In the past two decades, pain research has become one of the most rapidly growing areas of neuroscience activity. Methods in Pain Research brings together in a single volume a survey of the methods that can be used to study a reaction or 'sensory report' in humans that can only be inferred by indirect means in animal or tissues studies. It presents source material, useful advice, and guidance to specific details as well as examples of current usage.

With each topic presented by one or more of the leading experts in the field, it examines the major modern techniques used in studying pain, including gene linkage, brain imaging methods, the use of transgenic rodent models, painful sensory neuropathy models, and more. The material also covers conventional methods of pain study, such as anatomical and electophysiological techniques. Methods in Pain Research provides up-to-date methodology and a guide to the strategies of experimental design.

This extensively illustrated book provides an accessible and up-to-date introduction to obstetric anaesthesia and analgesia. With only three principal authors, there is a consistency of style within a comprehensive textbook that presents the basic science, pharmacology and clinical practice relevant to obstetric anaesthesia. Chapters cover topics such as analgesia during labour, anaesthesia and postoperative analgesia for caesarean delivery, major obstetric and anaesthetic complications, evaluation of the foetus and resuscitation of the neonate, and common clinical scenarios such as management of pre-eclampsia, obesity, multiple gestation and co-existing disease.

Chronic pain affects an estimated 14 million people in the UK and is the most common reason for seeking medical help. There's increasing evidence that mindful practices can have a beneficial effect on pain (sometimes reducing intensity by as much as 40%) and its associated anxiety and depression. This book combines the principles of mindfulness with research from the clinical field of psychology to help you improve your emotional, psychological and physical state. With guided meditations and other practices. Topics include: Defining pain How we feel and perceive pain How a mindful approach can help Why stress makes it worse Mindful body movement The importance of breathing and posture Taking responsibility for your pain

Containing 220 challenging clinical cases and illustrated with superb, high-quality images, this book covers a wide range of anaesthesia-related questions and answers from straightforward cases through to more challenging presentations. It is an invaluable text for anaesthesia professionals in practice and in training, both for those doctors preparing for higher examinations and for established physicians for their continuing professional development. Nurse anaesthetists, learning at an advanced level, will also benefit from these case discussions.

An excellent introduction for nurses to all aspects of pain and its management. Topics examined are relevant to all areas of health care practice and include:
*types of pain
*the experience of pain, including psycho-social factors
*interventions (pharmocological, physical and psychological)
*alternative and complementary therapies.
Caring for People in Pain clearly sets out the research base for practice and provides a thorough and accessible text for students of this core topic on all entry level and many post-registration nursing courses.

This User's Guide advises readers on the many beneficial supplements for reducing pain. These pain-relieving supplements include fish oils, B vitamins, glucosamine, MSM and more traditional homeopathic remedies. The authors also describe how life's stresses can exacerbate pain, and offer simple pain-reducing exercises and stretches.

Covering both the pharmacological and the more controversial non-pharmacological management of pain relief, this comprehensive text, edited by an internationally renowned specialist, provides practical guidance to all involved in this aspect of labour care.

Pain syndromes involve a complex interaction of medical and psychological factors. In each syndrome unique physiological mechanisms are mediated by emotional states, personality traits, and environmental pressures to determine the nature and extent of pain complaints and pain-related disability. The Handbook addresses the complexities of chronic pain in three ways.
Section I describes general concerns that cross-cut the different syndromes, such as the use of narcotic pain medications, the detection of deception and malingering, and the epidemiology of pain. Section II presents comprehensive reviews of a wide range of pain syndromes. Each covers basic pathophysiology, psychological factors found to influence the course of the syndrome, and syndrome-specific multidisciplinary treatment approaches. Most of the Section II chapters are coauthored by psychologists and physicians. Section III discusses pain in special populations, including the elderly and children.
The "Handbook" is the most up-to-date, comprehensive, and integrated single-volume resource for all those professionally concerned with pain.

There have been many developments in anaesthesia since Joseph Priestley discovered nitrous oxide. Covering new anaesthetics, the molecular and cellular mechanisms of anaesthesia and the non-hypnotic effects of anaesthetics and other medical gases, Gases in Medicine combines reviews of current research from both academic and clinical perspectives and provides an historical framework in which this research may be placed. Encompassing a wide range of topics including intravenous anaesthetics, neural processes and the 1997 Priestley Lecture on nitric oxide, this book offers an accessible summary of anaesthesia along with the current best research. Also included is the BOC Centenary Lecture, which gives a perspective on anaesthesia for the 21st century. This book will be welcomed by readers in academia and medicine as an illustration of the diversity of research into anaesthesia and the associated history of this fascinating subject.

