"Unrelieved chronic pain is a worldwide epidemic"Chronic pain has been subject to multiple international initiatives through the World Health Organization. Interventional Pain Medicine, use of minimally invasive techniques to relieve pain, is the best approach when simpler measures such as physical therapy or medications fail. However, these procedures can be associated with significant risk and expense. Establishing uniformity in diagnostic criteria and procedural performance can reduce both morbidity and unnecessary procedures, and hence healthcare expenditures.

While other texts explain how to perform these procedures, little focus has been given to diagnostic considerations: if and when these procedures should be performed. "Evidence-based Interventional Pain Practice" uniquely focuses on how the establishment of an accurate and specific diagnosis relates to the effectiveness of the interventions. It provides the evidence for the use of interventional pain techniques across all areas of chronic pain including:

- Head, neck and shoulder pain - Spinal pain - Pain in the joints and extremities- Complex Regional Pain Syndrome- Phantom pain

"Evidence-based Interventional Pain Practice" provides essential knowledge for anyone who uses, or intends to use, interventional pain techniques.

Topics: Perioperative Care of Patient with Chronic Opioid Dependence; Anesthesia for Sites Outside the OR; New Developments in Anesthesia Ventilators and Machines; Future of Clinical Research/Ethics in Human Experimentation; Perioperative Glucose Management; Inflammatory Response to Anesthesia and Ways to Attenuate; Chemical Dependence; Anesthesia for Awake Craniotomies; Hyperthermic Peritoneal Chemotherapy; ACGME Competencies; Renal Function Update; Professionalism; New Developments in Neonatal Resuscitation; Automated Anesthesia

This book comprehensively addresses the use of pulmonary function measurement for the evaluation, screening and timing of noninvasive mechanical ventilation (NIMV) from hospital to home care. To do so, it describes three clinical stages of NIMV support: before NIV, to detect early markers and determine whether NIV is appropriate; during NIV, to evaluate NIV response; and in long-term NIV support. Additionally, it assesses a range of complementary health care organizations (pulmonary function labs, pneumology wards, semi-intensive care units and home mechanical ventilation programs), techniques (chest physiotherapy/airway secretions, etc.) and applications. In closing, the book offers practical recommendations on how noninvasive ventilation and lung function measurement can improve outcomes and quality of life, making it a valuable resource for all specialists, e.g. intensivists and pneumologists, as well as anesthesiologists and therapists.

New Discoveries in the Behavioral Neuroscience of Attention Deficit Hyperactivity Disorder reviews the latest developments in preclinical and clinical research of Attention Deficit Hyperactivity Disorder. As well as updating key chapters that were included in an earlier edition, this volume includes some new topics that are attracting a great deal of interest and point the way to new and promising directions for future research. The chapters follow five main themes: Current perspectives on the clinical profile of ADHD and its treatment, common co-occurring conditions, neurobiological studies examining brain function and genetics, animal and in vitro studies, and future directions. This combination of topics emphasises the translational relevance and validity of preclinical research so as to enable a better understanding of ADHD and to highlight the promising strategies for developing new treatments.

Dieses handliche Kitteltaschenbuch vermittelt anhand von zahlreichen Übersichten, Tabellen und stichwortartigen Fakten absolutes Praxiswissen für den Berufsalltag von Anästhesisten. Gespickt mit vielen Hinweisen zum ganz konkreten Vorgehen sowie auf Fallstricke, Gefahrensituationen und Besonderheiten, bietet es vor allem dem Berufsanfänger in der Anästhesiologie das nötige Wissen, um sowohl bei Erwachsenen als auch bei Kindern eine sichere Anästhesie, Analgesie oder Sedierung durchzuführen.  

This book discusses all thoracic diseases of surgical interest, from thorax malformations to airways disorders. It is divided into six main sections; the first two analyze general aspects, while the following three focus on malformations of the thorax, airways, esophagus and diaphragm. The final section describes the main pediatric tumors involving the chest and internal thoracic organs. Each chapter starts with a classification of the main pathologies related to the anatomical region considered. For each pathology, the various aspects of the diagnostic-therapeutic procedure are described in details - from the clinical presentation and diagnosis to the pre-operative preparation, the surgical aspects, and the post-operative course. Possible future developments are also evaluated. The volume will be a useful tool for specialists in pediatric and thoracic surgery, but will also represent an educational resource for medical and nursing students.

