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Get quick answers to the most important clinical questions with Duke's Anesthesia Secrets, 5th Edition! Authors James Duke, MD and Brian M. Keech, MD present this easy-to-read, bestselling resource that uses the popular and trusted Secrets Series Q&A format. It provides rapid access to the practical, "in-the-trenches" know-how you need to succeed - both in practice and on board and recertification exams. Zero in on key information with bulleted lists, tables, mnemonics, illustrations, practical tips from the authors, and "Key Points" boxes that provide a concise overview of important board-relevant content. Review essential material efficiently with the "Top 100 Secrets in Anesthesiology" - perfect for last-minute study or self-assessment. Get the evidence-based guidance you need to provide optimal care for your patients - ideal for medical students, residents, fellows, and practitioners. Apply all the latest advances in techniques, technology, and pharmacology, and explore effective solutions to a full range of clinical issues in anesthesiology. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and tables from the book on a variety of devices.
Using sample administrative and clinical protocols that any hospital can use, this book gives a detailed account of how to set up and run an observation unit and reviews all medical conditions in which observation medicine may be beneficial. In addition to clinical topics such as improving patient outcomes and avoiding readmissions, it also includes practical topics such as design, staffing, and daily operations; fiscal aspects, such as coding, billing, and reimbursement; regulatory concerns, such as aligning case management and utilization review with observation; nursing considerations; and more. The future of observation medicine, and how it can help solve the healthcare crisis from costs to access, is also discussed. Although based on US practices, this book is also applicable to an international audience, and contains instructions for implementing observation in any setting or locale and in any type of hospital or other appropriate facility.
50 Studies Every Anesthesiologist Should Know presents key studies that have shaped the practice of anesthesiology. Selected using a rigorous methodology, the studies cover topics ranging from pain medicine, critical care, cardiothoracic anesthesiology to general anesthesiology. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. Brief information on other relevant studies is provided, and an illustrative clinical case concludes the review. This book is a must-read for health care professionals in anesthesiology and pain medicine, and anyone who wants to learn more about the data behind clinical practice in anesthesiology, pain medicine, critical care and its broad subspecialties.
Patients suffering from HIV/AIDS often experience chronic pain due to the many diseases and infections they pick up as a result of a weakened immune system. It interferes with their quality of life and physical functioning, impacts adherence to antiretroviral therapy and HIV primary care, and is associated with significant psychological/social distress and substance use disorders. Chronic Pain and HIV addresses all these complex issues that can influence pain care that can influence pain care for the patient with HIV and acts both as a primer and a comprehensive review to define the field of chronic pain management. Using a clear, clinical approach, key topics include the following: * Musculoskeletal pain in individuals in HIV * Headache in individuals with HIV * Psychiatric comorbidities among individuals with HIV and chronic pain * Potential benefit and harm of prescription opioids in HIV * Pain at the end of life in individuals with AIDS * Treatment of chronic pain syndromes in the HIV-infected person. Edited by an outstanding team with extensive experience in HIV/AIDS and pain/palliative care, every chapter is written by a world-famous expert in their field who provides a thorough review of the relevant literature, including the very latest in management guidelines from the leading international societies. Perfect for all those in primary care, as well as infectious disease specialists managing patients with HIV/AIDS, Chronic Pain and HIV provides sensible, straightforward clinical advice to ensure the best possible patient management.
The book is a useful guide to the management of the most-debated hot topics of practical interest in anesthesia and intensive care. It reviews the state of the art of issues related to both intensive care medicine and anesthesia, such as assisted ventilation, ultrasound assessment of renal function, sedation during non-invasive ventilation, subarachnoid hemorrhage, coagulation disorders in septic shock, difficult airways management and hemodynamic monitoring during anesthesia. Written by leading experts and including updated references, it provides a comprehensive, easy-to-understand update on anesthesia and intensive care. The book clearly explains complex topics offering practicing clinicians insights into the latest recommendations and evidence in the field while, at the same time, making it a valuable resource for students new to the study of anesthesia and intensive care.
