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Acute Pain Management - Rights Reverted: A Practical Guide 3rd Revised edition [Mīkstie vāki]

  • Formāts: Paperback / softback, 320 pages, height x width: 240x197 mm, Illustrated
  • Izdošanas datums: 31-Jul-2007
  • Izdevniecība: W B Saunders Co Ltd
  • ISBN-10: 0702027707
  • ISBN-13: 9780702027703
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  • Formāts: Paperback / softback, 320 pages, height x width: 240x197 mm, Illustrated
  • Izdošanas datums: 31-Jul-2007
  • Izdevniecība: W B Saunders Co Ltd
  • ISBN-10: 0702027707
  • ISBN-13: 9780702027703
Citas grāmatas par šo tēmu:
Acute Pain Management: A Practical Guide is intended to give readers a better understanding of the conventional methods of analgesia as well as the more advanced techniques that are now routinely used for the management of acute pain, such as patient-controlled, epidural and continuous regional analgesia.

The book explores pain control in more complex patients such as those with acute-on-chronic pain, acute cancer pain or acute pain from a multitude of medical conditions as well as those who are opioid-tolerant have acute neuropathic pain, or are elderly. In addition to new chapters on changes in clinical practice, added to each section are key points that highlight the level of evidence available for that topic. These points have been reproduced with permission from the acute pain guidelines published by the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine, Acute Pain Management: Scientific Evidence - both authors were members of the working party responsible for this document - and annotated according to the system recommended by the National Health and Medical Research Council (NHMRC) of Australia.

Gives comprehensive cover of all of the areas of importance in the management of acute pain Presents highly practical information firmly supported by full evaluation of the scientific literature Concisely written text supplemented with useful checklists, flow charts and key points that can be readily referred to during treatment of a patient Gives a series of acute pain management plans, whilst at the same time discussing controversial areas and possible solutions Explores pain control in complex cases - opioid-tolerant patients, pregnant and lactating patients, patients with hepatic and renal impairment and the elderly Discusses the important areas of acute neuropathic pain and the transition from acute to persistent pain Key self-assessment questions and answers





