Perioperative Pain Management (Oxford American Pain Library)

Covers the diagnosis, treatment and managment of the spectrum of perioperative pain
Includes chapters on pain in special populations such as pediatric and elderly patients
Concise, point-of-care guide

Millions of procedures, surgical and non-surgical, are performed around the world each year. Management of perioperative pain is of great importance to patients, and a critical management issue for physicians and other health professionals who provide perioperative care. Healthcare facilities and national accrediting organizations have established standards surrounding proper management of perioperative pain. There is now an increased burden on every hospital and training program to ensure that healthcare providers understand the essentials of pain management and are able to recognize and treat pain in a timely fashion. Poorly controlled pain leads to patient dissatisfaction and contributes to increased morbidity and mortality, such as myocardial infarction, pneumonia, and emotional effects. Proper management, including appropriate pharmacologic management and regional analgesic techniques, can improve function and shorten length of hospital stay. Patients who are undergoing procedures under sedation or anesthesia need to receive adequate pain relief with drugs or regional anesthetic techniques. In the recovery room following the procedure, the staff taking care of the patient needs to be properly trained to diagnose and treat post-procedural pain. Part of the Oxford American Pain Library, this concise, evidence-based clinical guide serves as a tool for every clinician who wishes to understand the basic mechanisms, pharmacology, invasive and noninvasive treatment modalities, guidelines and development of pain management protocols. The authors address new technologies, chronic pain issues, running an acute pain service, opioid and non-opioid pharmacology (including newly approved drugs), epidural and other regional anesthesia, and special populations such as pediatric patients, the elderly, and patients with a co-existing disease.

Readership: Anesthesiologists, surgical clinicians



Edited by Richard D. Urman, Assistant Professor, Anesthesiologist and Director of Procedural Sedation, Brigham & Women's Hospital, Harvard Medical School, USA, and Nalini Vadivelu, Associate Professor, Anesthesiology and Pain Medicine, Yale University School of Medicine, USA

NV: Associate Professor of Anesthesiology and Pain Medicine, Yale University School of Medicine, New Haven, Connecticut. RDU: Assistant Professor, Anesthesiology and Director, Procedural Sedation, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts

Contributors:
Vanita Ahuja, MD
Assistant Professor
Department of Anaesthesia and Intensive Care
Government Medical College and Hospital
Chandigarh, India

Wilson Almonte, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Orvil Ayala, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Veronica Carullo, MD
Assistant Professor, Department of Anesthesiology
Assistant Professor, Department of Pediatrics
Albert Einstein School of Medicine
Yeshiva University
New York, New York

Juan P. Cata, MD
Instructor
Department of Anesthesiology and Perioperative Medicine
Division of Anesthesiology and Critical Care
The University of Texas MD Anderson Cancer Center
Houston, Texas

Sherif Costandi, MD
Pain Management Department
Cleveland Clinic
Cleveland, Ohio

Ehab Farag MD, FRCA
Staff Anesthesiologist
Department of Anesthesiology
Anesthesiology Institute
Cleveland Clinic
Cleveland, Ohio

Maged Guirguis, MD
Department of General Anesthesiology
Anesthesiology Institute
Cleveland Clinic
Cleveland, Ohio

Amitabh Gulati, MD
Assistant Professor
Department of Anesthesiology and Critical Care
Memorial Sloan Kettering Cancer Center
New York, New York

Karina Gritsenko, MD
Assistant Professor, Department of Anesthesiology
Albert Einstein School of Medicine
Yeshiva University
New York, New York

Boleslav Kosharskyy, MD
Assistant Professor, Department of Anesthesiology
Albert Einstein School of Medicine
Yeshiva University
New York, New York

Zachary Leuschner, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Christine Milner, MS, RN, CPNP, CPON
Nurse Practitioner, Pediatric Pain Management Service
Department of Anesthesiology
Department of Pediatrics
Montefiore Medical Center New York, New York

Sukanya Mitra, MD
Professor
Department of Anaesthesia and Intensive Care
Government Medical College and Hospital
Chandigarh, India

Nathaniel Pleasant, MD
Resident in Pain Management
Department of Anesthesiology
Weill Medical College, Cornell University
New York, New York

Richard W. Rosenquist, MD
Chair
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Atit Shah, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Naum Shaparin, MD
Assistant Professor, Department of Anesthesiology
Assistant Professor, Department of Family and Social Medicine
Albert Einstein School of Medicine
Yeshiva University
New York, New York

Dmitri Souzdalnitski, MD, PhD
Associate Staff
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Yi Cai Isaac Tong, MD
Department of Anesthesiology, Perioperative and Pain Medicine
Brigham and Women's Hospital
Harvard Medical School
Boston, Massachusetts

Travis Nickels, MD
Department of General Anesthesiology
Anesthesiology Institute
Cleveland Clinic
Cleveland, Ohio

