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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.
This volume is designed to help pediatric health professionals gain a true understanding of childhood pain. This book comprehensively examines children's fears and anxieties that accompany their need for pain relief, and gives the professional the communication skills and words that can help calm these fears.
This book is addressed to all disciplines, and is organized into three parts: Part I explores the scientific understanding of pain as a part of children's development; Part II explores pain treatments themselves, their efficacies and how to combine them for therapeutic impact; and Part III uses this understanding to help translate knowledge into clinical practice in three major arenas of pediatric health care and the general practice setting: the physicians' office, the dentist's office, and in the hospital. Without doubt, this volume will become a standard on pediatric pain management for many years to come.
This book presents current evidence in an Enhanced Recovery Programme context, and provides a common sense approach to using the array of available analgesia techniques appropriately in major abdominal surgery. Current pain relief options are discussed, many of which have been described only in the last ten years. Topics covered range from the now widespread use of portable ultrasound machines to an appreciation of the value of some older drugs in a new context. Analgesia for Major Abdominal Surgery is aimed at anesthetists, acute pain teams, and acute pain nurses, as well as colorectal, hepatobiliary, urological and gynecological surgeons.
The demand for anesthesiologists outside of the operating room continues to grow as the number of minimally invasive procedures proliferates and the complexity of diagnostic procedures undertaken outside of the OR increase. Non-Operating Room Anesthesia is an easy-to-access, highly visual reference that facilitates an in-depth understanding of NORA procedures and protocols needed to minimize risk and complications and to maximize growth opportunities. "In this book, Drs. Mark Weiss and Lee Fleisher have provided an important tool to address both the challenges and opportunities for anesthesiologists in providing non-operating room anesthesia (NORA) care." Foreword: Roger A. Moore, Clinical Associate Professor of Anesthesiology and Critical Care, May 2015 Effectively assess and manage risks and differences in procedures through in-depth discussions addressing the unique challenges and issues associated with non-traditional settings. Review the most recent knowledge with updated coverage of the use of the electrophysiology lab (EPL) and cardiac catheterization laboratory (CCL) in the care of the critically ill patient; patient assessment; and anesthetic considerations. Prepare for varying anesthetic conditions in non-OR settings with in-depth discussions on communication, management, and laboratory preparation for anticipated concerns or complications. Glean all essential, up-to-date, need-to-know information about NORA with coverage that surpasses the depth and scope of review articles and other references. Focus on the practical guidance you need thanks to a user-friendly color-coded format, key points boxes, drug descriptions, checklist boxes (for monitors, equipment, and drugs), and over 400 color photos that help you visualize each procedure and setting. Access the fully searchable contents online at Expert Consult!
Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.
Yearbook of Anesthesiology-8 is an up-to-date guide to the latest advances in anaesthesiology practice. Comprising 25 chapters covering all three specialties associated with anaesthesiology - regional and general anaesthesia, pain, and intensive care - this book presents the most recent information in the field, in a concise and highly illustrated format. The book covers the complete field from techniques and post-surgical recovery, to pharmacology, non-technical skills and medicolegal issues. This new volume features chapters on obstetric anaesthesia and analgesia, implications of clinical practice guidelines, renal replacement therapy, management of organophosphorus poisoning, and failed epidural block. The final chapter of the book - Journal Scan - covers recent articles published in respected journals, accompanied by reviews and interpretations by experts in the field. Key points Up-to-date guide to latest advances in anaesthesiology In depth coverage of all three sub-specialties - regional and general anaesthesia, pain, and intensive care Features new topics including obstetric anaesthesia, renal replacement therapy, and failed epidural block Includes recent journal articles with reviews and interpretations by experts in the field
What we have sought in this collection of 'Top Tips' (how to do it) and 'Caveats' (how not to do it) is to compile the Pearls of Wisdom that have been passed down from colleagues all around the world. These are the small details of practice which we have come to rely on when the going gets tough. Most of them are too obscure or even downright strange to make the main stream text books. Many are not 'evidence based'. We are not seeking to rival the Cochrane database but do believe that, worthy as the scholarly collection may be, there is still a place in medicine for skill, artistry and individualism. We are merely trying to spread the word slightly further and perhaps add another string to a few bows, for those times when the available options seem a little limited.
This manual aims to become the definitive reference work on sedation for all staff involved in administrating sedative agents, including anaesthetists, physicians, radiologists and support staff. The appropriate sedation technique is crucial to the comfort and safety of patients undergoing a wide spectrum of clinical procedures. The general principles of sedative use and protocols for good practice--information that is relevant in all clinical situations--is presented in the first two sections, and the final section looks at sedation and its applications in medicine, surgery and interventional radiology.
Handbook of Psychosocial Interventions for Chronic Pain provides a cutting-edge and comprehensive review of interventions for chronic pain grounded in biopsychosocial frameworks. Each chapter gives readers the opportunity to solidify their knowledge of major approaches to chronic pain in an accessible format. Reflecting national efforts to reduce prescriptions for pain medications and increase access to interdisciplinary treatment approaches, the book also considers a wide range of person-level variables such as age, cultural factors, and comorbid mental health conditions. In this book, mental health and allied health professionals will find the tools they need to understand the real-world delivery of chronic pain treatments in a wide variety of settings.
