In retrospect, the dosage of IV sedatives used in the early days of endoscopy both in the USA and Great Britain was frequently too high. Today, we are much more careful in the way we sedate patients, being acutely aware of the fact that if the patient becomes unresponsive and verbal contact is lost then, by definition, a general anaesthetic has just been administered with all the clinical and legal implications that this holds. This expertly written book examines all aspects of conscious sedation and will be an essential reference for nurses and other health professionals involved in the clinical care of patients undergoing diagnostic or therapeutic procedures that require conscious sedation. Each chapter covers a particular area of the practice of conscious sedation and the authors come from a wide spectrum of clinical specialities.

Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide. This new volume for the Anesthesiology Problem-Based Learning series reviews topics in general anesthesiology utilizing the PBL approach. Each chapter deals with conditions and problems in anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Current in its knowledge of organ systems and management, the text keeps pace with new technology, new drugs, and new surgical techniques coupled with current guidelines for anesthetic management. Cases highlight the practical issues that arise in the operating room and offers solutions for them. The book can be used to review an upcoming clinical case or as a PBL tool. The 'Stem Case' and 'Key Questions and Discussion' sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the specialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.

Internationally-recognized pain expert Don Goldenberg helps readers better understand the intricacies of chronic pain through the lens of personal stories, including his own. One out of three Americans lives with chronic pain. Pain is the number one reason we seek medical care and accounts for 40% of doctor visits. Chronic pain is the most common cause of work loss world-wide. The yearly cost of chronic pain in the United States is between $560-$630 billion, higher than that of heart disease, diabetes and cancer combined. Despite this, physicians and the public are woefully ill-informed about chronic pain. The litany of self-help books available to the public are largely misleading, quick-fix, junk-science. Although there is a major push to better inform primary health-care providers on chronic pain, they have been provided no authoritative treatment of the subject. The Pain Epidemic provides the latest medical information and pathways to better understanding and treatment of chronic pain. Dr. Don Goldenberg, an internationally known expert on pain, here discusses such hot topics as the opioid epidemic, mind/body interactions in chronic pain, and gender bias, as well as the role of cannabis and new potential pain treatment. Interested readers will come away with not only a better understanding of the pain epidemic but of pain itself.

A collection of 25 thought provoking Essays which create a bridge between the Classical personification of values and link them to current training and education in Western Medicine. This readable and erudite text provides a framework for modern clinical values - with a particular emphasis on anesthesiology - set in the context of ageless dilemmas facing each generation of physicians. Medicine as a profession carries some specific obligations.The qualities of empathy, knowledge, generosity, respect, and scholarship provide a "family" of values that was personified by the Ancients in the family of Asklepios, and which form the basis of professional values today. Moreover, a substantial amount of professional growth should come from reflection based on the experience of caring for real patients - an appreciation of the human condition. Each essay within this beautifully crafted book illustrates the importance of expertise, skill, focus, mindfulness, and collaboration, all of which are integral to professionalism in medicine, and in particular to those working in the field of anesthesiology. Anesthesiologists, Certified Registered Nurse Anesthetists and Anesthesia Assistants will find much to enhance their professional understanding within this text. The principles, values and traits of professionalism are relevant to all medical specialties and these essays provide a lyrical understanding of the traits required for professional development.

Yearbook of Anesthesiology-7 is an up-to-date guide to the latest advances in anaesthesiology practice. Comprising 25 chapters covering all three specialties associated with anaesthesiology - regional and general anaesthesia, pain, and intensive care - this book presents the most recent information in the field, in a concise and highly illustrated format. The book covers the complete field from techniques and post-surgical recovery, to pharmacology, non-technical skills and medicolegal issues. This new volume features new chapters on statistics and ethical issues, as well as a complete section dedicated to videolaryngoscopy. The final chapter of the book - Journal Scan - covers recent articles published in respected journals, accompanied by reviews and interpretations by experts in the field. Key points Up-to-date guide to the latest advances in anaesthesiology In depth coverage of all three subspecialties - regional and general anaesthesia, pain, and intensive care Complete chapter dedicated to videolaryngoscopy Features recent journal articles with reviews and interpretations by experts in the field

