics provides essential updates for the anesthesiologist who performs procedures outside the operating room. All-important financial considerations are covered, including Medicare payments; and full costing versus differential costing, or "smoothing.? Practice parameters are covered. Each specialty is addressed from the point of view of both a specialist and an anesthesiologist, including cardiology (EP and catheterization), gastroenterology (Endoscopy), and radiology (interventional). Transitional priorities are also covered, including consultation, pre-procedure patient assessment, patient safety, monitoring, and new ICU practices.

Ideal for clinicians at all levels of experience-from the resident to the subspecialist-Cohen's Comprehensive Thoracic Anesthesia compiles the many recent advances in thoracic anesthesiology into one convenient, easy-to-use reference. Concise, clinically focused chapters written by international authorities in the field cover all facets of anesthesia practice for thoracic procedures, logically organized by preoperative, intraoperative, and postoperative considerations. Discusses new devices for lung isolation, new lung protection protocols, new information on post-operative complications, and new drugs for modulating pulmonary circulation. Covers 20 key procedures including tracheal resection, esophagectomy, mediastinoscopy, mediastinal mass, SVC syndrome, and more. Describes complex surgeries related to the lungs, pleura, diaphragm, and esophagus. Provides case studies and clinical vignettes to illustrate and support case management decisions. Offers highly practical guidance for quick reference from editor Dr. Edmond Cohen and a team of expert contributing authors from around the world. Features extensive illustrations throughout, including clinical photos and drawings, radiographic images, device images, charts, and graphs. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Acute Pain brings coverage of this diverse area together in a single, comprehensive clinical reference, from the basic mechanisms underlying the development of acute pain, to the various treatments that can be applied to control it in different clinical settings. Much expanded in this second edition, the volume reflects the huge advances that continue to be made in acute pain management. Part One examines the basic aspects of acute pain and its management, including applied physiology and development neurobiology, the drugs commonly used in therapy, assessment, measurement and history-taking, post-operative pain management and its relationship to outcome, and preventive analgesia. Part Two reviews the techniques used for the management of acute pain. Methods of drug delivery and non-pharmaceutical treatments including psychological therapies in adults and children and transcutaneous electrical nerve stimulation are considered here. Part Three looks at the many clinical situations in which acute pain can arise, and the methods of treatment that may be suitable in each circumstance, whether the patient is young or old, has pain due to surgery, trauma, medical illness or childbirth, or is undergoing rehabilitation. Issues specific to the management of acute pain in the developing world are also covered here.

Largely reorganised and much expanded in this second edition, Practice and Procedures brings together in a single volume general methods of pain assessment and presents the wide range of therapies that can be provided by a range of health care disciplines. Authored by a multidisciplinary team of experts, chapters can stand alone for readers looking for a general overview of the methods of techniques for pain management available to them or work to complement chapters in the preceeding three volumes, providing practical procedures and applications in the management of acute, chronic and cancer pain. The book is divided into three parts. Part One covers the principles of measurement and diagnosis, including history taking and examination, the selection of pain measures, diagnostic tests and novel imaging techniques. Part Two discusses the full range of therapeutic protocols available, from pharmacological therapies, through psychological techniques, physical therapy and international procedures, to techniques specific to pain assessment and management in paediatric patients. Part Three provides information on planning, conducting, analysing and publishing clinical trials, with invaluable guidance on the techniques of systematic review and meta-analysis in pain research. Part Four considers the role of multidisciplinary pain management teams, their organization, their place within different health care systems, and how best to manage change when implementing such a service. Part Five concludes the volume, investigating the use of guidelines, standards and quality improvement initiatives in the management of post-operative pain, and discussing the expert medicolegal report.

A panel of prominent clinician-scientists comprehensively reviews the latest developments in pediatric pain management, with special emphasis on the setting in which pain is detected and managed. The authors explore the cutting-edge of children's pain care in inpatient, outpatient, palliative care, school, and residential settings, and describe alternate approaches, including complementary and alternative medicine, pain management via the internet and information technology, and pain care in developing countries.

"For courses in Pain Control, ""Local Anesthesia in Dentistry, and Nitrous Oxide Sedation (minimal sedation) in Dentistry." "Local Anesthesia for Dental Professionals," 2/e provides a user-friendly, primary resource for instructors and students of pain control. This text is appropriate for both dental and dental hygiene students and provides step-by-step instructions that are also useful to practicing clinicians seeking to improve their skills or learn new injection techniques. In addition to the superb illustrations, step-by-step approach, and easy-to-understand language established in the first edition, the new second edition includes both local anesthesia and nitrous oxide-oxygen sedation. Extensive online resources and a companion technique DVD augment this text, providing a comprehensive resource for students and dental professionals. Teaching and Learning Experience "Local Anesthesia for Dental Professionals," 2/e provides unparalleled coverage in a straightforward, user-friendly format. It provides:

• Comprehensive yet accessible content: The text is an all-in-one resource in local anesthesia for dental and dental hygiene students and professionals.
• Real-world learning: Chapters present practical expertise, case studies, and resources that will be referenced again and again.
• Extensive teaching and learning resources: Numerous text features and supplemental materials facilitate both teaching and learning.

Designated a Doody's Core Title

"This is an excellent resource that is essential for all primary care providers." Score: 100, 5 Stars.--Doody's Medical Reviews

" P]ractitioners who oversee the treatment of chronic pain in the adult population will likely find this new reference an invaluable addition to their bookshelf."--Dimensions of Critical Care Nursing

""This book is highly recommended; it will be an indispensable addition to the professional library of every nurse practitioner who manages patients with chronic, persistent pain." "

Margaret H. Granitto, RN, MSN, CRNP Georgetown University
School of Nursing and Health Studies

Presented in a clear, systematic format, this clinically oriented book provides nurses and physicians with quick access to much-needed pain management guidelines. With a unique focus on treatment options for patients with chronic persistent pain, this guide provides critical guidance on managing difficult conditions such as fibromyalgia and neuropathic pain.

The text expertly assists practitioners in assessing pain in a variety of patient populations and provides professional insight on selecting patient-appropriate medications and interventions to achieve optimal pain management for adult patients. Key Features:

Contains the newest guidelines on how to use a combination of pain screening tools to accurately assess the nature, intensity, and occurrence of patient pain Provides information on new medications and combinations of medications to use for chronic pain Presents essential information on safe prescribing and screening tools such as the Opioid Risk Tool (ORT) and screening tools for aberrant behaviors Provides strategies for utilizing nontraditional treatment options such as acupuncture, energy therapies, and psychological and coping strategies

PRE-ORDER THE ACCOMPANYING JOURNAL LEARN TO LET GO NOW 'Life-changing' - Sara Makin, Founder & CEO of Makin Wellness If you learn to let go, your life will take off. When you let go, you live intuitively. Everything flows, because you are no longer attached to things being a certain way, to being a certain person or always being right. What a relief. The irony is that when you feel stuck in any area of your life - career, relationships, purpose, health or money - letting go can seem very hard. You cling on for dear life just at the moment you need to take the leap. In The Power of Letting Go, John Purkiss explains why we should let go and how we can do it, using proven techniques to make things happen. The stages of letting go: -Be Present and Enjoy Each Moment -Let Go of the Thoughts that Keep You Stuck -Let Go of the Pain that Runs Your Life -Surrender and Tune into Something Far More Intelligent than Your Brain

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