Covering everything from preoperative evaluation to neonatal emergencies to the PACU, A Practice of Anesthesia in Infants and Children, 6th Edition, features state-of-the-art advice on the safe, effective administration of general and regional anesthesia to young patients. It reviews underlying scientific information, addresses preoperative assessment and anesthesia management in detail, and provides guidelines for postoperative care, emergencies, and special procedures. Comprehensive in scope and thoroughly up to date, this 6th Edition delivers unsurpassed coverage of every key aspect of pediatric anesthesia. Includes a laminated pocket reference guide inside - also available as an expanded online version ("Pedi Anesth" from the Starship Children's Hospital in Auckland, NZ). Features key references at the end of each chapter that provide a quick summary for review. Presents must-know information on standards, techniques, and the latest advances in pediatric anesthesia from global experts. Provides access to a video library of 70 pediatric anesthesia procedures - 35 are new! Videos include demonstrations on managing the difficult pediatric airway, cardiac assist devices in action, new positioning devices, management of burn injuries, and many demonstrations of ultra-sound guided regional anesthesia blocks and techniques. Features extensive revisions of all chapters with many new contributors, and numerous new figures and tables throughout. Introduces new drugs such as those used to premedicate children and facilitate emergence from anesthesia, plus an up-to-date discussion of the drug approval process and detailed information on opioid safety for children with obstructive sleep. Includes new chapters on pharmacogenomic implications of drugs in children and the anesthetic implications when caring for children with cancer. Offers up-to-date information on the management of emergence agitation, sleep-disordered breathing, neonatal and pediatric emergencies, and the obese child and bariatric surgery. The Essentials chapters, with extensive input from pediatrician experts, provide the latest information concerning hematology, pulmonology, oncology, hepatology, nephrology, and neurology. Contains significant updates on perioperative fluid management, pharmacology, intravenous anesthesia and target controlled infusions, cystic fibrosis, new interventional devices for children with congenital heart defects, cardiopulmonary resuscitation, simulation in pediatric anesthesia, and much more. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Encompassing all anesthesia topics from basic to advanced, Miller's Anesthesia Review, 3rd Edition, by Drs. Lorraine M. Sdrales and Ronald D. Miller, is an ideal study guide to assess your knowledge and deepen your understanding. This easy-to-use resource is conveniently cross-referenced to the newest edition of Miller & Pardo: Basics of Anesthesia. Hundreds of questions cover everything from physiologic and pharmacologic principles through anesthetic machine systems, anesthetic delivery in a variety of settings, and anesthesia administration for a full range of disease states. Corresponds to Miller & Pardo's Basics of Anesthesia to help you make the most of your study time and learn more efficiently. Provides immediate feedback with detailed answers to each question at the end of every chapter, cross-referenced to specific pages in Basics of Anesthesia. Includes new chapters on Neurotoxicity of Anesthesia, Palliative Care, Sleep Medicine, and Perioperative Surgical Home. Brings you fully up to date with revised questions throughout, progressing logically from basic to advanced topics. Covers hot topics such as Implantable Cardiac Pulse Generators, Anesthesia for Robotic Surgery, Perioperative Blindness, Human Performance and Patient Safety, and Civil, Chemical, and Biological Warfare. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