A thoroughly revised second edition providing the knowledge and evidence-base needed for the perioperative practitioner, clarifying the underlying principles needed for an understanding of anaesthetic, surgical, and recovery practice. This book defines the level of knowledge required for perioperative practitioners and provides a comprehensive reference to the principles and practice of modern operating department practice. Featuring a diverse range of topics, it offers a multidisciplinary overview of new techniques and technologies, changes in medico-legal requirements, changes to professional accountability, and requirements for continuous professional development. Twelve new chapters cover healthcare ethics and professional regulation, health and safety, infection prevention and control, basic patient monitoring, human factors, and perioperative care of the paediatric patient. Incorporating a new focus on the provision of evidence-based practice and holistic care in all areas of perioperative care, this invaluable book is essential reading for anyone working in this sector, in both education and practice.

This book is a comprehensive, focused resource on intraoperative neurophysiological monitoring (IOM). This rapidly evolving field has created a demand for an up-to-date book such as this that builds on foundational concepts necessary to the practice of IOM in the context of anatomy and physiology. Each chapter is designed to not only inform the reader, but to also test the reader on the information presented - therefore promoting practical, problem-based learning. Surpassing the quality of its successful predecessor, Principles of Neurophysiological Assessment, Mapping, and Monitoring, Second Edition, is positioned to suit the needs of residents and fellows studying for the IOM certificate programs, physicians and anesthesiologists practicing IOM, and neurotechnologists both experienced and in training.

This is a self-help book written by John M. Kirsch, M.D., an Orthopedic Surgeon for the common man. It is the result of 25 years of research into a new and simple exercise to prevent rotator cuff tears and impingement syndrome in the shoulder, as well as treating these conditions and frozen shoulder. Testimonials and research CT scan images are included as well as images of the exercises performed by models and patients.

Quality improvement (QI) principles are increasingly important in every area of today's healthcare, encompassing efforts to make healthcare delivery safer, more effective, patient-centered, timely, equitable, and efficient. Perioperative Quality Improvement provides up-to-date, easy-to-read guidance for perioperative clinicians on this critical topic. Each chapter covers a pertinent area of QI in the perioperative setting, focusing on both concepts and implementation. Written and edited by key opinion leaders in the field, this text is a relevant, concise resource for anesthesiologists, surgeons, nurse anesthetists, and hospitalists-anyone involved in perioperative medicine regardless of specialty area. Explains concepts related to understanding the tools and techniques used in improving the quality of care, establishing a culture of quality, prioritizing areas of improvement, collecting and analyzing data, communicating, motivating people to change, and performing ongoing evaluations. Covers key topics such as patient-centered care, equity, shared decision making, process mapping, and sustainability. Addresses the critical areas of structure, process and outcome with a focus on perioperative care and relevant case studies. 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.

Pain seems like a fairly straightforward experience - you get hurt and it, well, hurts. But how would you describe it? By the number of broken bones or stitches? By the cause - the crowning baby, the sharp knife, the straying lover? What does a 7 on a pain scale of 1 to 10 really mean? Pain is complicated. But most of the time, the way we treat pain is superficial - we seek out states of perfect painlessness by avoiding it at all costs, or suppressing it, usually with drugs. This has left us hurting all the more. Through in-depth interviews, investigation into the history of pain and original research, Ouch! paints a new picture of pain as a complex and multi-layered phenomenon. Authors Margee Kerr and Linda McRobbie Rodriguez tell the stories of sufferers and survivors, courageous kids and their brave parents, athletes and artists, people who find healing and pleasure in pain, and scientists pushing the boundaries of pain research, to challenge the notion that all pain is bad and harmful. They reveal why who defines pain matters and how history, science, and culture shape how we experience pain. Ouch! dismantles prevailing assumptions about pain and that not all pain is bad, not all pain should be avoided, and, in the right context, pain can even feel good. To build a healthier relationship with pain, we must understand how it works, how it is expressed and how we communicate and think about it. Once we understand how pain is made, we can remake it.

