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Cardiac Anesthesia: A Problem-Based Learning Approach provides a comprehensive review of the dynamic and ever-changing field of cardiac anesthesia. Its problem-based format incorporates a pool of multiple-choice questions for self-assessment. Each of its 36 case-based chapters is accompanied by questions and answers, accessible online in a full practice exam. The cases presented are also unique, as each chapter starts with a case description, usually a compilation of several actual cases; it then branches out through case-based questions, to increasingly complex situations. This structure is designed to create an authentic experience that mirrors that of working through the nuances of a complicated clinical scenario. The discussion sections that follow offer a comprehensive approach to the chapter's subject matter, thus creating a modern, complete, and up-to-date medical review of that topic.
The book gives particular emphasis to the specific relevant of the major issues of palliative care for nurses working in various practice settings, and also those teaching or undertaking research in palliative care. Chapters are accompanied by a commentary which links the topics discussed to contemporary nursing issues.
Using a quick-reference, encyclopedic format, Anesthesia for Genetic, Metabolic, and Dysmorphic Syndromes of Childhood, 3rd Edition, presents the anesthetic implications of a plethora of distinct syndromes, with up-to-date information, complete and current bibliographies, and more than 140 clinical photographs. You'll find practical information on common and uncommon manifestations in the major anatomic areas, as well as what you need to know for safe and effective anesthesia of both children and adults. Key Features Presents each syndrome in an easy-to-follow format: name, synonym(s), and common and uncommon manifestations in each organ system, followed by anesthetic considerations, including which syndromes have no anesthetic implications. Lists syndromes and synonyms alphabetically, and cross-references synonyms for quick look-up. Incorporates an overview of the pathology and relevant clinical findings for each syndrome, and highlights considerations in perioperative management. Features a helpful glossary at the beginning of the book, as well as diagrams that review pertinent biochemical pathways. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use
Andreas Meiser summarizes the current literature on inhalation sedation of critically ill patients. To meet clinical demands, he describes the development of new devices to administer volatile anesthetics together with common ICU ventilators. Their basic principle is called anesthetic reflection. The author discusses advantages and drawbacks of these devices in line with clinical studies demonstrating advantages of inhaled versus intravenous ICU sedation.About the Author:Dr. med. Andreas Meiser is working as a consultant anesthesiologist on the interdisciplinary operative ICU of the Saarland University Medical Center. He has been a pioneer in the field of inhalation ICU sedation. He has been treating patients using the AnaConDa administration devices since 2004, and has published many original articles in scientific journals on the subject.
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.
The new edition of this popular atlas offers complete, concise, step-by-step visual guidance on the diagnosis of pain syndromes commonly encountered in clinical practice. Vivid illustrations depict the physical symptoms and anatomy of each pain site, and diagnostic images demonstrate key findings from MRI, CT, and conventional radiography. A bonus CD-ROM - featuring all of the illustrations from the text - enables you to incorporate visuals depicting Dr. Waldman's preferred approaches directly into your electronic presentations. Avoid potential pitfalls in diagnosis and treatment of pain syndromes by referring to "Side Effects and Complications" sections in each chapter. Ensure proper reimbursement with comprehensive coverage of insurance coding information. Quickly and easily find the information you need thanks to highly templated chapters that explore signs and symptoms, physical findings, laboratory and radiographic testing, treatment options, clinical pearls, and diagnostic codes for each pain syndrome. Accurately diagnose and treat common pain syndromes by following a step-by-step approach that progresses from signs and symptoms through physical findings, laboratory and radiographic testing, treatment options, clinical pearls, and diagnostic codes. Effectively apply the latest pain management techniques and approaches with 20 new chapters covering Supraorbital Neuralgia, Charlin's Syndrome, Vail's Syndrome, Hyoid Syndrome, Subacromial Impingement Syndrome, Thrower's Elbow Syndrome, and Triangular Fibrocartilage Tera Syndrome - to keep you abreast of the conditions presenting in today's pain management practice. See, identify, and diagnose patients' pain issues with help from clinically relevant illustrations that connect pain syndromes to clearly labeled anatomic illustrations. Line drawings, clinical photographs as well as x-rays, CTs, and MRIs, helping you to confirm your diagnoses and confidently implement pain management techniques. Access the complete text and illustrations online at Expert Consult, fully searchable. Reinforce your knowledge with 20 new pain syndromes added in which the pieces of the puzzle (signs and symptoms) don't quite fit the simple diagnosis. A quick reference for any physician who handles diagnosing and managing patients with pain.