Operating with bare hands, dressed in his street clothes, he had taken those first steps that every training surgeon must take-gripping the handle of a scalpel and making the first, irrevocable cut into live human flesh. For the surgeon training in the early 1840s, these first surgical milestones were performed on a person who would recoil in terror and horror, flinch, pull away, shake-and scream and scream and scream. Until 1846, surgery was performed without anaesthesia: extraordinary operations, carried out on conscious, terrified patients. Surgeons of that era were bold and courageous and saved many lives, but anaesthesia changed everything. With an unconscious patient, the surgeon could take his time. Surgery became slower, more careful and more delicate. And as anaesthesia removed the pain of surgery, the medical world gave more attention to surgical infection, heralding in the use of antiseptics and eventually aseptic surgery. By 1881, the operating theatre was unrecognisable. Much has been written about surgery in the nineteenth century, but little has been said about the development of the relationship between surgeon and anaesthetist. For anaesthesia to mature and allow further advances in surgery, a professional relationship had to develop between surgeons and anaesthetists. Joseph Clover arguably did more than any other anaesthetist to develop that relationship. In The Chloroformist, Christine Ball tells the captivating story of an innovative, hard-working and deeply humane pioneer of modern patient care.

This book provides an authoritative overview of botulinum neurotoxin (BoNT) treatment menus for 16 pain categories with an evidence-based literature review on each pain disorder, illustrative figures showing anatomy and techniques Introductory chapters cover basic information about the mechanism, function and the analgesic effects of the BoNTs based on the data derived from animal studies. Clinical chapters define pain in conditions such as post-herpetic and post-traumatic neuralgias, plantar fasciitis, low back pain, post-surgical pain syndromes and migraine in detail, provide discussion of current modes of treatment and updated information on BoNT therapy. Each chapter also includes illustrative case histories. The new edition is updated with all the new findings since the explosion in research and literature since 2015. New chapters on the history and pain in dentistry round out the update. Botulinum Toxin Treatment of Pain Disorders provides an invaluable resource for clinicians and researchers involved in the treatment of pain disorders including neurologists, pain medicine specialists, anesthesiologists, internists, those conducting research in pharmacology and toxicology as well as students in these areas.

This book provides a practically applicable guide on how to develop essential microsurgery skills and successfully perform a range of procedures. Emphasis is placed within each chapter on equipping the reader with the necessary information to enable them to develop a strong foundational knowledge of every technique covered with clear step-by-step guides on how to perform a range of methodologies. Helpful tips are provided on how to avoid common pitfalls and enhance skill acquisition. Accompanying video material also reinforces the key points detailed. Topics covered include how to develop skills utilizing the porcine model of flap harvesting along with the use of animal models for techniques such as vascular anastomoses, anesthesia, and exposure of relevant recipient vessels. Microsurgery Manual for Medical Students and Residents is a detailed resource on how to acquire core microsurgery skills, making it an ideal resource for medical students and trainees seeking a resource on how to further develop their skills.

This book provides insights into the care of cancer patients in the intensive care unit in a comprehensive manner. It provides an evidence-based approach to practitioners and postgraduate students to understand about the critical care needs of the patients suffering from malignancies. It helps the readers to develop critical thinking and encourage discussion towards improving the overall care of the patients and their families as their optimal management requires expertise in oncology, critical care, and palliative medicine and there is a dearth of books explaining about the special requirements and critical care needs of cancer patients. Each chapter is prepared by an expert in the field and contains well-prepared illustrations, flowcharts and relevant images. Chapters include latest evidence-based information which is useful for the readers. The book is useful for residents, fellows and trainees in the field of onco-anaesthesia, onco-critical care, onco-surgery, critical care and anaesthesia; practitioners and consultants in anaesthesia and onco-anaesthesia as well as intensivist, critical care experts and postgraduates in nursing.

Whether a mass casualty, earthquake or weather event at home, or a disaster abroad, proper preparation is essential for providing high-quality care. This concise guide brings together the views and knowledge of experienced responders to offer a much-needed review of the essential elements of anesthesia and intensive care for disasters and austere environments. Combining academic theory and practical advice, the book covers topics such as emergency and trauma surgery; airway management; chemical, biological and radiological exposure; personal protective equipment; and the psychological impact of working in the operating room in disaster situations. As successful care depends on the incident response team working collaboratively, the text also covers emergency communications, infrastructure preservation, and topics relevant to other medical specialists such as pain management and obstetrics. Featuring numerous high-quality illustrations, Essentials of Disaster Anesthesia is a vital, relevant resource for anesthetists, emergency physicians, nurses, and ancillary personnel.

