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Introduction to Pain and its relation to Nervous System Disorders provides an accessible overview of the latest developments in the science underpinning pain research, including, but not limited to, the physiological, pathological and psychological aspects. This unique book fills a gap in current literature by focussing on the intricate relationship between pain and human nervous system disorders such as Autism, Alzheimer Disease, Parkinson s Disease, Depression and Multiple Sclerosis. This fully illustrated, colour handbook will help non-experts, including advanced undergraduate and new postgraduate students, become familiar with the current, wide-ranging areas of research that cover every aspect of the field from chronic and inflammatory pain to neuropathic pain and biopsychosocial models of pain, functional imaging and genetics. Contributions from leading experts in neuroscience and psychiatry provide both factual information and critical points of view on their approach and the theoretical framework behind their choices. An appreciation of the strengths and weaknesses of brain imaging technology applied to pain research in humans provides the tools required to understand current cutting edge literature on the topic. Chapters covering placebo effects in analgesia and the psychology of pain give a thorough overview of cognitive, psychological and social influences on pain perception. Sections exploring pain in the lifecycle and in relation to nervous system disorders take particular relevance from a clinical point of view. Furthermore, an intellectually stimulating chapter analysing the co-morbidity of pain and depression provides a philosophical angle rarely presented in related handbooks. The references to external research databases and relevant websites aim to prompt readers to become critical and independent thinkers, and motivate them to carry out further reading on these topics. Introduction to Pain and its relation to Nervous System Disorders is essential reading for advanced undergraduate and postgraduate students in neuroscience, medical and biomedical sciences, as well as for clinical and medical healthcare professionals involved in pain management.
A genuine evidence-based text for optimum pain relief in various chronic conditions * Contributes an important advance in the practice of pain management providing the information on which to build more coherent and standardised strategies for relief of patient suffering * Answers questions about which are the most effective methods, AND those which are not effective yet continue to be used * Includes discussion of the positive and the negative evidence, and addresses the grey areas where evidence is ambivalent * Written by the world's leading experts in evidence-based pain management this is a seminal text in the field of pain
Aimed at all nurses, this key textbook equips them with the
knowledge and skills required to care for the deteriorating patient
in the clinical environment. The assessment, recognition and rapid
escalation of the deteriorating patient is emphasized throughout
the book. Using a unique system-based approach, each chapter
contains structured learning outcomes and concludes with a
competence-based skills assessment, which can be used to assess
practice skills. These skills are recommended as essential for
every nurse in an acute area and key to successful practice.
Functional MRI: Basic Principles and Emerging Clinical Applications provides an overview of the basic principles of fMRI for clinicians with minimal knowledge of the imaging technique and its research potential and clinical applications. The text is divided into two parts, with Section I covering the primary signal measured in fMRI (BOLD), the correlation between neuronal activity and the BOLD signal, and how the data is analyzed and interpreted in fMRI. Section II explores applications of fMRI in cognitive neuroscience and common psychiatric disorders, surgical planning in neurosurgery, anesthesia and the intensive care unit, and more. Timely and highly accessible, this book is a valuable resource for researchers and clinicians interested in understanding what fMRI is, how it works, and its applications.
This second edition handbook details new and improved procedures, current drugs and updated algorithms used by the crews of the Great North Air Ambulance who have been providing this life saving intervention since 2004. It will be of interest to pre-hospital care doctors and trainees, especially those studying for the GNAAS course. Pre-Hospital Anaesthesia is one of the most demanding interventions that can be made in the field. The exact incidence of failed intubation is difficult to quantify, but it is clear that it is higher than in hospital. Equally it is certain that anyone undertaking it should have clear instruction in the technique and a thorough understanding of all it entails.
This book addresses opioids and opioid use disorders from epidemiological, clinical, and public health perspectives. It covers detailed information on the nature of opioids, their effects on the human body and brain, prevention, and treatment of opioid addiction. Unlike other texts, the first section of this volume builds a strong historical, neurobiological, and phenomenological foundation for a deep understanding of the topic and the patient. The second section addresses the most challenging issues clinicians face, including pharmacological and psychosocial treatments, harm reduction approaches, alternative approaches to pain management for the non-specialist, and prescribing guidelines. Treating Opioid Addiction is a valuable resource for psychiatrists, psychologists, addiction medicine physicians, primary care physicians, drug addiction counselors, students, trainees, scholars, and public health officials interested in the effects and impact of opioids in the clinical and epidemiological context.