Featuring new co-editor Piyush Patel, MD, the updated edition of Cottrell and Patel's Neuroanesthesia continues to serve as the definitive reference on this important field of medicine. Clinically oriented chapters are clearly organized and cover key clinical points, case presentations, and discussions, delivering the complete and authoritative guidance you need to ensure optimal perioperative safety for neurosurgical patients. Integrates current scientific principles with the newest clinical applications. Explains what to do under any set of circumstances, the logic behind why it should be done, and how to avoid complications. Clear conceptual illustrations make complex concepts easier to understand at a glance. Comprehensive and broad coverage of all important aspects of neuroanesthesia enables you to find reliable answers to any clinical question. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. Access brand-new information to keep you current! All chapters have been thoroughly updated to reflect the latest developments in neurosurgical anesthesia. A completely reorganized TOC offers easier access to information. Covers the latest advances in neuromodality monitoring - brain tissue oxygenation oximetry; microdialysis; and depth of anesthesia. Includes a brand-new chapter on end-of-life care and the diagnosis and management of brain death, as well as a new chapter on minimally invasive techniques. New information on Parkinson's disease has been added to the chapter on Awake Craniotomy.
Monitoring in Anesthesia and Perioperative Care is a practical and comprehensive resource documenting the current art and science of perioperative patient monitoring, addressing the systems-based practice issues that drive the highly regulated health care industry of the early twenty-first century. Initial chapters cover the history, medicolegal implications, validity of measurement, and education issues relating to monitoring. The core of the book addresses the many monitoring modalities, with the majority of the chapters organized in a systematic fashion to describe technical concepts, parameters monitored, evidence of utility complications, credentialing and monitoring standards, and practice guidelines. Describing each device, technique, and principle of clinical monitoring in an accessible style, Monitoring in Anesthesia and Perioperative Care is full of invaluable advice from the leading experts in the field, making it an essential tool for every anesthesiologist.
Oxford Specialty Training is a specialty revision series for postgraduate trainees, taking into account the training structures and syllabuses newly introduced by the Modernising Medical Careers initiative. Training in Anaesthesia is a curriculum-based guide to the first phase of specialty training in anaesthetics; comprehensively covering the specific techniques, assessments and basic medical and physiological knowledge that trainees are required to learn as part of their basic training. These areas are currently examined by the Primary FRCA exam as part of a student's progress towards full fellowship of the Royal College of Anaesthetists, though the knowledge contained within the book continues to apply throughout all phases of training. The book is authored by both trainees and specialists, and has been comprehensively edited and peer-reviewed by both groups in order to create an authoritative yet accessible text, highlighted and augmented by many of the diagrams and key concepts that a trainee may be expected to reproduce during viva examinations. Novel drug tables convey essential information in a new and attractive form, and the majority of images have been created specifically for this book, avoiding the cliched figures and illustrations reproduced in training texts to date. The organisation of the material is unique, and the topic-based design ensures easy navigation and structured revision and learning.
Now expanded and updated to reflect the most recent changes in the viva examination, this two volume series is an indispensable aid to success in the anaesthesia viva examinations and appropriate to both the Primary FRCA and the Final FRCA. This first volume covers the essentials of physiology, pharmacology, and statistics and gives the candidate a comprehensive range of possible questions and exemplary model answers to provide the perfect self-learning tool, and it is also useful as a concise reference for the established anaesthetist, being packed with up-to-date information on fundamental questions that face the anaesthetist on a daily basis.
This practical handbook is the first resource written by practising pediatric anesthesiologists that provides the reader with a bedside reference for managing critical incidents and for effectively mastering the key topics within pediatric anesthesiology. The first main section of the book addresses critical incidents related to the anesthetic management of pediatric patients. Listed in alphabetical order to allow rapid retrieval by the reader, each Critical Incident follows a concise, standardized format, covering presentation, risk factors, differential diagnosis, pathophysiology, management, and prevention. The second section consists of nearly 100 Essential Topics. Bullet points, key phrases and tables provide a focused and efficient review format. Written and edited by experts from top children's hospitals, this is an essential resource for residents and fellows seeking to master the key topics, as well as a valuable quick-reference handbook for more experienced anesthesiologists caring for pediatric patients.
The core clinical competencies in anesthesiology can be pretty blurry just how do they apply to real life? This book answers this question, incorporating the core clinical competencies into an engaging format that anesthesiologists like case studies. So, far from being a dry and dusty volume of forgotten lore, this book actually makes learning the competencies fun Written in the same engaging style as a number of other anesthesia books (specifically, the Board Stiff opus) by leading anesthesiologists from leading medical centers across the United States, this book will bring the core clinical competencies to life for residents, attendings, and medical students alike.
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
The Structured Oral Examination in Anaesthesia is made up of questions and answers that closely simulate the Royal College of Anaesthetists??? oral examination format. Set up as complete exam papers, the book enables candidates to assess their knowledge accurately and within time limits. The answers are presented thoroughly and clearly, constructed from basic scientific facts, and further explained through the many tables and clear line diagrams. Thorough revision with this book will cover virtually all requirements for anaesthesia oral examinations worldwide. This is an essential aid to study for trainees and a great tool for trainers.
This book presents general measures and offers a comprehensive overview of anesthetic considerations for specific serious medical problems in pregnant patients, with a focus on the anesthetic management of non-obstetric disorders during pregnancy and pregnancy-induced diseases. Although many books on this topic are available, this unique volume addresses specific disorders that may be encountered in daily obstetric anesthesia practice and discusses in detail serious medical problems during pregnancy. As such it is a valuable tool, providing targeted information particularly on the anesthetic considerations and management of not only non-obstetric diseases during pregnancy but also pregnancy- induced diseases.
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