This book, the third and final volume in the Meaning of Pain series, describes what pain means to people with pain in "vulnerable" groups, and how meaning changes pain - and them - over time. Immediate pain warns of harm or injury to the person with pain. If pain persists over time, more complex meanings can become interwoven with this primitive meaning of threat. These cognitive meanings include thoughts and anxiety about the adverse consequences of pain. Such meanings can nourish existential sufferings, which are more about the person than the pain, such as loss, loneliness, or despair. Although chronic pain can affect anyone, there are some groups of people for whom particular clinical support and understanding is urgently needed. This applies to "vulnerable" or "special" groups of people, and to the question of what pain means to them. These groups include children, women, older adults, veterans, addicts, people with mental health problems, homeless people, or people in rural or indigenous communities. Several chapters in the book focus on the lived experience of pain in vulnerable adults, including black older adults in the US, rural Nigerians, US veterans, and adults with acquired brain injury. The question of what pain experience could mean in the defenceless fetus, neonate, pre-term baby, and child, is examined in depth across three contributions. This book series aspires to create a vocabulary on the "meanings of pain" and a clinical framework with which to use it. It is hoped that the series stimulates self-reflection about the role of meaning in optimal pain management. Meanings of Pain is intended for people with pain, family members or caregivers of people with pain, clinicians, researchers, advocates, and policy makers. Volume I was published in 2016; Volume II in 2019.

Following the introduction in 2013 of the FFICM exam for trainees in intensive care, this book provides candidates with practice materials for the MCQ section. Written by a team of specialists in intensive care medicine, including senior trainees who have recently passed the new exam and authors of the popular FRCAQ website, the book contains 270 multiple true-false questions that cover the breadth of the current Faculty of Intensive Care Medicine curriculum. These are presented as three 90-question practice papers, providing candidates with a faithful simulation of the style, standard and format of the questions they will encounter. With short and long explanations for each question, presented with up-to-date references for extended reading, this book is both an ideal tool for in-depth exam preparation, and an excellent resource for practising consultants in intensive care medicine. It is also suitable for candidates taking the EDIC and other intensive care exams worldwide.

This book is a guide for any clinician who has a pain patient, including biomedical/allopathic and complementary practitioners. The reader can use each chapter independently when considering a referral to the specific complementary approach, or as an educational tool to learn about the various massage, movement and mindfulness (MMM) approaches and provide comprehensive, evidence-informed support for patients seeking pain relief.

Total intravenous anaesthesia (TIVA) has long been used for specialized surgery, but recent developments in monitoring and delivery and the availability of the intravenous anaesthetic protocol have opened the door to widespread application.

This new addition to the Principles and Practice series is a straightforward introduction to TIVAA, starting with the basic pharmokinetic and dynamic principles and moving on to an overview of the pharmacology of the major intravenous anaesthetic drug groups. The importance of drug interactions are stressed and there is a discussion of the latest technology in delivery and monitoring-such as target controlled infusions and EEG bispectral monitoring systems.

Written by key specialists from the UK and the USA, this practical reference will be an essential introduction for all anaesthetic and intensive care trainees, and will enable anaesthetists to keep up to date on the rapid expansion of TIVA in clinical practice.

Chronic and persistent pain syndromes are as much behavioral and psychological problems as physical or medical problems. Mental health professionals involved in pain management must have a thorough knowledge of the latest pain management techniques in order to select the best methods and strategies for helping each patient cope with pain.

Pain Management Psychotherapy is the most up-to-date comprehensive guide available for the psychological treatment of chronic pain. It addresses the behavioral, emotional, sensory-physiological, cognitive, and interpersonal aspects of pain problems and provides accessible technical knowledge that enables practitioners to alleviate unnecessary pain and suffering. Based on sound research and theory and written by two leading practitioners, this book introduces a short-term therapy model for treating chronic pain that integrates clinical techniques drawn from cognitive therapy, hypnotherapy, behavior therapy, and desensitization therapies. This remarkably thorough volume:

• Supplies step-by-step treatment methods from initial consultation through termination of pain treatment
• Describes brief, solution-oriented pain treatment strategies that work in a managed care environment
• Features assessment and outcome measurement instruments, checklists, worksheets, and clinical scripts
• Demonstrates the latest therapeutic techniques, including eye movement desensitization and reprocessing, therapeutic imagery, relaxation training, and self-hypnosis
• Includes pain inventories, questionnaires, and other assessment tools

This book is an indispensable guide for psychologists, psychiatrists, social workers, and other mental health professionals who need fast, reliable methods for promoting pain relief. It is also an excellent text for undergraduate and graduate students in these and other disciplines, and a valuable reference for insurers, physicians, and managed care providers.