Now divided into four parts, the second edition of Cancer Pain delivers broad coverage of the issues that arise in the management of malignancy-related pain, from basic science, through end of life care and associated ethical issues, to therapies, both medical and complementary. Part One reviews basis considerations in cancer pain management, including epidemiology, pharmacology, history-taking and patient evaluation and teamworking. Part Two brings together the drug therapies for cancer pain, their underlying basis, and potential side-effects. Part Three covers the non-drug therapies, including nerve blocks, stimulation-induced analgesia, radiotherapy, complementary therapies and psychological interventions. The control of symptoms other than pain, so critical to cancer patients, is also considered here. Part Four describes special situations. Cancer pain management in children and older patients, and in the community setting, and pain in the dying patient and the cancer survivor are all covered here.

This issue of Anesthesiology Clinics, guest edited by Drs. Jeffrey Kirsch and Cindy Lien, focuses on Neuroanesthesia. This is one of four issues each year selected by the series consulting editor, Dr. Lee Fleisher. Articles in this issue include, but are not limited to: Degenerative Spine Disease, Craniosynostosis, Supratentorial tumors (including awake craniotomies), Suboccipital Procedures, Acute Stroke, Acute Spinal cord injury, Decompressive surgery for patients with TBI, Neuromonitoring and more.

Pain is an unfortunate daily experience for many individuals. Chronic pain -- lasting six or more months -- is suffered by approximately 30% of the population in the United States. These individuals wake up, function during the day and go to sleep, trying to keep pain at a minimum while, at the same time, maintaining some quality of life. They may make frequent visits to the doctor and the pharmacy. When they find relief, it is usually short-lived and comes at a cost such as dependence on narcotic medications or complete limitation of activity. Pain often becomes the central point of their existence.
This practice guide describes an approach to psychological evaluation of the chronic pain patient who is being considered for surgery. A large body of research is accumulating which demonstrates that the outcome of surgical procedures aimed at chronic pain relief can be strongly influenced by psychological and emotional factors. This approach, termed "presurgical psychological screening" (PPS) uses interview and testing techniques to identify emotional, behavioral, and psychosocial difficulties which have been demonstrated to negatively impact surgical outcome. Studies show that even patients with clearly identifiable pathophysiology may respond poorly to surgery, due to issues such as pain sensitivity, medication dependence, rewards for pain behavior and personality style. Thus, some insurance carriers, rehabilitation nurses and state worker's compensation systems are encouraging, or even requiring, presurgical psychological screening in cases of surgery designed to relieve chronic pain.
The first to present a comprehensive, unified approach to PPS in chronic pain syndromes, this text is designed to provide the behavioral health practitioner, as well as the trainee, with all the tools and information necessary to conduct PPS evaluations. It identifies a multitude of risk factors for poor surgical outcome and reviews research associated with each risk factor. Hands-on techniques for eliciting information from the patient about risk factors is also detailed. Toward this end, the practice guide also contains a number of forms and session outlines which can be directly utilized, or which can be altered to fit readers' needs. Models for weighing and combining surgical outcome risk factors are also provided. Thus, practitioners are able to reach valid and reliable predictions of surgical results. Finally, the text provides outlines of psychological interventions which can facilitate surgical outcome as well as surgical treatment alternatives. Upon completion of this practice guide, readers should be able to begin providing PPS evaluations which are scientifically valid, clinically sound, and which result in significant overall improvement in the treatment of chronic pain syndromes.

This volume comprises the edited presentations of the 40th Annual Postgraduate Course in Anaesthesiology, February 1995. It reflects recent advances in this area. Obstetrical and paediatric patients constitute important and often challenging cases for the practicing anesthesiologist. This textbook is the 13th in a continuing series documenting the proceedings of the Postgraduate Course of the Department of Anesthesiology of the University of Utah School of Medicine.

"I just wish I had armfuls of time." These are the words of a four year old facing a life-threatening illness. This text portrays the psychological experience of such children, who are irreversibly changed from the moment of diagnosis. Barbara Sourkes is a psychologist who specializes in psychotherapy with children who have cancer and other serious diseases. In the account, she describes how she works with these children, using drawings, soft toys and dolls, stories and real medical instruments to allow them to communicate their experience of the illness, the treatment they undergo, their relationship with their families, and their feelings of grief and loss in coming to terms with the prospect of death. Making use of the words of children, offering interpretations and practical advice, this is a book that should be useful reading for those concerned with the care of terminally ill children.

Written and edited by experts in the field, the Handbook of Clinical Anaesthesia provides all the essential practical knowledge required by anaesthetists on co-existing medical conditions, operative procedures, and techniques. The fourth edition retains the concise and comprehensive nature of the third, giving readers all they need to know about each part of the FRCA syllabus in short, digestible, practical entries. The first part covers Patient Conditions; the second Surgical Procedures; and the third Anaesthetic Factors. Each part is subdivided into chapter on each organ system, and each chapter is divided into bite-sized entries. These are in alphabetical order, and cover all common and rare conditions that anaesthetists will encounter within their practice. Avoiding prolonged discussion and multiple references, this is the ideal book to 'dip into' either for specific advice or general education, providing quick and reliable information. This is the most thorough handbook to cover the entire FRCA syllabus in a consistent and instructive manner. It continues to be accessible and relevant to all anaesthetists from middle grade trainee up to consultant/specialist.

