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Migraine is a painful neurological condition, of which the most common symptom is an intense and disabling episodic headache. Migraine headaches are usually characterised by severe pain on one or both sides of the head. Absent serious head injuries, stroke, and tumours, the recurring severity of the pain indicates a vascular headache rather than a tension headache. Migraines are often accompanied by photophobia (hypersensitivity to light), phonophobia (hypersensitivity to sound) and nausea. Migraine is three times more common in women than in men. Some individuals can predict the onset of a migraine because it is preceded by an 'aura', visual disturbances that appear as flashing lights, zig-zag lines or a temporary loss of vision. People with migraine tend to have recurring attacks triggered by a lack of food or sleep, exposure to light, or hormonal irregularities (only in women). Anxiety, stress, or relaxation after stress can also be triggers. For many years, scientists believed that migraines were linked to
Anaesthetists on labour wards form an important part of the multi-disciplinary team. In addition to providing analgesia and anaesthesia, they are also involved in the acute management of conditions related to pregnancy, and coordinate and plan the care of patients with coexisting medical diseases. This requires an understanding of specialized obstetric procedures and the terminology and conditions unique to obstetrics. Obstetrics for Anaesthetists is a practical manual designed to provide anaesthetists with a clear knowledge of obstetrics and the implications this will have on their anaesthetic practice. Each chapter includes algorithms for the management of obstetric emergencies and text boxes highlighting the anaesthetic implications of a condition. Edited by an obstetric anaesthetist and an obstetrician, and with contributions from many leading practitioners, Obstetrics for Anaesthetists is an invaluable practical guide to all aspects of obstetrics relevant to anaesthetic practice.
This practical text provides a clinical overview of the etiology, diagnosis and treatment for fibromyalgia. Current evidence-based treatments and guidelines are emphasized along with lifestyle modification suggestions for the patient. Also included is a review of current literature, research and emerging developments on this prevalent pain syndrome. A range of healthcare specialties, including pain management, rheumatology, neurology, internal medicine and family practice, will find this comprehensive guide to be a valuable resource to their routine treatment of fibromyalgia and improve patient's quality of life.
Ultrasound technology is enabling anesthesiologists to perform regional anesthetic procedures with greater confidence in accuracy and precision. With improvements in visualizing neural anatomy and needle movement, ultrasound guidance improves patient safety and operating room efficiency. This book offers a detailed, stepwise approach to this technique, identifying pearls and pitfalls to ensure success. Topics are organized into four chapters. The first chapter provides the basic principles behind ultrasound guided regional anesthesia, setting a strong context for the rest of the book. The last three cover the nerve blocks: upper extremity, lower extremity, and chest, trunk and spine. Each nerve block is comprehensively explained, divided up by introduction, anatomy, clinical applications, technique, alternate techniques, complications, and pearls. This new edition includes discussions of 6 new blocks: the suprascapular block, axillary nerve block for shoulder surgery, fascia iliaca block, lateral femoral cutaneous block, and the adductor canal block. This edition also contains over 40 new procedural and imaging figures, an appendix on what blocks to perform for specific surgeries, and new information on choice of local anesthetic agent, types of catheters and practical ultrasound physics to help improve scanning. Ultrasound Guided Regional Anesthesia provides authoritative, in-depth coverage of ultrasound guided regional anesthesia for the anesthesiologist beginning to use ultrasound and makes a great reference for the more seasoned physician.
Preparing for the Primary FRCA? Wondering what to expect of the new SBA questions? Help is at hand. This practical book contains 60 single best answer and 120 multiple true/false questions to help you revise for the Primary FRCA MCQ exam. Each question is accompanied by detailed explanations, giving additional information on each topic to enhance revision. SBA and MTF MCQs for the Primary FRCA may be used both for examination practice and as a source of knowledge on many of the key topics in the syllabus. A helpful introductory section gives practical advice on how to approach revision and sitting the exam. From the writing team behind the FRCAQ website (www.frcaq.com), SAQs for the Final FRCA and SBAs for the Final FRCA, this book provides challenging questions and well researched explanations to help you through the Primary FRCA MCQ paper. An invaluable tool for your MCQ exam preparation.
This cutting-edge book will cover various aspects of headache management, with a focus on difficult patients. Practical, step-by-step advice for treating challenging headaches, including migraine, refractory and cluster headaches, will be provided in detail along with how to approach patients of different ages and those with psychological disorders. Unique and complex case studies and complete explanations to the vast array of medications will also be featured. Authored by one of the leading experts on refractory headaches, Advanced Headache Management will be an invaluable guide for the resident or clinician and an easy-to-read resource for many patients.