This book brings together contributions from key investigators in the area of pathological pain. It covers the molecular basis of receptors and channels involved in nociception, the possible messages that cause neuropathic plasticity, spinal plasticity in neuropathy, plastic changes in opioid systems in neuropathy and opioid tolerance, and plastic changes related to pathological pain.
The first step in the effective management of patients in pain is making the correct diagnosis . . . and how to diagnose pain is what Waldman's Atlas of Common Pain Syndromes, 4th Edition is all about. Written to help practitioners care for their patients in pain, this top-selling text provides complete, concise, step-by-step visual guidance to help simplify the diagnosis and management of over 130 common pain syndromes. The user friendly, easy to reference head-to-toe format gives the practitioner a concise description of each pain syndrome along with full-color art, drawings, clinical photographs, and a full range of radiological and ultrasound images that will help simplify making the correct diagnosis. Covers more than 130 common pain conditions with the concise information you need to make the correct diagnosis, making it a useful everyday reference in clinical practice. Using a consistent, easy to follow visual format, each chapter covers one common pain syndrome beginning with the correct ICD-10 code and containing a clear description of the signs and symptoms of each painful condition as well as the tests, differential diagnosis, clinical pearls, and the most up-to-date treatment options. Includes a "Side Effects and Complications" sections in every chapter that help you avoid potential pitfalls in diagnosis and treatment. Features thoroughly updated chapters throughout, keeping you up to date when treating the painful conditions you're most likely to encounter. Includes 13 new chapters that give you the knowledge you need to diagnosis and treat these new common pain syndromes. Contains dozens of new clearly labeled illustrations, tables, and radiologic and ultrasound images that enhance this visually focused reference, helping you make the diagnosis. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
Part of the popular Pocket Notebook Series, Pocket Anesthesia, Third Edition is a practical, concise guide to anesthetic management of the most common perioperative conditions. Now fully revised and up to date, this portable handbook provides essential information needed by residents, anesthesiologists, CRNAs, and medical students on the wards and in the operating room. The third edition keeps you current with all that's new in the field, including ACC/AHA guideline changes and new uses of anti-coagulants, stents, and approaches to pain management. Key Features: Provides fast access to the most relevant, evidence-based information in every area of anesthesiology, including drugs, intraoperative problems, differential diagnosis, common disease states, patient evaluation, and anesthetic considerations for each subspecialty. Features two new chapters on Enhanced Recovery After Surgery and Anesthesia for Bariatric Surgery. Includes enhanced content on recovery after surgery, ultrasonography, echocardiography, regional anesthesia, and chronic pain. Uses a reader-friendly, bulleted outline format with numerous tables, diagrams, and treatment algorithms throughout.
Palliative care provides comprehensive support for severely affected patients with any life-limiting or life-threatening diagnosis. To do this effectively, it requires a disease-specific approach as the patients' needs and clinical context will vary depending on the underlying diagnosis. Experts in the field of palliative care and oncology describe in detail the needs of patients with advanced cancer in comparison to those with non-cancer disease and also identify the requirements of patients with different cancer entities. Basic principles of symptom control are explained, with careful attention to therapy for pain associated with either the cancer or its treatment and to symptom-guided antineoplastic therapy. Complex therapeutic strategies for palliative cancer patients are highlighted that involve both cancer- and symptom-directed options and address a range of therapeutic aims. Issues relating to drug use in palliative cancer care are fully explored, and a separate section is devoted to care in the final phase. A range of organizational and policy issues are also discussed, and the book concludes by considering likely future developments in palliative care for cancer patients. Palliative Care in Oncology will be of particular interest to palliative care physicians who are interested in broadening the scope of their disease-specific knowledge, as well as to oncologists who wish to learn more about modern palliative care concepts relevant to their day-to-day work with cancer patients.
From early conception until the postpartum period, anaesthetists are required to provide pregnant women with the highest standard of anaesthetic care and pain relief whilst negotiating challenges such as concurrent systemic disease, infertility, and obesity as well as practising in accordance with new developments in fetal medicine surgery, pharmacology, and imaging. The Oxford Textbook of Obstetric Anaesthesia provides an up-to-date summary of the scientific basis, assessment for and provision of anaesthesia throughout pregnancy and labour. This highly authoritative textbook is conceptually divided into nine sections, detailing maternal and fetal physiology, fetal and neonatal assessment and therapy, anaesthesia before and during pregnancy, labour and vaginal delivery, anaesthesia for caesarean delivery, anaesthetic and obstetric complications, as well as systemic disease. Individual chapters address topics such as simulation and ultrasound. Authored by an international team of expert anaesthetists this textbook reflects current world-wide practice and guidelines. Designed for consultants and trainees in anaesthesia, the Oxford Textbook of Obstetric Anaesthesia is the definitive source of expert knowledge for anaesthetists in this subspecialty.