Contents:
Pain and Hypnosis. Hypnosis. Pain. Controlling Pain. Hypnosis in Pain Control. Hypnosis and Clinical Pain. Cancer. Obstetrics. Surgery. Dentistry. A Perspective on the Hypnotic Control of Pain. Hidden Pain and Its Interpretation. The Future of Hypnosis in Pain Control. Supplement to the First Edition. Recent Developments in the Knowledge of Hypnosis and Pain. Appendices. Stanford Hypnotic Clinical State (SHCS). The Availability of Hypnotic Services.

The most misunderstood and complex subject in medicine is the hyperpathic pain of sympathetic dystrophy. More common than previously thought, it comprises between 10 and 20 percent of chronic pain patients. Understanding this self-perpetuating pain -- which "never stops" -- requires unbiased knowledge of physiology and pathology.
Chronic Pain: Reflex Sympathetic Dystrophy, Prevention, and Management is devoted to the subject of Reflex Sympathetic Dystrophy (RSD). The book classifies the different stages of RSD and describes the qualitative and quantitative differences between natural endorphins and synthetic narcotics. Included are long-term follow-ups on sympathectomy patients.
This important reference explains why sympathectomy fails, but nerve block and physiotherapy is successful in the treatment of RSD. In addition, the mechanism of development of RSD is clarified through an extensive collection of drawings and anatomical pictures as well. Other topics include thermographic methods for the diagnosis of RSD, the role of ACTH in the management of chronic pain, and comparisons between the effects of ACTH and those of corticosteroids.

Features
o Classifies the different stages of RSD
o Features the most comprehensive coverage of the literature on RSD and its related aspects
o Describes qualitative and quantitative differences between natural endorphins and systemic narcotics
o Examines the role of ACTH in the management of chronic pain
o Clarifies the mechanism of development of RSD through an extensive collection of drawings and anatomical pictures
o Explains why sympathectomy fails, but nerve block and physiotherapy is successful in the treatment of RSD

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.

Clinically oriented and evidence-based, Practical Guide to Chronic Pain Syndromes supplies pain specialists, neurologists, and anesthesiologists with the latest critical advances in pain management. Key features include: Sections clearly organized by specific pain syndromes Chapters with basic structural templates for fast-referencing Two supplemental sections offering in-depth discussions of medications and other treatment options Treatment recommendations for an array of syndromes, including headache/facial pain and soft-tissue, neuropathic, rheumatological, abdominal, urological, low back, and cancer-related pain The book delivers a swift and accurate diagnosis aide for the treatment of pain syndromes and the creation of treatment plans for chronic pain patients.

Utilizing evidence-based research, this revolutionary source explores the difficult diagnosis and management of the controversial syndrome of fibromyalgia. Carefully guiding physicians through the steps leading to diagnosis, Fibromyalgia emphasizes targeting the underlying fibromyalgia syndrome rather than treating each of its symptoms individually. Written by recognized experts, the book: Describes how to diagnose fibromyalgia Advises how to handle patient distress Recommends when to refer a patient to a specialist Discusses how to motivate behavior changes in patients Explores both traditional and up-and-coming pharmaceutical and non-pharmaceutical treatment methods

From over-the-counter cough syrups and prescribed painkillers to street economies of heroin and fentanyl, opioid substances and uses have ignited global debates about national drug policy reform. This book is the first to focus on these issues in South Africa, through a range of disciplinary perspectives.

In twelve chapters, scholars from community medicine, pharmacology, social science and the humanities, along with civic actors and researchers, present their evidence-based arguments and insights, and explore possibilities for harm reduction approaches in South Africa. Chapters cover three core areas: dilemmas of drug policy; contradictions of care and treatment; and the issue of stigma.

Opioids in South Africa invites wider conversation, asking us to imagine policy responses that can better protect the constitutional dignity, health and access to healthcare of people using drugs as well as of their families and communities.

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.

From a mild headache to crippling arthritis, pain is part of many people's everyday experience. But there is a natural alternative to pharmaceutical medicine. This book is your indispensable guide to relieving pain the natural way, using a wide variety of methods including breathing and relaxation techniques, diet, yoga, massage, herbal poultices, balms, compresses, teas and rubs. Did you know pineapple has anti-inflammatory properties? And peppermint can relieve a headache? Or that you can alleviate joint pain by massaging specific points on the wrist? Featuring key insights into understanding pain and why we feel it, plus scientifically proven techniques that can help make it go away, this essential handbook is your painkilling arsenal for combating a whole range of common ailments.