This second edition of the Handbook of Ambulatory Anesthesia has been completely updated and expanded to reflect current practice guidelines and trends in ambulatory anesthesia. This practical manual covers preoperative evaluation, patient and procedure selection, anesthetic techniques, postoperative management, and quality assurance. Additionally, the editors have included all new information on anesthesia for minimally invasive surgery as well as office-based procedures. Written and edited by experts who have developed successful practices at the world's leading institutions, Handbook of Ambulatory Anesthesia includes a broad representation of perspectives and approaches for practitioners in every ambulatory setting.

Futureproof your body and relieve chronic pain resulting from sitting, slouching, and other bad lifestyle habits with this easy-to-perform set of daily stretching and exercise routines - from an innovative physical therapist who coaches dozens of celebrity clients. What if we could easily acquire long-lasting protection for our bodies and escape the chronic pain caused by our sit-all-the-time, slouch-too-much lifestyles? Vinh Pham is a world-class physical therapist - a member of a new breed that dissects how people really move. He has worked with a broad range of clients, from Olympians to NBA stars to Mixed martial arts-fighters to Golden Globe and Grammy Award-winning artists. Early in his career, he discovered a disappointing truth: most of his patients came to him already in pain. They had poor, deeply ingrained lifestyle habits that misaligned their joints and tightened their muscles. And the recent epidemic of prolonged sitting - which represents an all-day assault on the body - has only made things worse. If you're sitting for more than 30 minutes at a time without getting up, you may be heading toward a world of hurt. Vinh's answer to the host of muscle maladies that ails us has been a revolutionary concept: why not future proof? Instead of reacting to chronic pain after it flares up, what if we focused on a movement discipline that not only prevents injuries but leads to longer lives, healthier bodies, and a clearer mind? Sit Up Straight outlines a process that starts with a daily posture hygiene regimen. Performed correctly, these exercises will lock in protection for the rest of the day. But Vinh goes further. He provides stretching and exercise routines for many of the specific ailments that affect us - from hamstring pulls to sciatica to rotator cuff problems - and, best of all, he offers a series of customised movements based on age, gender and the kind of work we perform. A precise and simple toolkit for tweaking the way we move (or refuse to move), Sit Up Straight shows that the solution to becoming pain-free is easier than we think.

Chronic pain has a multitude of causes, many of which are not well understood or effectively treated by medical therapies. Individuals with chronic pain often report that pain interferes with their ability to engage in occupational, social, or recreational activities. Sufferers' inability to engage in these everyday activities may contribute to increased isolation, negative mood and physical deconditioning, which in turn can contribute to their experience of pain.
Cognitive-behavioral therapy (CBT) has been proven effective at managing various chronic pain conditions, including rheumatoid arthritis, osteoarthritis, chronic back pain, and tension/migraine headache. The CBT treatment engages patients in an active coping process aimed at changing maladaptive thoughts and behaviors that can serve to maintain and exacerbate the experience of chronic pain. Overcoming Chronic Pain, Therapist Guide instills all of these empirically validated treatments into one comprehensive, convenient volume that no clinician can do without. By presenting the basic, proven-effective CBT methods used in each treatment, such as stress management, sleep hygiene, relaxation therapy and cognitive restructuring, this guide can be used to treat all chronic pain conditions with success.

Pelvic pain can lead to embarrassment, silence, and misdiagnosis. It can hurt your relationship as well as your sense of self. Tackling the stereotypes, myths, and realities of pelvic pain, this easy-to-understand, accessible guide will help readers get the help they need and deserve, offering key information on: - The most urgent questions about the causes of pelvic pain - The more than twenty causes of pelvic pain - How to find the right doctor - The relationship between pelvic sex and genetics - The newest in treatment for pelvic pain and pelvic pain indications - How psychological factors can contribute to and reduce pelvic pain Featuring groundbreaking research and stories from people who've lived it, When Sex Hurts provides the tools you need to stop hurting and start healing.

This comprehensive text describes the origins, mechanisms, beneficial applications and practical details of frequency specific therapy - a treatment technique that uses frequencies, micro amperage current and the principles of biological resonance to treat pain and a wide range of medical conditions. It includes condition specific frequency protocols for the treatment of various pain complaints, and multi-center clinical case reports documenting successful application of the technique. Each section includes a review of condition pathophysiology and differential diagnosis, plus current research. A website http://booksite.elsevier.com/9780443069765 features a lecture from the author, practical demonstrations of techniques, fully searchable text and downloadable images from the book!

