Cousins and Bridenbaugh's Neural Blockade in Clinical Anesthesia and Pain Medicine [NOOK Book]


This comprehensive, authoritative text presents the scientific foundations and clinical practice of neural blockade in both regional anesthesia and the management of pain. The descriptions and illustrations of pain mechanisms are considered classic examples. The Fourth Edition has been refined for clarity and flows logically from principles and pharmacology, to techniques for each anatomic region, to applications. This edition has two new co-editors and several new chapters on topics including neurologic ...
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Cousins and Bridenbaugh's Neural Blockade in Clinical Anesthesia and Pain Medicine

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This comprehensive, authoritative text presents the scientific foundations and clinical practice of neural blockade in both regional anesthesia and the management of pain. The descriptions and illustrations of pain mechanisms are considered classic examples. The Fourth Edition has been refined for clarity and flows logically from principles and pharmacology, to techniques for each anatomic region, to applications. This edition has two new co-editors and several new chapters on topics including neurologic complications, neural blockade for surgery, treatment of pain in older people, and complications in pain medicine. A companion Website will offer the fully searchable text and an image bank.
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Editorial Reviews

Doody's Review Service
Reviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This is an excellent textbook of regional anesthesia in the acute perioperative setting and interventional pain medicine. It is a comprehensive review of the literature on acute and chronic pain issues that has appeared since the previous edition was published in 1998.
Purpose: The book covers every conceivable topic in pain management and details new bench research that in the foreseeable future will have a major impact how pain is managed. As with the previous edition, the authors have produced a very worthy book which accomplishes very worthy objectives.
Audience: Pain physicians will certainly appreciate this book since it covers all of the major topics in their field. It is a necessary read for pain fellows. As preventive and multimodal analgesia has assumed a more and more important role in the management of acute postoperative pain, anesthesiologists, who are primarily responsible for pain control in the immediate postoperative period, will find the book relevant. The book has long list of contributors, most of whom are well known figures in their fields.
Features: This edition has expanded to 51 chapters to include the new developments that have taken place in the last decade. Each of the book's four parts covers a different aspect of pain medicine. The six chapters in the first section cover the basic and clinical pharmacology of local anesthetics in depth, metabolic effects of surgery, and the effects of neuraxial blockage on outcome. The second section, which is mostly procedural, covers techniques for different nerve blocks by region, starting with the neuraxial block. This book has the best description of neuraxial anatomy and physiology. Each block is covered systematically, with a detailed description of relevant anatomy, followed by indications for the nerve block, a vivid description of how to do it, and a discussion of complications. The third section covers clinical applications of neuraxial block for different surgical procedures. Separate chapters detail the most suitable type of block for each surgical procedure. The book covers in quite a bit of detail how to manage epidurals for different type of procedures. The last section covers physiology and the psychological aspects of chronic pain. It devotes an extensive amount of text, spread over multiple chapters, to the basic physiology, neuroanatomy, and neurochemistry of pain. The book then shifts gears and covers chronic pain, discussing topics like the comprehensive evaluation of chronic pain patients, evidence-based analysis of different diagnostic pain injections, intrathecal opioid therapy, neuromodulation, and different neuroablative pain procedures. Every topic is discussed exhaustively. The chapter on intrathecal opioids is a treat to read, covering everything from spinal opioid receptors to spinal opioid pharmacology to the current state of different drugs used in implanted intrathecal pumps. At the end, the book provides important, detailed insights into the management of pain in palliative care settings, cancer pain patients, geriatric and pediatric populations, and acute postoperative settings. The chapter on pediatric pain is especially helpful as it covers important pharmacological aspects of pain medication used for neonates and small children. It provides important helpful drug dosage guidelines that are at times hard to find. This edition is available online for purchasers who register at a web site. This may be helpful, allowing readers to consult the book anytime, anywhere.
Assessment: This is a masterpiece in the field of pain medicine. It is the only book that comes close to being considered textbook of pain for pain fellows. It covers the theory and practice of pain comprehensively, including all the topics one needs to know to practice pain management in the acute setting. What it is not is a regional anesthesia textbook or a well-illustrated interventional pain injection textbook. Instead, it strikes a unique balance between a description of the basic science of pain and the procedural aspects of pain management and its application in the clinical setting. It's a must read book for every anesthesiologist and pain physician.
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Product Details

  • ISBN-13: 9781451178654
  • Publisher: Wolters Kluwer Health
  • Publication date: 3/29/2012
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 4
  • Pages: 1360
  • File size: 40 MB
  • Note: This product may take a few minutes to download.