This book provides a comprehensive review of the latest advances in translational pain and itch research, and presents the cutting-edge developments in the study of our two principal, yet most mysteries sensations. Despite the slow progress in the discovery of effective therapies for chronic pain and pruritus, scientists around the globe now have a better understanding of why and how these conditions occur. Based on these findings, a series of novel treatment strategies are currently under development, and hopefully in a few years, medical practitioners will become more confident and optimistic when facing patients with these annoying and sometimes severe disorders. The contributing authors are world-renowned research scientists, who have made significant discoveries. The book is of interest to neuroscientists, neurologists and pharmacologists
From reviews of Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: "Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches is a major textbook... [I]t should be a part of all departmental libraries and in the reference collection of pain fellows and pain practitioners. In fact, this text could be to pain as Miller is to general anesthesia." Journal of Neurosurgical Anesthesiology Edited by master clinician-experts appointed by the American Academy of Pain Medicine, this is a soft cover version of the Interventional sections of the acclaimed Deer, eds., Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches. It is intended as a primary reference for busy clinicians who seek up-to-date and authoritative information about interventional approaches to treating chronic pain. State-of-the-art coverage of full range of techniques: neural blockades, neurolysis blocks, and neurostimulation Review of clinically relevant anatomy and physiology "Key Points" preview contents of each chapter
The benchmark in anesthesiology - updated and streamlined Written and edited by an internationally known team of experts, Anesthesiology, Third Edition delivers a 360-degree view of the field, covering all of the anesthetic considerations, preparations, and procedures for the surgical patient, the pain patient, or the critical care patient. Readers will find a unique balance between clinical information, practical clinical procedures, and the molecular and basic scientific underpinnings of anesthesiology practice. This acclaimed text offers a multi-perspective, wide-ranging view of anesthetic drugs, procedures, co-morbid diseases, and need-to-know postoperative pain management strategies. This essential guide not only focuses on general anesthesia, but was the first to feature a detailed look at the subspecialty of regional anesthesia. * NEW! Revamped section on co-existing disease, a more streamlined presentation, and completely updated content * Complete coverage that spans the entire field, including all of the anesthetic considerations, preparations, and procedures for the surgical patient, the pain patient, and critical care patient * Ideal for anesthesiology residents and practitioners preparing for the Maintenance of Certification in Anesthesiology (MOCA) exam * Balanced presentation surveys clinical information, practical clinical procedures, and the molecular and basic scientific foundations of anesthesiology practice * Learning aids such as key points, numerous tables and algorithms, and key references * Engaging full-color presentation
Using rodent models, this volume explores the basic neurobiology of the relationship among chronic pain, opioid pharmacology, and addiction.
This textbook and atlas provides clear, practice-oriented
anatomical explanations and implementation rules for regional nerve
blocks. It is the first book of compiled records and check-lists on
every local anaesthesia process, resulting in a uniquely
comprehensive duplication of every nerve block procedure. This easy
to use practice guide is written by an author with years of
experience in the field of pain therapy.
