Millions of procedures requiring sedation are performed each year, covering a large array of medical specialties in both inpatient and outpatient settings. This tremendous growth has led to sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence-based 'how-to' manual instructs these professionals on how to evaluate patients, updates relevant pharmacology, and guides them on legal and quality assurance issues. It contains advice on sedation for specific populations, such as elderly, pediatric, ICU, emergency room, endoscopy, and reproductive technologies. Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies, and procedures. It is essential reading for any healthcare provider administering moderate or deep sedation.

This is a practical guide to the evidence-based diagnosis and management of orofacial pain. It covers common clinical presentations of acute and chronic orofacial pain and summarizes clinically relevant neurobiology. Because diagnosing orofacial pain can be a challenge, the book describes the appropriate history-taking methods, detailed examinations, and relevant tests that will help clinicians to work through the differential diagnosis. Effective medical, surgical, and behavioral approaches are presented, and the importance of a multimodal approach is consistently emphasized throughout the book. The target audience includes pain physicians, anesthesiologists, dentists, neurologists, nurse practitioners, and physician's assistants.

Effective leadership is critical to ensuring safety, efficiency and maximum productivity in the operating room (OR). This practical, evidence-based book unpicks the dynamics of a successful OR environment to underline the key techniques for management of policies, systems, staff members and teams. Fully updated to include recent clinical guidelines, the book provides the 'A-Z' of OR management, including sections on metrics, scheduling, human resource management, leadership principles, economics, quality assurance, recovery and ambulatory practice. New chapters include future healthcare models, emergency preparedness and budgets amongst other topics. Written by authors with unrivalled experience in the field, chapters are laid out in an easy and clinically helpful format to assist learning, and real-life case studies cover seventy-three different clinically relevant pain topics. This book is an essential guide for anyone working in the OR including anaesthesiologists, surgeons, nurses, and administrators.

Substance Abuse and Addiction Research: Methodology, Mechanisms, and Therapeutics is an up-to-date, comprehensive, practical book on research methodologies for substance abuse and addiction that is intended for researchers and consumers of research information at all levels. The book is divided into four major sections, including an Introduction, Research Methodology for clinical trials, animal research and retrospective studies, Mechanisms of Abuse and Addiction, and Investigative Therapeutics: Designing and Measuring Outcomes. It serves a source for addressing all aspects of research design, methods and analysis within the context of the field of opioids, alcohol and other substances. The book covers what is known in the field of quantitative and qualitative research methods, provides future directions, and introduces new models for investigation. It is organized around a translational science framework, with the contents addressing substance use/addiction research in the context of epidemiology, etiology, intervention efficacy and effectiveness, and implementation of evidence-informed interventions.

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.

En años recientes, hemos presenciado cambios considerables en el tratamiento del dolor agudo. Esto ha dado lugar a una reducción del consumo de opioides y a estancias hospitalarias más cortas debido a una serie de estrategias que incluyen técnicas de recuperación mejoradas después de la cirugía y bloqueos nerviosos guiados por ecografía. Fundamentos del tratamiento para el dolor agudo. Un enfoque interdisciplinario es una referencia completa, que abarca tanto el dolor quirúrgico como el no quirúrgico, para todo el equipo de tratamiento del dolor agudo, y que ofrece un enfoque multidisciplinario de este campo complejo y en rápida evolución. Esta 1.ª edición comienza con una visión general de los principios básicos del tratamiento del dolor, incluida anatomía y fisiología del dolor agudo, evaluación y medición del dolor, neurobiología y genética, analgesia preventiva y dolor quirúrgico, y servicio de tratamiento del dolor posoperatorio. A continuación, aborda el tratamiento del dolor por sistema orgánico, por población de pacientes y por modalidad de tratamiento, y finaliza con una revisión de las consideraciones sobre subespecialidades y temas relacionados.

This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.

The recent advances in the clinical practice of anesthesiology have increased the need for a new state-of-the art anesthesia handbook for practicing anesthesiologists, trainees and students. This practical book provides a modern, clinically focused guide for any clinical question related to anesthesia care, presenting comprehensive, yet succinct knowledge from experts in the field. It describes the best practice in a concise yet easily digestible format and features numerous tables and figures, a bulleted points/outline format, and algorithms allowing for rapid assimilation of key information. New techniques and common procedures are also covered in detail. This up-to-date pocketbook is perfect for quick reference in the operating room, providing rapid access to evidence-based clinical content covering the full breadth of the field, including pediatric, obstetric, cardiac and regional anesthesia sections. In addition to daily clinical practice, the book serves also as a convenient companion for board review and recertification exam preparation.

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.