BRUCE N. EIMER, PhD, ABPP, a leading pain management therapist, clinical psychologist, and neuropsychologist, is in private practice in Philadelphia. Dr. Eimer is a Diplomate in Behavioral Psychology of the American Board of Professional Psychology, and a Diplomate of the American Academy of Pain Management. He is a member of the American Psychological Association, American Pain Society, International Association for the Study of Pain, and a Certified and Approved Consultant in Clinical Hypnosis of the American Society of Clinical Hypnosis. Dr. Eimer lectures frequently and gives seminars and workshops on pain management and other psychological topics.

"This is a practical and informative text that will be of great use to psychologists and psychiatrists who treat people with chronic pain. It is one of the most, specific, helpful, and user friendly volumes on pain management." —Dennis C. Turk, PhD

John & Emma Bonica Professor of Anesthesiology and Pain Research University of Washington

"A remarkable, comprehensive, and practical guide for pain management therapy. Everything you wanted to know about the cognitive-behavioral treatment of people with severe pain problems is exceptionally well presented in this book." — Albert Ellis, PhD, President Albert Ellis Institute for Rational Emotive Behavior Therapy Author, A Guide to Rational Living

"Pain Management Psychotherapy makes a strong contribution to the clinical literature. It provides a clear overview of the management of persistent pain and offers insight into the psychological and interpersonal nightmare experienced by pain patients. This important work will help therapists better understand and treat chronic debilitating pain." — Richard S. Weiner, PhD, Executive Director America 0n Academy of Pain Management

"An exceptional handbook. Clinicians will emerge knowing how to mitigate the suffering of people in pain." — Arnold A. Lazarus, PhD, ABPP Distinguished Professor of Psychology Emeritus Rutgers University Author, Brief But Comprehensive Psychotherapy

"A definitive and comprehensive text for assessing and treating patients suffering acute, subacute, or chronic pain. I heartily endorse and recommend this text to students and practitioners alike." — C. David Tollison, PhD Editor, The Handbook of Pain Management

"Pain Management Psychotherapy has the best psychological techniques for the care of the chronic pain patient, which includes cognitive-behavioral, EMDR, and hypnosis therapy. This book should be in the library of every clinician who treats chronic pain." — Dabney M. Ewin, MD, FACS. Diplomate, American Board of Surgery Diplomate, American Board of Medical Hypnosis

Edited by internationally recognized pain experts, this unique book describes 73 real life clinical cases, each followed by discussion of pathogenesis, work-up, differential diagnosis and treatment options. Cases are divided into seven sub-topics: neurologic disorders, spinal disorders, musculoskeletal pain, visceral pain, headache and facial pain, cancer pain, and special topics such as pain in children and older adults. Discussions follow a question-and-answer format, facilitating learning and also enabling self-testing. Chapters are written by the foremost national and international leaders in the field of pain management, many of whom are pain program directors. Case Studies in Pain Management is an excellent learning source for trainees in pain management and a 'must read' for pain practitioners.

This fully updated third edition of this popular handbook provides a concise summary of perioperative management of high-risk surgical patients. Written by an international group of senior clinicians, chapters retain the practical nature of previous editions, with concise text in a bulleted format offering rapid access to key facts and advice. Several new chapters cover topics including: anesthetic mortality; cardiopulmonary exercise testing; perioperative optimization; obstructive sleep apnea and obesity hypoventilation syndrome; smoking, alcohol and recreational drug abuse; intraoperative ventilatory management; the role of simulation in managing the high-risk patient; anesthesia, surgery and palliative care; anesthesia and cancer surgery; neurotrauma and other high-risk neuro cases; anesthesia for end-stage renal and liver disease; and transplant patients. Essential reading for trainee anesthesiologists managing seriously ill patients during surgery or studying for postgraduate examinations, this is also a valuable refresher for anesthesiologists and intensivists looking for an update on the latest evidence-based care.

