Acute Pain Management (Cambridge Medicine (Hardcover))

Cambridge University Press, 4/27/2009
EAN 9780521874915, ISBN10: 0521874912

Hardcover, 726 pages, 28.4 x 22.1 x 3.8 cm
Language: English

This textbook is written as a comprehensive overview of acute pain management. It is designed to guide clinicians through an impressive array of different options available to them and to patients. There has been a flurry of interest in the extent to which acute pain can become chronic pain, and how we might reduce the incidence of such chronicity. This overview covers a wide range of treatments for pain management, including the anatomy of pain pathways, the pathophysiology of severe pain, pain assessment, therapeutic guidelines, analgesic options, organization of pain services, and the role of anesthesiologists, surgeons, pharmacists, and nurses in providing optimal care. It also discusses the use of patient-controlled analgesia and how this may or may not be effective and useful.

Part I. Pain Physiology and Pharmacology
1. Pain pathways and acute pain processing
2. The pathophysiology of acute pain
3. Patient variables influencing acute pain management
4. Acute pain
a psychosocial perspective
5. Non-steroidal anti-inflammatory drugs and acetaminophen
pharmacology for the future
6. Local anesthetics in regional anesthesia and acute pain management
7. Pharmacology of novel non-NSAID analgesics (Ketamine, Clonidine, Gabapentin)
8. Pharmacokinetics of epidural opioids
9. Transitions from acute to chronic pain
10. Molecular basis and clinical implications of opioid tolerance and opioid-induced hyperalgesia
Part II. Clinical Analgesia
11. Qualitative and quantitative assessment of pain
12. The role of preventive analgesia and impact on patient outcome
13. Opioid oral and parenteral opioid analgesics for acute pain management
14. IV-PCA (history, technical aspects, agents, dosing, risk vs. benefits, effects on pain, satisfaction, effect on outcome)
15. Clinical application of epidural analgesia
16. Neuraxial analgesia with hydromorphone morphine and fentanyl
dosing and safety guidelines
17. Regional anesthesia for acute pain in the in-patient setting
18. Regional anesthesia for acute pain management in the outpatient setting
19. Patient controlled analgesia devices and analgesic infusion pumps
20. Novel analgesic drug delivery systems for acute pain management
21. Non-selective non-steroidal anti-inflammatory drugs (NSAIDs), cyclooxygenase-2 inhibitors (COX-2Is), and acetaminophen in acute perioperative pain
22. Perioperative ketamine for better postoperative pain outcome
23. Clinical application of glucocorticoids, anti-neuropathics and other analgesic adjuvants for acute pain management
24. Non-pharmacological approaches for acute pain management
25. Adverse events associated with opioid therapy and their treatment (incidence of adversity, nausea, vomiting respiratory depression, ileus, etc.)
26. Respiratory depression
incidence, diagnosis, and treatment
Part III. Acute Pain Management in Special Patient Populations
27. Acute pain management services
organization and implementation issues
28. Acute pain management in the community hospital setting
29. Ambulatory surgical pain
economic aspects and optimal analgesic management
30. Pediatric acute pain management (oral, parenteral, neuraxial)
31. Acute pain management for elderly 'high risk' and cognitively impaired patients
rationale for regional analgesia
32. Post-cesarean analgesia
33. Acute pain management in Sickle Cell Disease patients
34. Acute pain management in patients with opioid dependency and substance abuse (including buprenorphine)
Part IV. Specialist Managed Pain
35. Pain management following colectomy
a surgeon's perspective (balancing analgesia vs. side effects)
36. Acute pain management in the emergency department (medical and trauma related pain)
37. The nurse's role in acute pain management
38. The role of the pharmacist in acute pain management
Part V. Pain Management and Patient Outcomes
39. Economics and costs
a primer for acute pain management specialists
40. Evidence based medicine (does optimal analgesia improve outcome/satisfaction in post-surgical settings)
41. Effect of epidural analgesia on postoperative outcomes
42. Research in acute pain management
43. Quality improvement approaches in acute pain management
44. The future of acute pain management (where we are heading?).

Review of the hardback: '... an excellent book, all the major, and a good deal of the lesser subjects are covered in suitable detail, and the book could easily become a point of reference in any Acute Pain Service.' British Journal of Anaesthesia