Covering both surgical and non-surgical pain, Acute Pain Management Essentials is a comprehensive, clinically oriented reference for the entire acute pain management team. Edited by Drs. Alan David Kaye and Richard D. Urman, this new title brings together the expertise of contributing authors from anesthesiology, medicine, surgery, and allied health professions to offer an interdisciplinary approach to this complex and fast-changing field. Beginning with an overview of basic principles, it then approaches pain management by organ system, by patient population, and by treatment modality, ending with review of subspecialty considerations and related topics. Examines all types of acute pain, including non-surgical pain that requires non-regional anesthesia management techniques Begins with basic principles of pain management, including anatomy and physiology of acute pain, evaluation and measurement of pain, neurobiology and genetics, preemptive analgesia and surgical pain, running a post-operative pain management service and more Subsequent chapters are organized by Organ Systems, Special Populations, Treatment Modalities, and Subspecialty Considerations Includes related topics such as dental and facial pain, foot and ankle surgery, the primary care setting, nursing considerations, enhanced recovery pathways (ERAS), quality and safety considerations, and more An ideal resource for anesthesiologists who specialize in pain medicine, as well as physicians and fellows from other disciplines who care for patients experiencing surgical or non-surgical pain, as well as PAs, NPs, RNs, and pharmacists Enrich Your eBook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services. An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact.

This comprehensive book is written to inform and improve outcomes of patients in need of blood management during surgical procedures. Information is presented in an accessible format, allowing for immediate use in clinical practice. Beginning with an overview of the history of blood transfusions, early chapters present the foundational information needed to comprehend information in later chapters. Nuanced procedures, drugs, and techniques are covered, including new biologicals to assist clotting and blood substitutes. Further discussions focus on potential complications seen in blood transfusions, such as diseases of the coagulation system, pathogen transmissions, and acute lung injuries. Chapters also examine the complexities of treating specific demographics, of which include the geriatric patient and patients suffering from substance abuse. Essentials of Blood Product Management in Anesthesia Practice is an invaluable guide for anesthesiologists, surgeons, trauma physicians, and solid organ transplant providers.

This issue of Anesthesiology Clinics focuses on Pharmacology. Editor Alan Kaye has assembled an expert team of authors on topics such as: Ketorolac, Oxymorphone and Tapentadol; Anticoagulation and Neuraxial/Peripheral Anesthesia; Pharmacologic Update on Antiemetics: Total parenteral nutrition/enteral nutrition in the ICU, Evolving Concepts; Reversal of Anticoagulants and Anesthesia Considerations; Non-opioids Intravenous or Oral Analgesics for Perioperative Pain Management, Update; Uterotonic Medications and Anesthesia Considerations: oxytocin, misoprostol, methylergonovine, carboprost; Pulmonary Vascular Mediating Drugs, Evolving Concepts; Alpha 2 Modulators and Anesthesia Considerations; Pharmacologic Considerations of Anesthetic Agents in the Obese Patient; Pharmacologic Considerations of Anesthetic Agents in the Geriatric Patient; Pharmacologic Considerations of Anesthetic Agents in the Pediatric Patient; Anesthesia CV Drug Update; Pharmacogenomics: Anesthesia; Pharmacogenomics: Pain; Novel anticoagulants; Novel anesthetic agents; Novel opioids; Pharmacology of Newer Local anesthetics; Pharmacology of Nonsteroidal Antiinflammatory and Steroid Medications. Implications for Anesthesia or Unique Associated Risks; Pharmacology of Octreotide. Implications for Anesthesia and Associated Risks.

Jess had a little hard-earned farmland, caring friends in this backwoods but close-knit community, and just a little bit of a gambling problem. Will Jessie place his bet on an easy out, and will he and the others survive to regret the ill-advised choices they've made? As he struggles with his alcoholism after the death of his wife, what are Jess and his neighbors going to do about the haunting experiences that are clearly beyond their control? What are the mysterious forces that are encroaching on him, and who is the stranger who materializes out of uncanny darkness at his door? The reader is drawn into the suspense right along with Stromer's compelling characters, as homespun and organic as the land they're trying to hold onto. But there's nothing at all natural about the visitor who comes disguised as offering a lucky fate.

In anesthesiology, pain medicine, and critical care, practitioners at all levels need help to stay current with the continually evolving drug knowledge-base, and trainees need tools to prepare for in-training and board exams that increasingly test their knowledge of pharmacology. This practical book is aimed at both readerships. It features a unique and practical chapter on the United States Food and Drug Administration (FDA) "black box" warnings that describe what safety precautions should be taken with commonly used drugs. The editors and contributors are pharmacology experts representing a cross-section of clinical specialties and institutions in the United States and include pharmacologists, pharmacists, as well as physicians.

This is a collection of poems written by a man perched on the edge of turning 40 and looking backwards at his life in order to make sense of where he is going next. Each poem describes a particular moment in his life, but there is no central character and the moments are not presented chronologically. Instead, like the tangents that memory takes, each poem represents a fragment of time, and this collection, the jigsaw picture that is created once the fragments are re-arranged.

An ICU nurse and a hospital chaplain fight bureaucratic bungling, medical arrogance, and their own limitations as their patients hover between death and life.

Clio Griffin, an out-of-work academic with an attitude and a tendency toward sarcasm, travels to England to interview for a last-chance job--as the pet historian for an antiquarian group who hope to use her to build the reputation of the local saint--Alban, the first Christian martyr of Britain. No sooner does she arrive than the saint, dead for seventeen centuries, starts talking to her--out loud. The voice is hard enough for Clio to take; her mother, in her final illness, had lost touch with reality, and Clio fears the same fate. When the saint drags her unwilling into the past, to live the lives of people long dead, Clio fights to hold on to her reason. The story question: how does a modern, skeptical, rational person fit the irrational, the supernatural, into her life and still make some kind of sense of it all? The answer: not easily.