Acute Pain Management

di Sinatra - DeLeon Cassasola - Viscusi - Ginsberg • 2009 • dettagli prodotto

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DESCRIZIONE

This textbook provides a comprehensive overview of acute pain management, including the anatomy of pain pathways, the pathophysiology of severe pain, pain assessment, therapeutic guidelines, analgesic options, organization of pain services, and the role of anesthesiologists, surgeons, pharmacists, and nurses in providing optimal care.Table of Contents Part I. Pain Physiology and Pharmacology: 1. Pain pathways and acute pain processing2. The pathophysiology of acute pain3. Patient variables influencing acute pain management4. Acute pain: a psychosocial perspective5. Non-steroidal anti-inflammatory drugs and acetaminophen: pharmacology for the future6. Local anesthetics in regional anesthesia and acute pain management7. Pharmacology of novel non-NSAID analgesics (Ketamine, Clonidine, Gabapentin)8. Pharmacokinetics of epidural opioids9. Transitions from acute to chronic pain10. Molecular basis and clinical implications of opioid tolerance and opioid-induced hyperalgesiaPart II. Clinical Analgesia: 11. Qualitative and quantitative assessment of pain12. The role of preventive analgesia and impact on patient outcome13. Opioid oral and parenteral opioid analgesics for acute pain management14. IV-PCA (history, technical aspects, agents, dosing, risk vs. benefits, effects on pain, satisfaction, effect on outcome)15. Clinical application of epidural analgesia16. Neuraxial analgesia with hydromorphone morphine and fentanyl: dosing and safety guidelines17. Regional anesthesia for acute pain in the in-patient setting18. Regional anesthesia for acute pain management in the outpatient setting19. Patient controlled analgesia devices and analgesic infusion pumps20. Novel analgesic drug delivery systems for acute pain management21. Non-selective non-steroidal anti-inflammatory drugs (NSAIDs), cyclooxygenase-2 inhibitors (COX-2Is), and acetaminophen in acute perioperative pain22. Perioperative ketamine for better postoperative pain outcome23. Clinical application of glucocorticoids, anti-neuropathics and other analgesic adjuvants for acute pain management24. Non-pharmacological approaches for acute pain management25. Adverse events associated with opioid therapy and their treatment (incidence of adversity, nausea, vomiting respiratory depression, ileus, etc.)26. Respiratory depression: incidence, diagnosis, and treatmentPart III. Acute Pain Management in Special Patient Populations: 27. Acute pain management services: organization and implementation issues28. Acute pain management in the community hospital setting29. Ambulatory surgical pain: economic aspects and optimal analgesic management30. Pediatric acute pain management (oral, parenteral, neuraxial)31. Acute pain management for elderly 'high risk' and cognitively impaired patients: rationale for regional analgesia32. Post-cesarean analgesia33. Acute pain management in Sickle Cell Disease patients34. Acute pain management in patients with opioid dependency and substance abuse (including buprenorphine)Part IV. Specialist Managed Pain: 35. Pain management following colectomy: a surgeon's perspective (balancing analgesia vs. side effects)36. Acute pain management in the emergency department (medical and trauma related pain)37. The nurse's role in acute pain management38. The role of the pharmacist in acute pain managementPart V. Pain Management and Patient Outcomes: 39. Economics and costs: a primer for acute pain management specialists40. Evidence based medicine (does optimal analgesia improve outcome/satisfaction in post-surgical settings)41. Effect of epidural analgesia on postoperative outcomes42. Research in acute pain management43. Quality improvement approaches in acute pain management44. The future of acute pain management (where we are heading?).