This book embraces a comprehensive range of research across several disciplines, providing insights and fresh perspectives on clinical topics, emphasizing the integrative medical approach. The book also addresses an increasing role of artificial intelligence in the development of clinical methodologies, research, and patient-oriented care. The authors share expertise and experience in rehabilitation medicine whose healing-effects particularly depend on the interaction between the therapist and patient. Chapters present novel approaches in manual rehabilitative therapy of common painful and disabling neuromuscular ailments, exemplified but not limited to low back pain and migraine. The myofascial trigger point release therapy includes specific manipulations to muscles and connective tissue which reduce pain. Other chapters address the issues of providing long-range medical care to older adults burdened with chronic diseases, notably hypoxia-related pathologies and their sequalae, pointing to the advantages of care provided by a single primary care physician. Changing paradigm of care is essential in chronic atherosclerosis-based diseases like cardiovascular disorders or diabetes. Chapters provide results of international cohort studies on predictive factors for the long-range progress of such ailments based on anthropometric and lifestyle indicators. The book aims to meet the increasing interest and importance to patients of integrative health therapies. Medical rehabilitation and lifestyle changes increasingly gain scientific support in difficult-to-treat chronic conditions and should be integrated in a controlled manner into conventional medicine. The book is addressed to physiotherapists, medical scientists and clinicians, and allied healthcare professionals.

This book gathers the proceedings of the 17th International Conference on Intracranial Pressure and Neuromonitoring, held in Leuven, Belgium in September 2019. It provides an overview of the current understanding, underlying research and future perspectives concerning pathophysiology, biophysics, monitoring and management in traumatic and non-traumatic acute brain injury, hydrocephalus and spinal cord injury, including cerebrovascular autoregulation impairment in neurological as well as non-neurological diseases. The peer-reviewed contributions were prepared by specialists in neurosurgery, neurointensive care and neuroanesthesiology, as well as prominent experts from the fields of physiology, clinical and biomedical engineering, mathematics and informatics. The book continues the time-honored tradition of publishing key presentations from the ICP Conferences in order to facilitate their dissemination within the clinical and research community.

Rate your pain on a scale of one to ten. What about on a scale of spicy to citrus? Is it more like a lava lamp or a mosaic? Pain, though a universal element of human experience, is dimly understood and sometimes barely managed. Pain Woman Takes Your Keys, and Other Essays from a Nervous System is a collection of literary and experimental essays about living with chronic pain. Sonya Huber moves away from a linear narrative to step through the doorway into pain itself, into that strange, unbounded reality. Although the essays are personal in nature, this collection is not a record of the author's specific condition but an exploration that transcends pain's airless and constraining world and focuses on its edges from wild and widely ranging angles. Huber addresses the nature and experience of invisible disability, including the challenges of gender bias in our health care system, the search for effective treatment options, and the difficulty of articulating chronic pain. She makes pain a lens of inquiry and lyricism, finds its humor and complexity, describes its irascible character, and explores its temperature, taste, and even its beauty.

Ultrasound has revolutionized the practice of regional anesthesia, yet there remains a paucity of good resources on ultrasound-guided regional anesthesia in children. This book offers a much-needed practical guide to all the major ultrasound-guided blocks in pediatric patients, including neuraxial, truncal, upper and lower limb blocks. The core principles of good clinical practice in regional anesthesia are described and discussed, including the pharmacology of local anesthetics in children, the performance of regional anesthesia, the management of complications, and the clinical anatomy of each block. Every block chapter provides both a 'how to' section and also a comprehensive literature review, with an up-to-date and relevant bibliography for reference and further reading. Chapters are illustrated with unique anatomical images and detailed descriptions. Both trainee and experienced anesthesiologists will find this an essential resource for the safe and effective performance of modern regional anesthesia in children.