This book provides an up-to-date and comprehensive overview on percutaneous tracheostomy (PT) in critically ill patients. The various PT techniques that may be employed in the intensive care unit are fully described, with discussion of the available tracheostomy tubes and selection criteria and with clear evaluation of the risks and benefits of each procedure. A further individual chapter is devoted to the methods of airway management that may be used during PT. Detailed attention is also paid to medical and nursing management inside and outside hospital, to quality of life issues in tracheostomized patients, and to the problem of informed consent. The book concludes by addressing the need for standard guidelines. Percutaneous Tracheostomy in Critically Ill Patients will be an excellent source of information and guidance for novice and more experienced physicians working in intensive care units, operating rooms, and emergency departments as well as for those responsible for patient aftercare.
Using repeated sets of visuals meant to relax and desensitize the mind, autogenic training equips patients to deal with chronic conditions such as anxiety disorders, recurring pain and stress. Patients learn how to gain control over their symptoms and improve coping to reduce suffering. This expanded edition presents practitioners with a concise exploration of autogenic technique and its clinical use for patients, especially in treating those suffering from chronic pain syndrome and disrupted sleep.
Since the publication of the first edition of Core Topics in Cardiac Anesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anesthesia, Second Edition is essential reading for residents and fellows in anesthesia and cardiac surgery and clinical perfusionists.
This book discusses the provision of anaesthesia for day case patients from the preoperative period until discharge and patient follow-up. Provides information on patient selection, management of pain and sickness, the recovery process and problems which may occur after surgery. All forms of anaesthesia are covered, including local anaesthesia and nerve blocks, general anaesthesia (with inhaled and injected drugs) and the use of sedatives to supplement local anaesthesia. The special needs of the child are also addressed.
Answering questions such as 'how can I change my pain experience?', 'what is pain?', and 'how do nerves work?', this short research-based graphic book reveals just how strange pain is and explains how understanding it is often the key to relieving its effects. Studies show that understanding how pain is created and maintained by the nervous system can significantly lessen the pain you experience. The narrator in this original, gently humorous book explains pain in an easy-to-understand, engaging graphic format and reveals how to change the mind's habits to transform pain.
OSCE Questions for the Primary FRCA is a key resource for candidates preparing for this unique exam. Containing over 100 Objective Structured Clinical Examinations (OSCE) style questions directly mapped to the syllabus set by the Royal College of Anaesthetists, this resource is the perfect revision tool. Each chapter contains key questions on the main FRCA subject areas, such as 'Anatomy', 'Hazards' and 'Equipment' to ensure candidates can revise commonly tested knowledge. All questions are supported by detailed answers and further reading for efficient and comprehensive revision. The 'Mock OSCE' chapter at the end of the book presents the reader with 10 OSCE style questions followed by all answers, ensuring the reader has, not only the knowledge to the pass the exam, but can practice the technique and approach required for success in this exam. Written by successful candidates, OSCE Questions for the Primary FRCA is the perfect revision aid for candidates facing this difficult exam.
For many of the millions of people who undergo anaesthesia each year, it is the source of great fear and fascination. In Counting Backwards, anaesthetist Henry Jay Przybylo has written an unforgettable account of the routine procedure's daily dramas and fundamental mysteries. Przybylo has administered anaesthesia more than 30,000 times on newborn babies, screaming toddlers and sullen teenagers, his own son and even a gorilla. With compassion and candour, he weaves his experiences into stories that explore the nature of consciousness, the politics of pain relief and the wonder of modern medicine. Through its intense and humane tales of mistakes, near-disasters, life-saving successes and moments of grace, Counting Backwards shines a light on a fascinating but unexplored corner of the medical world.
This two-volume book offers a comprehensive guide to anesthetic management and critical care management in neurosurgical and neurological patients. This second volume focuses on neurocritical care. The book begins with basic information on the principles of neurocritical care. Management of various neurological problems such as myasthenia gravis, Guillain-Barre syndrome, epilepsy, stroke and many more are discussed in detail. Subsequent sections address nursing care, physiotherapy and psychological care, issues related to brain death and organ donation, and common complications observed in neurological patients during their ICS stays. Each complication is discussed in detail, guiding readers in their clinical practice. In turn, the book's closing chapters cover e.g. the role of hypothermia and evidence-based practice. The book offers a valuable resource for all residents, fellows and trainees in the fields of neurointensive care and critical care; it will also benefit intensivists and neurocritical care experts.