New chapters on assessment and monitoring highlight the importance of regular patient assessment and the need to individualize patient care Key points added after each major section that indicate the evidence available for that topic and the quality of that evidence Chapters on analgesic drugs and techniques have been extensively revised and updated New chapters have been added on post-surgical pain syndromes and acute neuropathic pain, and analgesia in specific non-surgical states as well as for some of the more complex cases including acute-on-chronic pain, acute cancer pain or acute pain from a multitude of medical conditions
Foreword v
Preface vii
Introduction
1(7)
Effectiveness of acute pain management
1(2)
Adverse effects of undertreated severe acute pain
3(3)
Acute pain management and patient outcomes
6(2)
Organizational considerations
8(16)
Education
9(3)
Standardization
12(1)
Acute pain services
13(11)
Assessment of the patient with acute pain
24(18)
Assessment of pain and pain relief
25(8)
Assessment of adverse effects
33(9)
Pharmacology of opioids
42(29)
Mechanisms of action
43(2)
Effects of opioids
45(9)
Predictors of opioid dose
54(1)
Titration of opioid dose
55(3)
Commonly used opioid agonists
58(7)
Partial agonists and agonist--antagonists
65(2)
Opioid antagonists
67(4)
Pharmacology of local anesthetic drugs
71(16)
Mechanism of action
71(3)
Efficacy of local anesthetic drugs
74(1)
Adverse effects of local anesthetic drugs
75(5)
Commonly used local anesthetic drugs
80(7)
Non-opioid and adjuvant analgesic agents
87(28)
Paracetamol (acetaminophen)
87(3)
Non-selective non-steroidal anti-inflammatory drugs
90(5)
Selective COX-2 inhibitors
95(3)
Nitrous oxide
98(2)
NMDA receptor antagonist drugs
100(4)
α2-Adrenergic agonist drugs
104(2)
Calcitonin
106(1)
Antidepressant drugs
107(2)
Anticonvulsant drugs
109(2)
Membrane-stabilizing drugs
111(4)
Routes of systemic opioid administration
115(24)
Oral route
117(4)
Intramuscular and subcutaneous routes
121(7)
Intravenous route
128(5)
Rectal route
133(1)
Transdermal route
133(2)
Transmucosal routes
135(4)
Patient-controlled analgesia
139(28)
Equipment
140(2)
Analgesic and other drugs used with PCA
142(1)
The PCA `prescription'
143(5)
Requirements for the safe management of PCA
148(3)
Management of inadequate analgesia
151(2)
`Step-down' analgesia
153(2)
Complications of PCA
155(5)
Alternative systemic routes of PCA administration
160(7)
Epidurai and intrathecal analgesia
167(41)
Anatomy
168(1)
Contraindications
169(3)
Drugs used for epidurai analgesia
172(11)
Requirements for the safe management of epidurai analgesia
183(2)
Patient-controlled epidurai analgesia
185(1)
Management of inadequate analgesia
186(2)
`Step-down'analgesia
188(1)
Complications and side effects of epidurai analgesia
188(9)
Concurrent anticoagulant or antipiateiet medications
197(4)
Intrathecal analgesia
201(7)
Other regional and local analgesia
208(8)
Continuous peripheral nerve blockade
208(4)
Intra-articular analgesia
212(1)
Wound infiltration
213(1)
Topical analgesia
213(3)
Non-pharmacological therapies
216(5)
Psychological interventions
216(2)
Transcutaneous electrical nerve stimulation
218(1)
Acupuncture
219(1)
Physical interventions
219(2)
Acute neuropathic and persistent postacute pain
221(15)
Pathophysiology of neuropathic pain
222(1)
Clinical features of neuropathic pain
223(1)
Acute neuropathic pain syndromes
224(3)
Treatment of acute neuropathic pain
227(3)
Progression of acute to persistent pain
230(2)
Preventive analgesia
232(4)
Non-surgical acute pain
236(9)
Bums injury
236(3)
Spinal cord injury
239(1)
Specific medical conditions
240(5)
More complex patients
245(34)
Elderly patients
245(10)
Opioid-tolerant patients
255(11)
Patients with a substance abuse disorder
266(4)
Patients with obstructive sleep apnea
270(2)
Pregnant or lactating patients
272(2)
Patients with renal or hepatic impairment
274(5)
Self-assessment questions
279(12)
Index 291


Stephan Schug is a medical graduate from the University of Cologne in Germany. At this University he also completed his MD by thesis in clinical pharmacology and his specialist training in anaesthesia, intensive care and pain medicine. After working for the University of Cologne as a Clinical Lecturer and Co-Director of its Cancer Pain Management Center, he moved to Auckland, New Zealand in 1989. In Auckland, he worked initially for Auckland Hospital as a Temporary Acting Specialist in Anaesthesia and Pain Medicine, before joining the Pharmacology Department of the University of Auckland as a Senior Lecturer and Head of its Section of Anaesthetics in 1991. He was promoted to Associate Professor in 1994 and became full Professor and the first Chair of Anaesthesiology of the University of Auckland in 2000. Throughout his 12 years in Auckland, Stephan Schug had a clinical role as a staff specialist in anaesthesia and pain medicine at Auckland Hospital and the inaugural director of its pain service. When Stephan Schug moved to Perth in 2001, he maintained his linkage to the University of Auckland as an Honorary Professor of Anaesthesiology, while taking up his new role as Associate Professor, then Professor in the Pharmacology Unit of the School of Medicine and Pharmacology of the University of Western Australia. In 2006, he succeeded Professor Teik Oh, the Inaugural Chair of Anaesthesia at UWA, who retired. Stephan Schug's clinical role is Director of Pain.