Up to 35% of adults suffer from chronic pain, and a substantial number of these patients are admitted to hospitals every year. A major concern of these patients is whether the pain will be adequately controlled during hospitalization. these patients are more likely to have poor pain control and may experience an exacerbation of their co-exisitng chronic pain condition during hospital admission. Adequate pain control is directly related to clinical outcomes, length of hospital stay, and patient satisfaction. A considerable body of evidence demonstrates the medical, social, and economic benefits of satisfactory inpatient pain control. Currently, there are limited pain control guidelines to address this challenging inpatient population. In fact, there are no guidelines outlinign best practices for postoperative pain control in patients with chronic pain. The complex nature of chronic pain and a dearth of publications addressing the concerns of these patients make the creation of relevant guidelines difficult. The goal of this book is to equip clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. Each chapter addresses a particular clinical question and is written by an expert in the field. Chapters describe basic principles and specific clinical situations commonly encountered during the care of patients with co-existing chronic pain in hospital settings.
Obtain all the core knowledge in pain management you need from one of the most trusted resources in the field. The new edition of Practical Management of Pain gives you completely updated, multidisciplinary overview of every aspect of pain medicine, including evaluation, diagnosis of pain syndromes, rationales for management, treatment modalities, and much more. In print and online, it is all the expert guidance necessary to offer your patients the best possible relief. "I would recommend this textbook for all clinicians involved in acute, chronic, and cancer pain medicine. It is a book that I enjoyed reading read from cover to cover, but it would be equally good being dipped into selectively as an aid memoir or when preparing a presentation." Reviewed by British Journal of Anaesthesia, Feb 2015 Understand and apply the latest developments in pain medicine with brand-new chapters covering disability assessment, central post-stroke pain, chronic widespread pain, and burn pain. Effectively ease your patients' pain with today's best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics). Access up-to-the-minute knowledge on all aspects of pain management, from general principles to specific management techniques, with contributions from renowned experts in the field. Read the full text and view all the images online at expertconsult.com. Understand and apply the latest developments in pain management with brand-new chapters covering disability assessment, central post-stroke pain, widespread chronic pain, and burn pain. Effectively ease your patients' pain with today's best management techniques, including joint injections, ultrasound-guided therapies, and new pharmacologic agents (such as topical analgesics).
This work discusses the methodology and available evidence from systematic reviews on the current best practice in anaesthesia and analgesia. The first edition is built upon in this thoroughly revised and updated text. Contributions are from acknowledged world authorities on systematic review in the specialty. The free access website continues to provide added detail on the literature.
This book has been written to provide a concise description of the anesthesiology and critical care that is essential for undergraduates medical students.
In retrospect, the dosage of IV sedatives used in the early days of endoscopy both in the USA and Great Britain was frequently too high. Today, we are much more careful in the way we sedate patients, being acutely aware of the fact that if the patient becomes unresponsive and verbal contact is lost then, by definition, a general anaesthetic has just been administered with all the clinical and legal implications that this holds. This expertly written book examines all aspects of conscious sedation and will be an essential reference for nurses and other health professionals involved in the clinical care of patients undergoing diagnostic or therapeutic procedures that require conscious sedation. Each chapter covers a particular area of the practice of conscious sedation and the authors come from a wide spectrum of clinical specialities.
Pain management is a vast subject and is changing rapidly. Finding a good resource for learning, however, is difficult. Most of the available books are lengthy volumes including many details irrelevant to physicians sitting for examinations or assessment. Furthermore, books aimed at assisting preparation for entire anaesthesia exams typically address pain management in only one chapter or a few pages. This book covers the entire curriculum relating to pain management and will make it easy to learn all aspects of the subject by covering key concepts in a reader-friendly manner. It comprises nine concise and simple chapters that aim to impart the maximum information within a limited space. These chapters address anatomy, assessment of pain, diagnosis of pain, pharmacology, non- pharmacological pain management, acute and chronic pain management, pain management in special groups, and special techniques. Pain Management: Essential Topics for Examinations will be an ideal resource for those who plan to sit for examinations, wherever they are based in the world. In addition, it will be an invaluable reference for higher and advanced pain trainees, residents, and physicians working in chronic pain.
Pain is the number one reason that people seek medical attention but pain is still under- and poorly-treated world-wide. The purpose of this book is to give an up to date picture of what causes pain, how pain becomes chronic and what pharmacological targets might be manipulated to alleviate acute and chronic pain. The book will cover a wide array of topics from gene polymorphisms to voltage-gated ion channels moving from cellular biology to whole animal physiology.
This book is an up-to-date guide to the most widely debated practical and management issues in anesthesia and intensive care. It provides validated information on the state of the art regarding a wide range of topics, including choice of imaging techniques in the management of ARDS patients, the value and limits of continuous renal replacement therapy in intensive care, the prevention and treatment of postoperative shivering, the diagnosis and treatment of postoperative paralytic ileus, ways to prevent acute lung injury, the prevention of perioperative myocardial ischemia, and the management of invasive candidiasis in intensive care. All subjects are addressed in a lively and straightforward manner by recognized experts in the field. Anesthetists and intensivists, including trainees, will find Practical Issues in Anesthesia and Intensive Care 2013 to be an ideal source of rapidly retrievable practical information ."