This handbook provides detailed, state-of-the-art information on total elbow replacement, covering all relevant aspects, from basic science and pathogenesis to clinical and instrumental evaluation, and treatment techniques. Elbow arthroplasties have undergone a considerable evolution in recent decades due to better anatomical and biomechanical knowledge, continuous development of biomaterials, improvement of operative techniques and better definition of the surgical indications. This book enables readers to better understand the main indications, the outcomes and the complications following total elbow arthroplasty, radial head arthroplasty, radiocapitellar arthroplasty and distal humerus hemiarthroplasty. The closing section addressing the post-operative management of the patients who have undergone elbow replacement is provided in order to optimize the relationship between the orthopedic surgeon and the rehabilitation physician. Written by leading experts in the field, the book is an invaluable tool for experienced surgeons, orthopedic residents and shoulder fellows.
Transesophageal echocardiography (TEE) is a valuable diagnostic modality now routinely used during cardiac surgery and in the intensive care unit. Increasingly, anesthesiologists, cardiologists and critical care physicians trained in TEE provide the service in both settings where they face the challenge of integrating numerous current TEE guidelines into day-to-day practice. Perioperative Two-Dimensional Transesophageal Echocardiography: A Practical Handbook, 2nd Edition has been designed to be a concise, portable guide for using TEE to recognize cardiac pathology during the perioperative period. This compact guide has a diverse appeal for anesthesiologists, cardiac surgeons and cardiologists desiring comprehensive up-to-date echocardiographic information at their fingertips. Features Updated to include 4 new chapters Now contains more than 600 full-color, high quality clinical images and illustrations Includes the most recent guidelines Retains a compact format that highlights key information Synopsis of cardiac pathology commonly encountered in cardiac surgery patients On-the-spot reference for echocardiographers with a wide range from novice to expert experience
As a nation, we are facing an unprecedented opioid crisis that is killing more than 65,000 people a year. It is destroying our families and decimating our neighborhoods. And it is costing us billions. As more and more people are dealing with chronic pain, and as the opioid crisis reaches epic proportions, alternative approaches to understanding pain and its management are necessary. Here, Dr. Akhtar Purvez, a seasoned researcher, pain specialist, and pain advocate, offers basic information about pain and pain conditions and considers how we approach pain from cultural, biological, and medical perspectives. He discusses the latest minimally invasive, interventional approaches like nerve blocks and ablation procedures, and neuromodulation techniques like peripheral nerve, spinal cord, and brain stimulation. The uses of marijuana and associated interventions is reviewed, and Purvez walks readers through the process of assessing pain, finding a doctor who can treat it, and methods for coping with pain through non-medical approaches like meditation. Anyone coping with pain or helping someone who is will find here a ready resource that offers hope and understanding.
The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.
Characterized by clarity and straddling the line between scope and depth of information, this concise book provides physicians a comprehensive overview of pain medicine. Chapters are written by some of the leading minds in pain medicine and feature case studies, key points and suggested readings. Multidisciplinary approaches to the clinical and financial challenges of pain with the goal of improving patient quality of life are also discussed. Additionally, the book is in is in tight alignment with the information that trainees are expected to master for the American Board of Anesthesiology's pain medicine subspecialty certification, as outlined by the Joint Council on Anesthesiology Examinations; it covers the diagnosis of pain states, the management of pain, acute pain, radicular pain, neuropathic pain, chronic visceral pain, headaches, and special populations. This book is a must-have for anyone new to pain medicine or studying for the subspecialty certification.
Part of the Oxford Rheumatology Library, the second edition of Fibromyalgia Syndrome provides a succinct and practical guide to help rheumatologists and general practitioners diagnose and manage patients with fibromyalgia syndrome. The emphasis throughout is on tailoring treatment to the individual patient, and considering a combination of education, non-pharmacological, and pharmacological treatments. This comprehensive approach improves symptoms and quality of life in all those treated for FMS, benefiting not only patients but also healthcare providers and society. Fibromyalgia syndrome (FMS) afflicts 2-5% of the population, more commonly females than males. It is characterised by chronic widespread pain, although fatigue, sleep disturbance, depression, anxiety, stiffness, and cognitive dysfunction are also common. National and international societies recognise the healthcare burden of FMS, and published recommendations and guidelines emphasise the importance of a positive diagnosis and management strategy to empower patients to cope with FMS. Now updated with new ACR criteria and additional international guidelines on the management of the syndrome, this pocketbook provides the reader with an essential understanding of the pathophysiology of pain in fibromyalgia, the different subtypes of fibromyalgia, and the pitfalls in diagnosis and management of this chronic condition.