Table of Contents

Chapter 1 The History of Regional Anesthesia


  • Chapter 2 Neural Physiology and Local Anesthetic Action
  • Chapter 3 Properties, Absorption, and Disposition of Local Anesthetic Agents
  • Chapter 4 Clinical Pharmacology of Local Anesthetics
  • Chapter 5 Local Anesthetic Systemic Toxicity
  • Chapter 6 Modification of Metabolic Responses to Surgery by Neural Blockade
  • Chapter 7 Neural Blockade: Impact on Outcome

  • Chapter 8 Perioperative Management of Patients and Equipment Selection for Neural Blockade

  • Chapter 9 Anatomy of the Neuraxis
  • Chapter 10 Spinal (Subarachnoid) Blockade
  • Chapter 11 Epidural Neural Blockade
  • Chapter 12 Neurologic Complications of Neuraxial Block

  • Chapter 13 The Upper Extremity: Somatic Block
  • Chapter 14 The Lower Extremity: Somatic Blockade
  • Chapter 15 Intravenous Regional Neural Blockade

  • Chapter 16 Intercostal, Intrapleural, and Peripheral Blockade of the Thorax and Abdomen

  • Chapter 17 Somatic Blockade of the Head and Neck
  • Chapter 18 Neural Blockade of Oral and Circumoral Structures
  • Chapter 19 Neural Blockade of the Eye
  • Chapter 20 Neurologic Complications of Peripheral Neural Blockade

  • Chapter 21 Neural Blockade for Surgery to the Head and Neck
  • Chapter 22 Neural Blockade for Cardiovascular Surgery
  • Chapter 23 Neural Blockade for Abdominal and Thoracic (Non-vascular) Surgery
  • Chapter 24 Neural Blockade for Obstetrics and Gynecologic Surgery
  • Chapter 25 Neural Blockade for Orthopedic Surgery
  • Chapter 26 Neural Blockade for Ambulatory Surgery
  • Chapter 27 Neural Blockade for Pediatric Surgery


  • Chapter 28 Pain Medicine: History, Emergence as a Medical Specialty, and Evolution of the Multidisciplinary Approach
  • Chapter 29 Socioeconomic Factors in Chronic Pain and Its Management
  • Chapter 30 Developmental Aspects of Nociception
  • Chapter 31 Introduction to Pain Mechanisms: Implications for Neural Blockade
  • Chapter 32 Physiologic and Pharmacologic Substrates of Nociception after Tissue and Nerve Injury
  • Chapter 33 Pharmacologic Substrates of Pain: Peripheral Voltage Gated Ion Channels in Pain
  • Chapter 34 Neurochemical and Neurophysiological Effects of Needle Insertion: Clinical Implications
  • Chapter 35 Psychological Aspects of Pain: Implications for Neural Blockade
  • Chapter 36 The Placebo Response: Implications for Neural Blockade

  • Chapter 37 Assessment and Diagnosis of Chronic Pain Conditions
  • Chapter 38 Diagnostic and Prognostic Neural Blockade

  • Chapter 39 Sympathetic Neural Blockade of Upper and Lower Extremity
  • Chapter 40 Spinal Route of Analgesia: Opioids and Future Options for Spinal Analgesic Chemotherapy
  • Chapter 41 Neurostimulation
  • Chapter 42 Percutaneous Neural Destructive Techniques

  • Chapter 43 Acute Pain Management and Acute Pain Services
  • Chapter 44 Spinal Pain and the Role of Neural Blockade
  • Chapter 45 Treatment of Cancer Pain: Role of Neural Blockade and Neuromodulation
  • Index

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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted April 10, 2010

    I Also Recommend:

    Re: Cousins Neural blockade

    This is an excellent resource for anyone studying for the regional questions on either the US or Cdn board exams for anesthesia. It is well written, has a very user-friendly page layout, there are lots of detailed diagrams, and the references are very thorough. This is also a good buy for anyone with an interest in regional anesthesia or ultrasound. It goes through many of the up and coming blocks as well as the tried and true ones. Goes through the approach with ultrasound and the approach using a blind technique so it can serve as a resource for either method. Useful for readers at all levels -- beginners and professionals.

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