David Turk, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Richard D. Urman, MD, MBA
Assistant Professor, Anesthesiologist, and Director of Procedural Sedation
Brigham & Women's Hospital
Harvard Medical School
Boston, Massachusetts

Nalini Vadivelu, MD
Associate Professor
Department of Anesthesiology
Yale University School of Medicine
New Haven, Connecticut

Amaresh Vydyanathan, MD
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Joseph Walker III, MD
Assistant Professor
Department of Orthopedics
University of Connecticut
Farmington, Connecticut

Roniel Weinberg, MD
Assistant Professor, Department of Anesthesiology
Weill Medical College, Cornell University
New York, New York

Alison Weisheipl, MD
Clinical Fellow in Anaesthesia
Brigham and Women's Hospital
Boston, Massachusetts

Sherif Zaky, MD, PhD
Assistant Professor of Anesthesiology
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Department of General Anesthesiology
Anesthesiology Institute
Cleveland Clinic
Cleveland, Ohio



1. Introduction to Acute Pain Management: A Team Approach
2. Mechanisms of Pain
3. Assessment of Pain
4. Pharmacologic Agents: Opioids
5. Pharmacologic Agents: Non-opioids
6. Regional Anesthesia Techniques
7. Medication Delivery Systems
8. Complementary and Alternative Medicine
9. Chronic Pain Patient and other Co-Existing Conditions
10. Special Populations: Pediatric and Elderly Patients
11. Obstetric Pain
12. Outcomes and Future Directions

Acoperă diagnosticul, tratamentul si managment a spectrului de durere perioperatorie
Include capitole despre durere în populațiile speciale, cum ar fi pacienții copii și vârstnici
Concis, ghid punct - de - ingrijire

Milioane de proceduri, chirurgicale si non - chirurgicale, sunt realizate în întreaga lume în fiecare an. Managementul de durere perioperatorie este de mare importanță pentru pacienți, și o problemă de management critice pentru medici si a cadrelor medicale care ofera ingrijire perioperatorie. Facilități de asistență medicală și organizații de acreditare național, s-au stabilit standarde legate buna gestionare a durerii perioperatorie. Există acum o povară mare pe fiecare spital și program de formare pentru a se asigura că furnizorii de asistenta medicala înțeleagă elementele esențiale de gestionare a durerii si sunt capabili sa recunoasca si sa trateze durerea într -un timp util. Slab durere controlat duce la nemultumirea pacientului și contribuie la morbiditatea și mortalitatea crescută, cum ar fi infarctul miocardic, pneumonie, și efectele emoționale. Management adecvat, inclusiv managementul farmacologic adecvat și tehnici de analgezice regionale, poate imbunatati functia si scurta durata sederii spital. Pacientii care sunt supusi unei proceduri de sub sedare sau anestezie trebuie să primească ajutor adecvata a durerii cu medicamente sau tehnici anestezice regionale. În sala de recuperare în urma procedurii, personalul având grijă de pacientul trebuie să fie instruiți corespunzător pentru a diagnostica și trata durerea post- procedural. O parte din Oxford Pain American Library, acest ghid clinic concis, bazate pe dovezi servește ca un instrument pentru orice clinician care dorește să înțeleagă mecanismele de bază, farmacologie, modalitatile de tratament invazive si neinvaziv, ghiduri și dezvoltarea unor protocoale de gestionare a durerii. Autorii abordează noile tehnologii, probleme de durere cronica, care rulează un serviciu de durere acuta, farmacologie opioide și ne- opioide ( inclusiv medicamente recent aprobate ), anestezia epidurală regională și alte, și populațiile speciale, cum ar fi copii si adolescenti, persoanele în vârstă și la pacienții cu boala co - existente.

Cititori: anestezisti, medici chirurgicale



Editat de Richard D. Urman, Asistent universitar, anestezist si director de sedare procedurale, Brigham & Womens Hospital, Harvard Medical School, SUA, si Nalini Vadivelu, profesor asociat, Anestezie si dureri de Medicina, Universitatea Yale School of Medicine, Statele Unite ale Americii

NV: profesor asociat de Anestezie si dureri de Medicina, Universitatea Yale School of Medicine, New Haven, Connecticut. RDU: Asistent universitar, Anestezie si director, sedare procedurale, Brigham & Womens Hospital, Harvard Medical School, Boston, Massachusetts

colaboratori:
Vanita Ahuja, MD
asistent universitar
Departamentul de Anestezie si Terapie Intensiva
Guvernul Medical College si Spitalul
Chandigarh, India

Wilson Almonte, MD
rezident
Departamentul de gestionare a durerii si Anesteziologie
Montefiore Medical Center
New York, New York

Orvil Ayala, MD
rezident
Departamentul de gestionare a durerii si Anesteziologie
Montefiore Medical Center
New York, New York

