Acute Pain Management

Summary

This is a new edition of a highly successful practical guide to acute pain management in the adult patient. The book provides a clear understanding of the current methods of analgesia for all those involved in the pain management team: trainees, residents, practicing anaesthetists and intensivists, junior doctors and nurses. Gives comprehensive cover of all of the areas of importance in the management of acute pain Presents highly practical information firmly supported by full evaluation of the scientific literature Concisely written text supplemented with useful checklists, flow charts and key points that can be readily referred to during treatment of a patient Gives a series of acute pain management plans, whilst at the same time discussing controversial areas and possible solutions Explores pain control in complex cases opioid-tolerant patients, pregnant and lactating patients, patients with hepatic and renal impairment and the elderly Discusses the important areas of acute neuropathic pain and the transition from acute to persistent pain Key self-assessment questions and answers New chapters on assessment and monitoring highlight the importance of regular patient assessment and the need to individualize patient care Key points added after each major section that indicate the evidence available for that topic and the quality of that evidence Chapters on analgesic drugs and techniques have been extensively revised and updated New chapters have been added on post-surgical pain syndromes and acute neuropathic pain, and analgesia in specific non-surgical states as well as for some of the more complex cases including acute-on-chronic pain, acute cancer pain or acute pain from a multitude of medical conditions

Introduction
Effectiveness of acute pain management
Adverse effects of undertreated severe acute pain
Acute pain management and patient outcomes
Organizational Considerations: Education Standardization
Acute pain services
Assessment of the Patient With Acute Pain: Assessment of pain and pain relief
Assessment of adverse effects
Pharmacology of Opioids: Mechanisms of action
Effects of opioids
Predictors of opioid dose
Titration of opioid dose
Commonly used opioid agonists
Partial agonists and agonist-antagonists
Opioid antagonists
Pharmacology of Local Anesthetic Drugs: Mechanism of action
Efficacy of local anesthetic drugs
Adverse effects of local anesthetic drugs
Commonly used local anesthetic drugs
Non-Opioid and Adjuvant Analgesic Agents: Paracetamol (acetaminophen)
Non-selective non-steroidal anti-inflammatory drugs
Selective COX-2 inhibitors
Nitrous oxide
NMDA receptor antagonist drugs
a2-Adrenergic agonist drugs
Calcitonin
Antidepressant drugs
Anticonvulsant drugs
Membrane-stabilizing drugs
Routes of Systemic Opioid Administration: Oral route
Intramuscular and subcutaneous routes
Intravenous route
Rectal route
Transdermal route
Transmucosal routes
Patient-Controlled Analgesia: Equipment Analgesic and other drugs used with PCA
The PCA 'prescription'
Requirements for the safe management of PCA
Management of inadequate analgesia
'Step-down' analgesia
Complications of PCA
Alternative systemic routes of PCA administration
Epirural and Intrathecal Analgesia: Anatomy
Contraindications
Drugs used for epidural analgesia
Requirements for the safe management of epidural analgesia
Patient-controlled epidural analgesia
Management of inadequate analgesia
'Step-down' analgesia
Complications and side effects of epidural analgesia
Concurrent anticoagulant or antiplatelet medications
Intrathecal analgesia
Other Regional and Local Analgesia: Continuous peripheral nerve blockade
Intra-articular analgesia
Wound infiltration
Topical analgesia
Non-Pharmacological Therapies: Psychological interventions
Transcutaneous electrical nerve stimulation
Acupuncture
Physical interventions
Acute Neuropathic and Persistent Postacute Pain: Pathophysiology of neuropathic pain
Clinical features of neuropathic pain
Acute neuropathic pain syndromes
Treatment of acute neuropathic pain
Progression of acute to persistent pain
Preventive analgesia
Non-Surgical Acute Pain: Burns injury
Spinal cord injury
Specific medical conditions
More Complex Patients: Elderly patients
Opioid-tolerant patients
Patients with a substance abuse disorder
Patients with obstructive sleep apnea
Pregnant or lactating patients
Patients with renal or hepatic impairment
Self-Assessment Questions
Index
Table of Contents provided by Publisher. All Rights Reserved.

Supplemental Materials

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.