Obstetric anaesthesia is a specialized practice and covers the entire range of pain relief throughout normal labor as well as general anaesthesia for special procedures such as caesarian section. While there is a specialist group based at main teaching centers who practice obsteric anaesthesia exclusively, the majority of anaesthetists are based at smaller hospitals where there is no such specialist. Consequently, it is essential that all anaesthetists are familiar with the anaesthetic requirements of normal labor, and of all but the most extreme cases of abnormal labor. While this book is written for the specialist in obstetric anaesthesia, it is also ideal for trainee anaesthetists. It provides enough information for the final FRCA examination, but also contains sufficient detail on the various clinical problems that may present at any stage in their future career. The underlying principle is that the anaesthetist must understand the physiology of labor in normal and abnormal situations as well as the interventions of his obstetric colleagues in order to practice safely and effectively. The book will replace J. Selwyn Crawford's text, which presented a personal view, backed by his extensive research experience of obstetric anaesthesia.

In 2012, the American Board of Medical Specialties (ABMS) approved Interventional Radiology (IR) as its own specialty. Born out of the field of Diagnostic Radiology, IR requires a more clinical focus on initial consultation and post-procedural management, rather than its previous role of performing image-guided procedures. Interventional Radiology: Fundamentals of Clinical Practice is written with this new focus in mind to help readers incorporate their procedural knowledge into a holistic approach of patient management. Chapters explore topics across a broad spectrum of IR, with a focus on etiology and pathophysiology of disease, followed by discussions on intra-procedural and post-procedural management. Numerous tables and boxes, and over 420 total figures complement chapter content. This comprehensive text is a must-have for IR residents and all practicing interventional radiologists.

Get moving on that injury with this humorous guide to rehabilitation from the comfort of your home! Does it Hurt When I Do This? is designed to educate readers on the workings of the human body, how to keep it healthy, and how to prevent and rehabilitate injuries. In a light, humorous style that has endeared him to thousands of patients, Mark Salamon presents this "owner's manual for the human body" in a logical order, starting with very basic concepts and progressing gradually to more complex ideas. His continual references back to the basics stem from his observations over twenty-five years of patients who were frustrated because their doctors or therapists had never explained them. With a better understanding of how the body's different parts work together to protect itself from injury and repair itself if one occurs, readers learn how to care for all the parts together so injuries become less frequent and easier to fix. Guiding readers through hows and whys of rehabilitating injuries to specific body parts, starting with the feet and working up, Salamon emphasizes that this knowledge is meant to enhance, not replace, the reader's relationship with their physical therapist and doctor. When poor insurance coverage or high co-pays limit the number of office visits, the knowledge gleaned from this work helps patients better understand how to enhance and stick with their home programs, and when to seek help when things are not improving as expected.

The first clinical manual of evidence-based CBT skills for managing psychological issues associated with chronic pain, drawn from current approaches such as DBT, ACT, and motivational interviewing. * The first skills training manual in the field of chronic pain and mental health disorders to provide an integrated session-by-session outline that is customizable for clinicians * Adaptive and evidence-based - integrates skill sets from DBT, ACT, Behavioral Activation, and Motivational Interviewing to address the unique needs of individual chronic pain sufferers * Clinicians can import the approach into their work, selecting the most appropriate skills and sessions, or create an entire therapeutic program with the manual as its foundation * Includes invaluable measurement and tracking tools for clinicians required to report outcomes

Leading investigators critically evaluate the latest information on how anesthetics work at the molecular, cellular, organ, and whole animal level. These distinguished experts review anesthetic effects on memory, consciousness, and movement and spell out in detail both the anatomic structures and physiological processes that are their likely targets, as well as the cellular and molecular mechanisms by which they operate. Comprehensive and authoritative, Neural Mechanisms of Anesthesia draws together and critically reviews all the recent research on anesthetic mechanisms, highlighting the precise routes along which these substances operate, and how this deeper understanding will lead to the design of effective drugs free ofundesirable side effects.