The Final FRCA Structured Oral Examination is the last step before earning the initials FRCA and becoming a Fellow of the Royal College of Anaesthetists. This comprehensive revision aid has been compiled by two talented authors who have been running a course on this subject for three years. Motivated to make the cases as close as possible to the exam, they have collected a vast database of questions from their trainees and the book reflects a variety of commonly asked themes. In addition, there are contributions from 11 consultants and registrars, who are all experts in their fields. The clear layout and easy to read style prepares students for the examination environment and focuses on the specific areas and responses examiners look for. The style of questions mimics the exam and there are added tutorials for ECG interpretation and radiology which will benefit trainees immensely in their preparation.
Ambulatory care can be a challenging setting in which to provide anesthesia - not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.
One major by-product of the aging baby-boom generation has been a surging interest in cosmetic surgery. Out-patient cosmetic surgery clinics have sprouted up in droves all over the U.S., and the number of cosmetic procedures performed in 2005 increased by over 95% from the previous year. Although procedures like facelifts and abdominoplasties (the 'tummy-tuck') are considered minimally invasive, the anesthetic protocols and regimens here are often overly complex and unnecessarily toxic. Major complications involving anesthesia in this (and any other) surgical milieu can range from severe post-operative nausea and vomiting (PONV) to neuromuscular spasticity to mortality. The mortality spectrum of things may be rare, but there have been many cases in which perfectly healthy cosmetic surgery patients require emergency intervention due to a severe complication involving anesthesia. In recent years, many new anesthetic protocols have been developed to reduce the incidence of PONV and other complications, while ensuring that effective pain management and level of 'un-awareness' during surgery is always maintained.
Neuropathic pain is one of the most common, most debilitating, most costly, and most difficult to treat categories of chronic pain conditions that are characterized by a lesion or disease of the somatosensory nervous system. Managing neuropathic pain is challenging and requires skillful assessment and comprehensive and integrated treatment strategies that are mechanism-guided, evidence-based, and individualized. However, these critical and integral elements are very fragmented in the current literature. The mechanistic understanding of neuropathic pain is typically found in basic research articles. Clinical research evidence is presented in forms of clinical trials with emphasis on minimizing biases such as those from patient selection and assessment. Individualized considerations for each patient are usually presented in case reports and problem-based learning discussions. This book overcomes these barriers and integrates all the critical elements around individual patient care into a coherent management strategy that is practical and applicable to daily clinical practice. Rather than compiling what have been published in the literature, this work emphasizes on identifying and highlighting the key points or findings that guide decision-making in clinical practice. It integrates the key points around a typical case scenario that not only represents the core of the diagnostic and therapeutic processes but also allows introduction and differentiation of painful conditions that bare similarities with the case in hand. The overarching goal is to improve clinical outcomes through better understanding of the mechanisms, more accurate diagnosis, and wiser and more comprehensive treatment strategies.
"The Pain Center Manual" is a concise resource that provides practical information for daily use in pain practice. For quick reference or on-the-spot guidance in academic or community pain centers, these pages are filled with the information trainees and experienced practitioners need at their fingertips including common medication dosages, titration schedules, dictation templates, assessment scales, guidelines for interventional procedures, and much more.
A team of experts from one of the country's leading university pain centers covers everyday management concerns such as methadone safety, prescription writing for controlled substances, neuropathic medication adjuvants to consider in pain management, and treatment suggestions for a wide spectrum of chronic pain conditions. With an emphasis on ACGME standards and objectives, the manual offers the fundamental knowledge pain professionals need to provide consistent and compassionate care.
"The Pain Center Manual" includes: Quick reference tables for medications and other treatment modalities Clinical pearls for the most common pain complaints Templates for consultations and interventional procedures Useful scales, algorithms, diagrams, and other essential reference materials for performing tests and procedures ACGME training guidelines
The advancement of tactics used in managing pediatric airway disorders can be attributed to an overall growth of collective knowledge among medical health professionals. This book is designed to sustain that growth of knowledge, with 18 chapters of insight and information by distinguished medical experts in both pediatric anesthesia and pediatric otolaryngology. It concisely and thoroughly covers topics such as subglottic stenosis, pharyngeal airway obstruction, laryngeal airway obstruction, obesity and sleep apnea and thoracic airway obstruction, among others. Chapters include scenarios where the skills and expertise of both anesthesiologists and otolaryngologists are being continually tested; the use of newer drugs and repurposing of older drugs; the combination of smaller amounts of different types of sedatives while avoiding intra-op narcotics and maintaining spontaneous ventilation are described in detail; Finally, a comprehensive review of new research emerging about ultra-rapid narcotics metabolizers among patients, making them more susceptible to medications, such as codeine, along with the latest information on the purported potential neurodevelopmental toxicity of some anesthetic agents are also included. Working as both an educational tool and a practical resource, medical practitioners, students and educators will find this text to be a valuable tool for the safely managing the pediatric patient undergoing anesthesia for difficult airway scenarios.
