Acute Pain Management - Rights Reverted - 3rd Edition - ISBN: 9780702027703

Acute Pain Management - Rights Reverted

3rd Edition

A Practical Guide

Print ISBN: 9780702027703
Imprint: Saunders
Published Date: 27th July 2007
Page Count: 320


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.

Key Features

  • 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

Table of 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



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© Saunders 2007
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