The cornerstone text on the theory and practice of regional anesthesia and pain management Presented in full color, this classic covers the theory and practice of regional anesthesia in its entirety, providing practitioners and students with both the physiologic principles and specific, state-of-the-art patient-management protocols and techniques. Recognized leaders in the specialty have filled this richly illustrated volume with authoritative, completely practical help. Readers will find algorithms for managing or avoiding a wide range of common clinical dilemmas or complications. The book includes time-saving tools such as intravenous-to-oral opioid conversion tables and PCA setup guides as well as a selection of nerve block techniques and advice on their strengths and pitfalls. This handy reference helps readers make wise choices about anesthetics, dosing intervals, equipment, and perioperative management of patients receiving single-injection or continuous nerve blocks or spinal or epidural anesthesia. It tells them how to successfully manage patients with suspected epidural hematoma or neurologic injuries -- and much more. * NEW INFORMATION on the emerging use of ultrasound in nerve blocks - including patient outcomes, how it affects resident physician training, and the very latest recommendations * Includes hundreds of full-color illustrations * Covers the entire field of regional anesthesia * Details how to achieve reliable anesthesia and analgesia for surgical interventions on the face and upper and lower extremities * Provides information on the advantages and disadvantages of using regional anesthesia in patients with coexisting diseases * Features up-to-date information on the etiology, prevention, and management of a wide range of complications

Pain is Not What it Seems contains a treasure trove of scientific references supporting an astonishingly simple and transformative path to healing and well-being. While conventional Western medicine tends to treat the body and mind as separate entities, scientific evidence proves that physical, spiritual, and psychological aspects of self can affect one another on a profound level. Pain Is Not What It Seems explains the science that tells us that only when these deeper spiritual and emotional issues are addressed can true healing from suffering and pain begin. After thirty years treating military and civilian patients with chronic and acute pain and associated disorders, Dr. Hickey has shared profound wisdom and insights of the "secrets" behind how to heal from intractable complex pain, which-although published in scientific journals and books-is not taught to most doctors nor found in standard wellness curriculums. Her astonishingly simple and transformative program provides an easy-to-follow path to healing from suffering and pain that reaffirms what those suffering realize intrinsically: they are a whole person and need to be treated as such.

Whether someone was injured at work, struck in a motor vehicle accident, or threw their back out while at home, once pain strikes, people need to get back to feeling their best-and back to work-as quickly as possible. Pain after an injury can be limiting and make a person feel helpless, uncertain, and fearful about the future. It is difficult to achieve one's dreams when pain is preventing doing anything but moving from the bed to the couch. The quickest way to get over the pain to achieve those dreams is to get back to feeling great and back to work. In Move Freely, Helen M. Blake, MD helps readers rise above the pain of an injury by sharing her process for physical renewal. Dr. Blake's process is the guide to anti-inflammatory nutrition, mindfulness and yoga practices, aerobic conditioning, and vitamin supplements. Move Freely teaches readers how to rise above the pain that continues for months or years, nourish one's well-being, work toward professional goals and aspirations, and so much more. It enlists the most comprehensive set of tools and practices to get readers back to work and ready to pursue their passions-beyond the limits of chronic pain.

The book that will change the way we think about health and illness, "The Divided Mind" is the crowning achievement of Dr. John E. Sarno's distinguished career as a groundbreaking medical pioneer, going beyond pain to address the entire spectrum of psychosomatic (mindbody) disorders.

The interaction between the generally reasonable, rational, ethical, moral conscious mind and the repressed feelings of emotional pain, hurt, sadness, and anger characteristic of the unconscious mind appears to be the basis for mindbody disorders. "The Divided Mind" traces the history of psychosomatic medicine, including Freud's crucial role, and describes the psychology responsible for the broad range of psychosomatic illness. The failure of medicine's practitioners to recognize and appropriately treat mindbody disorders has produced public health and economic problems of major proportions in the United States.

One of the most important aspects of psychosomatic phenomena is that knowledge and awareness of the process clearly have healing powers. Thousands of people have become pain-free simply by reading Dr. Sarno's previous books. How and why this happens is a fascinating story, and is revealed in "The Divided Mind,"