Fluid therapy is one of the most basic interventions spanning across all medical and surgical disciplines. Physicians need to understand the physiology of fluids and electrolytes before they can evaluate the extent to which disease pathophysiology has altered the balance, enabling them to determine the type and quantity of intravenous fluids required for treatment. This new edition is a practical guide to intravenous fluids and their administration to surgical patients. Divided into sixteen sections, the text begins with an overview of normal water balance and distribution of body fluid. The next sections cover the pharmacology of different types of intravenous fluid, followed by discussion on fluid therapy in different medical circumstances, and concluding with a chapter on fluid calculation. The second edition has been fully revised to provide the latest information in the field, and features new topics including fluid choice in the perioperative period and surgery and stress response. Key points Fully revised, new edition presenting latest information on intravenous fluids in surgery Discusses different types of fluid and their application in different circumstances Second edition includes several new topics Previous edition (9789350903957) published in 2013
Out of 238 million American adults, 100 million live with chronic pain. And yet the press has paid more attention to the abuses of pain medications than the astoundingly widespread condition they are intended to treat. Ethically, the failure to manage pain better is tantamount to torture. When chronic pain is inadequately treated, it undermines the body and mind. Indeed, the risk of suicide for people in chronic pain is twice that of other people. Far more than just a symptom, author Judy Foreman writes, chronic pain can be a disease in its own right-and it's the biggest health problem facing America today. Published in partnership with the International Association for the Study of Pain, A Nation in Pain offers a sweeping, deeply researched account of the chronic-pain crisis, from neurobiology to public policy, and presents practical solutions that are within our grasp today. Drawing on both her personal experience with chronic pain and her background as an award-winning health journalist, she guides us through recent scientific discoveries, including genetic susceptibility to pain; gender disparities in pain conditions and treatments, perhaps linked to estrogen; the problem of undertreated pain in children; the emerging role of the immune system in pain; advances in traditional treatments such as surgery and drugs; and fair-minded assessments of the effectiveness of alternative remedies, including marijuana, acupuncture, massage, and chiropractic care. For many people, the real magic bullet, Foreman writes, is exercise. Though many patients fear it will increase their discomfort, studies show it consistently produces improvement, often dramatic. She also explores the destructive "opioid wars," which have led to a misguided demonization of prescription painkillers. Foreman presents a far-reaching but sensible plan of action, ranging from enhancing pain education in medical schools to reforms of federal policies across the board. For doctors, scientists, policy makers, and especially patients, A Nation in Pain is essential reading.
Indications for central venous cannulation in critically ill patients have increased dramatically in recent years owing to the use of more complex therapies unsuitable for delivery via peripheral veins. The main drawbacks of central venous access are morbidity and the growing scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on the choice of materials and on vein selection. The advantages and disadvantages of peripherally inserted central venous catheters (PICC) in relation to other types of central venous catheter are discussed, and the principles of use and practical applications of ultrasound for venipuncture are explained. Maneuvers for PICC positioning, techniques for the evaluation of PICC tip placement, and the prevention, diagnosis, and management of complications are all described in detail. Advice is also provided on the organization of a dedicated PICC team within a hospital or a supportive care program, and psychological, legal, and economic issues are considered. Peripherally Inserted Central Venous Catheters will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.
SAQs for the Final FRCA is an invaluable guide to the Short Answer Question paper for the Final FRCA examination, providing 9 papers of 12 questions per paper. Each question is accompanied by a full model answer structured using a star system to indicate the essential, desirable and supplementary information. Most answers also carry references and additional notes giving insight into why a question was written or what the examiner was really after. A highly informative FAQ section gives advice on all aspects of exam preparation. The book is laid out to enable the candidate to practise sitting whole papers of 12 questions or to attempt individual questions. Written by a group of authors who have either just successfully taken the Final FRCA or are regularly involved with training anaesthetists via the Frenchay Final FRCA Crammer Course, SAQs for the Final FRCA is an invaluable tool for your exam preparation!
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.
Pain is immediate and searing but remains a deep mystery for sufferers, their physicians, and researchers. As neuroscientific research shows, even the immediate sensation of pain is shaped by psychological state and interpretation. At the same time, many individuals and cultures find meaning, particularly religious meaning, even in chronic and inexplicable pain.
This ambitious interdisciplinary book includes not only essays but also discussions among a wide range of specialists. Neuroscientists, psychiatrists, anthropologists, musicologists, and scholars of religion examine the ways that meditation, music, prayer, and ritual can mediate pain, offer a narrative that transcends the sufferer, and give public dignity to private agony. They discuss topics as disparate as the molecular basis of pain, the controversial status of gate control theory, the possible links between the relaxation response and meditative practices in Christianity and Buddhism, and the mediation of pain and intense emotion in music, dance, and ritual. The authors conclude by pondering the place of pain in understanding--or the human failure to understand--good and evil in history.
Innovation, training and research are the pillars that support a process deriving from basic science and multi-professional/multidisciplinary interventions. The APICE 2012 yearbook deals with several innovations for optimising prevention and management measures for the critically ill, by integrating diagnostic procedures with pharmacological and technological options. Peri- and postoperative managements as well as treatment of surgical infections and of pain, new and old artificial ventilation strategies are some of the most relevant topics the volume deal with in this new edition. The volume focuses also on the improvement standards and quality of care; on the expanding concept of clinical governance and professionalism and on the importance of ethical principles for establishing a process of patient-centered and evidence-based care.
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