Global ageing, in both developed and undeveloped countries, has made the need for high-quality knowledge and research on anaesthesia for the elderly increasingly important. The second edition of Anaesthesia for the Elderly Patient offers the anaesthetist guidance on the evaluation and management of elderly patients that present at hospital for surgery and anaesthesia. Containing 15 chapters on key topics such as emergency anaesthesia, orthopaedic surgery, and neurosurgery, as well as a new chapter on 'Anaesthesia for Non-Theatre Environments', this book ensures the reader is fully prepared for the clinical challenges they may face when working with this ever-growing vulnerable group. Part of the Oxford Anaesthesia Library series, this second edition of Anaesthesia for the Elderly Patient offers a fully up-to-date comprehensive introduction to the major clinical issues facing anaesthetists working with elderly patients. All chapters are fully updated and content is presented in a concise and easy to read format, with helpful key points listed at the start of each chapter.
This is the first atlas to depict in high-resolution images the fine structure of the spinal canal, the nervous plexuses, and the peripheral nerves in relation to clinical practice. The Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine contains more than 1500 images of unsurpassed quality, most of which have never been published, including scanning electron microscopy images of neuronal ultrastructures, macroscopic sectional anatomy, and three-dimensional images reconstructed from patient imaging studies. Each chapter begins with a short introduction on the covered subject but then allows the images to embody the rest of the work; detailed text accompanies figures to guide readers through anatomy, providing evidence-based, clinically relevant information. Beyond clinically relevant anatomy, the book features regional anesthesia equipment (needles, catheters, surgical gloves) and overview of some cutting edge research instruments (e.g. scanning electron microscopy and transmission electron microscopy). Of interest to regional anesthesiologists, interventional pain physicians, and surgeons, this compendium is meant to complement texts that do not have this type of graphic material in the subjects of regional anesthesia, interventional pain management, and surgical techniques of the spine or peripheral nerves.
Each chapter includes an ethical challenge presented as a clinical case scenario that readers may relate to in their daily practice of anesthesiology and surgery. The ethical issues surrounding each chapter's content are examined in an easily understandable manner for the specific target audience to improve the understanding and management of ethical dilemmas in patient care. Informed consent issues for the adult and pediatric patient, perioperative considerations of do-not-resuscitate orders, ethical issues of drug shortages, transplantation ethics, surgical care of patients and futility, conscientious objection, informed consent and disclosure of surgeon experience, and research and publication ethics are included and based on the experience of the Editor and the roster of contributors.
The second edition of Chronic Pain now covers a vast scientific and clinical arena, with the scientific background and therapeutic options much expanded. In common with the other titles comprising Clinical Pain Management, the volume gathers together the available evidence-based information in a reader-friendly format without unnecessary detail, and is divided into three parts. The broad coverage under Part One encompasses basic science, including applied psychology, genetics and epidemiology, through societal aspects of chronic pain and disability, to patient assessment, diagnostic procedures and outcome measures. Part Two considers the different therapies available, including pharmacological, psychological, behavioural, interventional and alternative. In Part Three specific and non-specific pain syndromes and their management are described, including pain in neurological disease, in HIV and AIDS patients, and after surgery or spinal cord injury, regional pain in the head, face, neck, back, joints, chest, abdomen and pelvis, and issues related to pain in children, the elderly and in association with substance misuse.
This book sheds new light on central pain, a field that is largely obscured by lack of knowledge among pain professionals at all levels, including high-end pain centers. As a matter of fact, central pain, classified as a form of neuropathic pain, remains too often a scourge for those affected due to the ignorance of pain therapists worldwide and enduring misconceptions at the academic level. By weighing up the relevant evidence, the authors aim to remedy the situation by providing clear-cut, no-nonsense, unbiased and directly applicable clinical information. The clinically sound guidelines presented here are based on the authors' twenty years of treating patients and conducting research in the field. The book will be an invaluable guide for neurologists, neurosurgeons, anesthesiologists, pain therapists as well as physiotherapists.