Pain Genetics: Basic to Translational Science is a timely synthesis of the key areas of research informing our understanding of the genetic basis of pain. The book opens with foundational information on basic genetic mechanisms underlying pain perception and progresses recently discovered complex concepts facing the field. The coverage is wide-ranging and will serves as an excellent entry point into understating the genetics of pain as well as providing a single resource for established researchers looking for a better understanding of the diverse strands of research going on in the area. With contributors painstakingly selected to provide a broad range of perspectives and research, Pain Genetics will be a valuable resource for geneticists, neuroscientists, and biomedical professionals alike.
Thoracic anaesthesia is regarded as a post fellowship sub-speciality within anaesthesia, and can be daunting. This handbook provides an easily accessible, informative, and palatable guide to this often complex subject. The text is sub-divided into basic sciences, pre-operative assessment, diagnostic procedures, and an anaesthetist's walk-through of key thoracic surgical procedures. It concludes with an emergency section covering thoracic anaesthesia emergencies, critical care, and the thoracic surgical patient, and ends with essential guidance on the relevant practical procedures necessary to manage cases. The text provides an essential reference for the core curriculum of the Fellowship of the Royal College of Anaesthetists and for the day-to-day practice of post fellowship anaesthetists alike. The discussions of the surgical procedures are simple, highlighting the poignant stages that can affect the anaesthetic management of the patient. The authors use the very latest evidence in order to keep the reader up to speed with developments in the field. Whether on-call, running day-to-day lists or working within critical care, this indispensable guidebook will optimise the preparedness of all staff in dealing with any case, whether simple or complex.
"Buy this book and make sure that your doctor reads it too!" - Dr Steve Gilbert, Staff Specialist in Anaesthesia and Pain Management, former Lead Clinician for Chronic Pain in Scotland Chronic pain is much more common than you might think - it affects nearly one-fifth of the population. Chronic pain is defined as any pain that continues for longer than three months. It has a variety of causes including arthritis, back pain, fibromyalgia, accidents or operations, although sometimes there is no apparent cause. Many people suffering from chronic pain have been told by medical professionals that 'I'm sorry, there's nothing more we can do for you', leaving them feeling abandoned and isolated. If you have been told this, or you think this news may be in your future, then this book is for you. Self-management is an important approach to coping better and managing this long term condition. Written with humour, and making use of cartoons and line drawings, this book encapsulates 20 years of pain management courses given by Phil Sizer at Pain Association Scotland to patients, GPs, and other health professionals. Divided into three sections (Understanding, Managing, Coping) Its approach is based on a holistic, bio-psycho-social model of health including CBT (cognitive behavioural therapy), ACT (Acceptance and Commitment Therapy), positive psychology, relaxation, hypnotherapy, motivational interviewing and coaching. Topics include: introduction by Pain Association Scotland understanding chronic pain - definitions, acute vs chronic pacing - how to avoid over-doing realistic goal-setting stress management relaxation and sleep dealing with flare-ups diet and foods to avoid coping with unhelpful thinking (racing mind, anxiety and negative thoughts) challenging limiting beliefs relationships with others accepting help importance of humour - attitude and values being a person not a condition If you can learn how to make changes and live better with your pain, things will improve, be different, and most importantly, so much better.
Mechanical ventilation is a life-critical intervention provided to patients in a wide variety of clinical settings, involving the careful interplay of physiology, pathology, physics and technology. This unique text explains the underlying physiological and technical concepts of ventilation, aided by numerous full colour diagrams, and places these concepts into clinical context with practical examples. Core Topics in Mechanical Ventilation provides a broad and in-depth coverage of key topics encountered in clinical practice, from the initial assessment of the patient to transportation of the ventilated patient and weaning from ventilation. Issues such as sedation, analgesia and paralysis and the management of complications are reviewed, along with a discussion of various ventilation modes and practical advice on patients with pre-existing diseases. Appealing to doctors, nurses, physiotherapists and paramedics, this book is applicable to a wide range of settings including intensive care, anaesthesia, respiratory medicine, acute medicine and emergency medicine.
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