Veronica Carullo, MD
Asistent universitar, Catedra de Anesteziologie
Asistent universitar, Catedra de Pediatrie
Albert Einstein Scoala de Medicina
Universitatea Yeshiva
New York, New York

Juan P. Cata, MD
instructor
Departamentul de Anestezie Perioperative Medicina
Divizia de Anestezie si Critical
La Universitatea din Texas MD Anderson Cancer Center
Houston, Texas

Sherif Costandi, MD
Departamentul de Management durere
Cleveland Clinic
Cleveland, Ohio

Ehab Farag MD, FRCA
anestezist personal
Departamentul de Anesteziologie
Institutul de anestezie
Cleveland Clinic
Cleveland, Ohio

Maged Guirguis, MD
Departamentul de Anesteziologie General
Institutul de anestezie
Cleveland Clinic
Cleveland, Ohio

Amitabh Gulati, MD
asistent universitar
Departamentul de Anestezie si Critical
Memorial Sloan Kettering Cancer Center
New York, New York

Karina Gritsenko, MD
Asistent universitar, Catedra de Anesteziologie
Albert Einstein Scoala de Medicina
Universitatea Yeshiva
New York, New York

Boleslav Kosharskyy, MD
Asistent universitar, Catedra de Anesteziologie
Albert Einstein Scoala de Medicina
Universitatea Yeshiva
New York, New York

Zachary Leuschner, MD
rezident
Departamentul de gestionare a durerii si Anesteziologie
Montefiore Medical Center
New York, New York

Christine Milner, MS, RN, CPNP, CPON
Medic asistenta medicala, Pediatrica Serviciul Pain Management
Departamentul de Anesteziologie
Departamentul de Pediatrie
Montefiore Medical Center din New York, New York

Sukanya Mitra, MD
profesor
Departamentul de Anestezie si Terapie Intensiva
Guvernul Medical College si Spitalul
Chandigarh, India

Nathaniel Plăcut, MD
Rezident în Pain Management
Departamentul de Anesteziologie
Weill Medical College, Universitatea Cornell
New York, New York

Richard W. Rosenquist, MD
scaun
Departamentul de gestionare a durerii
Cleveland Clinic
Cleveland, Ohio

Atit Shah, MD
rezident
Departamentul de gestionare a durerii si Anesteziologie
Montefiore Medical Center
New York, New York

Naum Shaparin, MD
Asistent universitar, Catedra de Anesteziologie
Asistent universitar, Catedra de Medicina Familiei și Sociale
Albert Einstein Scoala de Medicina
Universitatea Yeshiva
New York, New York

Dmitri Souzdalnitski, MD, PhD
Personalul asociat
Departamentul de gestionare a durerii
Cleveland Clinic
Cleveland, Ohio

Yi Cai Isaac Tong, MD
Departamentul de Anesteziologie, Perioperative și medicina durere
Brigham si Spitalul de Femei
Harvard Medical School
Boston, Massachusetts

Nickels Travis, MD
Departamentul de Anesteziologie General
Institutul de anestezie
Cleveland Clinic
Cleveland, Ohio

David Turk, MD
rezident
Departamentul de gestionare a durerii si Anesteziologie
Montefiore Medical Center
New York, New York

Richard D. Urman, MD, MBA
Asistent universitar, anestezist, si director de sedare procedurale
Brigham & Womens Hospital
Harvard Medical School
Boston, Massachusetts

Nalini Vadivelu, MD
profesor asociat
Departamentul de Anesteziologie
Universitatea Yale School of Medicine
New Haven, Connecticut

Amaresh Vydyanathan, MD
Departamentul de gestionare a durerii si Anesteziologie
Montefiore Medical Center
New York, New York

Joseph Walker III, MD
asistent universitar
Departamentul de Ortopedie
Universitatea din Connecticut
Farmington, Connecticut

Roniel Weinberg, MD
Asistent universitar, Catedra de Anesteziologie
Weill Medical College, Universitatea Cornell
New York, New York

Alison Weisheipl, MD
Fellow clinice în anestezie
Brigham si Spitalul de Femei
Boston, Massachusetts

Sherif Zaky, MD, PhD
Asistent profesor de Anesteziologie
Cleveland Clinic Lerner Colegiul de Medicina de Case Western Reserve University
Departamentul de Anesteziologie General
Institutul de anestezie
Cleveland Clinic
Cleveland, Ohio



1. Introducere în acuta Pain Management: o echipă
2. Mecanisme de durere
3. Evaluarea durerii
4. Agenți farmacologice: opioide,
5. Agenți farmacologic: Non - opioide
6. Tehnici de anestezie regionala
7. Sisteme de livrare de medicatie
8. Medicina complementara si alternativa
9. Cronice pacient cu durere si alte conditii de co - existente
10. Populații speciale: copii, adolescenți și vârstnici
11. obstetrica Pain
12. Rezultate și direcții viitoare

RECENZII