This book discusses interventional treatment options on intractable (drug resistant) headache patients and extended headache attacks and extensively reviews the reasons behind treatment failure in intractable headaches, offering potential solutions based on clinical black holes of headache outpatient practice. The most appropriate interventions for certain types of headache such as chronic migraine and medication-overuse headaches, are discussed among others. The book provides practical advice on properly administering the interventional treatments either as a bridge treatments or prophylaxis options. The expected complications of the treatments, and strategies to minimize them are also discussed. Approaches in special patient populations such as pediatric or pregnancy cases and other non-standard cases are also extensively discussed.
What is a migraine? If you asked five different migraine sufferers, you'd probably get five different answers. Why? Because migraines are different for everyone. Your migraine attacks are as unique as your fingerprints and the experience you have during an attack won't be the same as anyone else's. As there's no one way to get a migraine, there's also no one way to prevent or treat them. Researchers used to think migraine was a vascular condition, or one related to the blood vessels, but it's now classed as neurological, which means it's related to the nervous system. What's more, they don't yet know what causes you to get migraines, and there's no test you can have to get diagnosed. So migraines are a bit of a mystery. Frustrating, right? Don't worry. You don't need to know why you suffer from migraines to understand how to reduce the number of attacks you get or even avoid them altogether. The aim of this book is to help you figure out the best way to prevent your migraines. The first step is to try to understand your own experience. Then you'll be able to figure out how to reduce your attacks, or even stop them altogether.
Following recent guidelines set by the International Classification of Headache Disorders, this reference presents the most current diagnostic and treatment protocols for migraine and other headache conditions. Chapters are authored by internationally renowned headache clinicians and scientists, including several past presidents of the American Headache Society and the International Headache Society. User-friendly and up-to-date, this reference offers useful tables, algorithms, and diagrams that lead clinicians to effective treatments for the management of migraine and the reduction of migraine severity.
Make informed clinical decisions with reliable, up-to-date guidance from Evidence-Based Practice of Anesthesia, 3rd Edition! Leading authority Lee A. Fleisher, MD expertly explores the full range of important issues in perioperative management, discussing the available options, examining the relevant research, and presenting practical recommendations. Make sound, evidence-based decisions on every aspect of patient care: preoperative assessment, monitoring and administration of anesthesia during surgery, postoperative intensive care management, and postoperative pain management. Master the current best practices you need to know for day-to-day practice and oral board review. Access the entire text and images online, fully searchable, at www.expertconsult.com. Confidently navigate the latest issues thanks to new chapters on optimal airway management in GI endoscopy, the role of Ketamine for perioperative management, fast-track surgery, and hypothermia after intraoperative cardiac arrest, plus many other vital updates. Efficiently translate evidence into practice with numerous quick-reference tables and short, well-organized chapters that promote fast and effective decision making. Get practical decision-making tools you can use in both routine care and complicated or special situations. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.
Part of the popular Core Topics series, this book provides a practical guide to pre-operative assessment for consultants and trainee anaesthetists. Chapters cover comprehensive evidence-based guidance for assessing and managing patients with particular conditions, as well as perioperative risk stratification and challenges of pre-assessment. The chapters have been written by specialists in the respective clinical fields, while all content has been edited by anaesthetists to assure it is relevant and accessible to the anaesthetist in the everyday pre-operative clinic. Written specifically for anaesthetists, this resource will allow every reader to contribute effectively in a multidisciplinary approach when assessing and risk stratifying patients to ensure that they are optimised before surgery.
In this yearbook for 2013 we present you with the latest research on pain management. We start out with knee, pain in persons with intellectual disability, low back pain and pain in cancer and oncology. You will also find a systematic review on pain and function in older people with persistent pain, pediatric pain and the influence of music on dental pain. Acute pain, pelvic pain and many case stories around pain in cancer will be found in this Yearbook. It is our hope that you as the reader will find the information of interest and useful.
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