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A Practical Guide
To order this title, and for more information, click here
Third Edition
By
Pamela Macintyre, BMedSc, MBBS, MHA, FANZCA, FFPMANZCA, Director, Acute Pain Service, Department of Anesthesia, Hyperbaric Medicine and Pain Medicine, Royal
Adelaide Hospital and University of Adelaide, Adelaide, Australia
Stephan Schug, MD, FANZCA, FFPMANZCA, Chair of Anaesthesiology, Pharmacology and Anaesthesiology Unit, School of Medicine and Pharmacology, University
of Western Australia; Director of Pain Medicine, Royal Perth Hospital, Perth, Australia
Description
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.
Audience
Junior medical staff, nursing staff and medical and nursing students
Contents
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; alpha
2-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
| Bibliographic details |
Paperback, 320 pages, publication date: JUL-2007
ISBN-13: 978-0-7020-2770-3
ISBN-10: 0-7020-2770-7
Imprint: SAUNDERS
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Last update: 25 Nov 2009
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