Resuscitation is a two-stage process comprising the achievement/maintenance of spontaneous circulation and post- resuscitation management. The approach is complex and multifaceted and entails the integration of new physiological insights, pharmacological options, and technological advances. The purpose of this volume, written by top experts in the field, is to promote, share, and disseminate new advances in resuscitation and post- resuscitation care. The issues addressed are wide ranging and of great topical interest or controversy. They include priorities of intervention, quality of resuscitation, use of mechanical supports, new defibrillation strategies, prevention of organ damage, strategies in cases of sudden cardiac death, new pharmacological treatments, and post-resuscitation care, including temperature management and prediction and improvement of outcome after cardiac arrest. Particular attention is devoted to up-to-date evidence from the most recent experimental and clinical trials on resuscitation science and to gold standard evidence-based resuscitation and post-resuscitation treatments and interventions. In addition, organizational models and integrated care systems for trauma are considered, and critical care education and the process of guideline development are reviewed.
Volumes 1 and 2 of Drs. Travell and Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual have been hailed as the definitive references on myofascial pain and locating trigger points. Now all the upper and lower extremity pain patterns and their corresponding trigger points are clearly illustrated on convenient flip charts, ideal for patient education.
"Emergency Surgery" provides both a practical guide and an understanding of the issues that need to be considered in the management of emergency surgery patients. It presents a clear account of the key issues involved in the assessment, investigation, resuscitation and surgical management of patients who present to the on-call emergency team.
It considers the full breadth of issues encountered in these patients including anaesthesia, pre-op resuscitation/optimization, and initial post-operative care including preliminary high dependency/critical care, as well as the complications and acute issues found in acute surgical patients on the ward.
It is ideal for surgical trainees as well as trainees from other specialties involved in the care of these complex and challenging patients.
This sixth edition has been fully revised to present students with the latest advances in anaesthesia. Divided into nine sections, the book begins with the basic concepts of anatomy and physiology, then provides discussion on equipment for anaesthesia, preoperative assessment, airway management, and monitoring. The following sections discuss general and regional anaesthesia, anaesthesia for coexisting diseases in various parts of the anatomy, and subspecialty anaesthetic management such as for laparoscopy, ENT surgery, ophthalmic surgery, trauma and burns, and more. The final chapters cover intensive care management and cardiopulmonary and cerebral resuscitation, with the cardiopulmonary resuscitation (CPR) guidelines based on American Heart Association (AHA) guidelines. The new edition includes the most recent advances in drugs, equipment and techniques, and features clinical photographs, diagrams and tables to assist learning. Each chapter concludes with a summary of key points for quick revision. Key points Fully revised, sixth edition presenting latest advances in anaesthesia CPR guidelines based on American Heart Association (AHA) guidelines Features photographs, illustrations and key points for each topic Previous edition (9788188511907) published in 2016
This new edition provides clinicians with the latest advances in the identification, diagnosis and management of acute and chronic pain conditions and syndromes. Beginning with an overview of pain evaluation, the next chapters explain acute and chronic pain. The following chapters examine different types of pain including cancer, thoracic, lower back, head and neck, and more. Each chapter has been fully revised and the third edition features many new topics, including a complete chapter dedicated to opioid pharmacology. Authored by recognised Texas-based experts in the field, the text is presented in a clear, algorithmic approach, enhanced by clinical photographs and figures. Key points Fully revised, third edition presenting latest advances in diagnosis and management pain Features many new topics including a chapter on opioid pharmacology Authored by recognised Texas-based experts in the field Previous edition (9780323019743) published in 2006
There are relationships that exist between neuroanesthesia, neurosurgical procedures, individual patient pathology and the positioning of a patient for said procedure. A comprehensive examination of these relationships, their association with patient morbidity/mortality and how to approach these issues in an evidence-based manner has yet to become available. Positioning related injuries have been documented as major contributors to neurosurgical/neuroanesthesiology liability. This text examines these relationships. It provides considerations necessary to the correct positioning of a patient for a neurosurgical procedure for each individual patient and their individual pathology. In other words, this text will demonstrate how to construct the necessary surgical posture for the indicated neurosurgical procedure given the individual constraints of the patient within the environment of anesthesia and conforming to existing evidence-based practice guidelines. Sections will address physiological changes inherent in positioning in relation to anesthesia for neurosurgical procedures, assessment of patient for planned procedure, as well as considerations for managing problems associated with these relationships. Additional sections will examine the relationship between neurosurgical positioning and medical malpractice and the biomechanical science between positioning devices and neurosurgical procedures. Neurosurgery and its patient population are in a constant state of change. Providing the necessary considerations for the neurosurgical procedure planned under the anesthesia conditions planned in the position planned, often in the absence of multicase study literary support, without incurring additional morbidity is the goal of this text.
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