Essentials of Pain Management / Edition 1

by Nalini Vadivelu, Richard D. Urman, Roberta L. Hines

Overview

This concise, evidence-based text contains essential topics important for every pain management student, trainee, and practitioner. Both acute and chronic pain management principles and techniques are discussed, while numerous case vignettes help reinforce basic concepts and improve clinical decision making. Throughout, a multidisciplinary approach to pain is stressed. Behavioral and physical therapies, plus ethical considerations, are also discussed in this indispensable guide for anyone involved in the management of pain.

Product Details

ISBN-13:	9780387875781
Publisher:	Springer New York
Publication date:	03/03/2011
Edition description:	2011
Pages:	834
Product dimensions:	6.10(w) x 9.20(h) x 1.80(d)

About the Author

Nalini Vadivelu, MD Associate Professor Department of Anesthesiology Yale University School of Medicine New Haven, Connecticut USA

Richard D. Urman, MD, MBA Assistant Professor of Anesthesia Harvard Medical School Director, Hospital Procedural Sedation Management Department of Anesthesiology Brigham & Women’s Hospital Boston, Massachusetts USA

Roberta L. Hines, MD Nicholas M. Greene Professor of Anesthesiology Department Chair and Chief, Anesthesiology Yale University School of Medicine New Haven, Connecticut USA

Table of Contents

Part 1. Introduction.- 1. Introduction to Pain Management, Historical Perspectives, and Careers in Pain Management.- 2.Multidisciplinary Approach to Pain Management.- Part 2. Anatomy and Physiology.- 3.Anatomic and Physiologic Principles.- 4.Acute and Chronic Mechanisms of Pain.- Part 3. Clinical Principles.- 5.Assessment of Pain: Complete Patient Evaluation.- 6.Diagnostic Testing in Pain Management.- Part 4. Pharmacology.- 7.Opioids: Pharmacokinetics and Pharmacodynamics.- 8.Opioids: Basic Concepts in Clinical Practice.- 9.Non-opioid Analgesics in Pain Management.- 10.Alternative and Herbal Pharmaceuticals.- 11.Importance of Placebo Effect in Pain Management.- Part 5. Non-pharmacologic Management of Pain.- 12.Psychological and Psychosocial Evaluation of the Chronic Pain Patient.- 13.Interventional Pain Management.- 14.Functional Restoration of Patients with Pain.- 15.Occupational Therapy in Client-Centered Pain Management.- 16.Acupucture.- 17.Nursing Perspective on Pain Management.- 18.Post-surgical Pain Management.- Part 6. Acute Pain Management.- 19.Surgical and Trauma Patient and Burns.- 20.Regional Anesthesia Techniques.- 21.Principles of Ultrasound Techniques.- 22.Labor Pain Management.- Part 7. Chronic Pain Management.- 23.Neuropathic Pain.- 24.Ischemic and Visceral Pain.- 25.Fibromyalgia, Arthritic, and Myofascial Pain .- 26.Head, Neck, and Back Pain.- 27.Headache.- 28.Management of Cancer Pain.- 29.Ethics in Pain Management and End of Life Care.- Part 8. Additional Topics.- 30.Pediatric Pain Management.- 31.Managing Pain in the Addicted Patient.- 32.Pain Management in Elderly Patients.- 33.Management of Oro-Dental Pain.- 34.Drug Formulary for Pain Management.- Appendix.- Multiple Choice Questions.

Editorial Reviews

Reviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This comprehensive and up-to-date book on acute and chronic pain management includes case scenarios at the end of chapters to bring the topics to life.
Purpose: The editors aimed to produce a comprehensive, evidence-based guide for the management of pain, which they accomplish.
Audience: All physicians who manage patients in pain can benefit. Although the book is specifically meant for pain physicians, all anesthesiologists will find it helpful in their day-to-day practice. The extent of the information and the way it is presented makes it useful for any level of trainee. The topics covered are so broad that there is something for practitioners in any field.
Features: The book is broadly divided into eight sections containing 34 chapters, with an appendix of MCQs at the end. The first section lays the foundation of pain management by providing a historical perspective leading to the multidisciplinary approach we practice now. The next few sections cover the usual topics of anatomy/physiology of pain, clinical assessment, and drug pharmacology, including alternative and herbal medicines. The key focus is purely clinical, and all the information is very practical. Section five covers nonpharmacological approaches like injection techniques, acupuncture, occupational/functional restoration, and behavioral/psychological interventions. The next two sections discuss management of acute pain and chronic pain in different settings. Common conditions like postsurgical pain, labor pain, and regional techniques, as well as fibromyalgia, neck/back pain, headache, and cancer pain are covered. The emphasis is on providing information needed in real life, like how to do systematic patient evaluation to arrive at a firm diagnosis and then provide evidence-based pain management. The last sections cover topics like pain control in children and the elderly and drug addicts. The book is well written and it provides unambiguous information and clear guidance. After reading each topic, you would know what to do with a patient. The book is meant to provide a general outline for pain management, so it lacks details like injection techniques or in-depth discussions of pathophysiology of diseases, but that is not needed in daily practice.
Assessment: This is a fun book to read, if you can say that about a pain book. It presents, discusses, evaluates, and treats pain patients and their conditions as a whole and not as an isolated entity. The quality of information is very high and up to date. No book on the market rivals this one in its usefulness to trainees in anesthesia doing pain rotations or pain fellowships. The practical tips at the end of every chapter in the format of a case are a treat for every aspiring pain physician.

Doody's Review Service

From the reviews:

“The book is divided into nine parts covering all aspects of a pain management. The book covers the subject broadly and chapters touch on alternative forms of treatment such as acupuncture as well as the psychosocial and psychological aspects of pain. … References are up to date and comprehensive. Overall an excellent book for those contemplating going into or already performing the practice of pain management.” (American Journal of Neuroradiology, January, 2012)

“The book is exemplary in many respects. … explores accepted and evolving strategies for pain treatment. … The engaging and practical case scenarios at the end of each chapter carefully guide the reader through various clinical decision points. … Essentials of Pain Management is an outstanding resource that would be useful to clinicians seeking a broad understanding of pain and its evolving treatment strategies and controversies. It covers a wide array of topics, including some not always found in traditional textbooks on pain.” (Devi E. Nampiaparampil, Journal of the American Medical Association, Vol. 306 (1), July, 2011)

“This comprehensive and up-to-date book on acute and chronic pain management includes case scenarios at the end of chapters to bring the topics to life. … All physicians who manage patients in pain can benefit. … the book is specifically meant for pain physicians, all anesthesiologists will find it helpful in their day-to-day practice. … it useful for any level of trainee. … No book on the market rivals this one in its usefulness to trainees in anesthesia doing pain rotations or pain fellowships.” (Tariq M. Malik, Doody's Book Reviews, April, 2011)

From the Publisher

Reviewer:This is a fun book to read, if you can say that about a pain book. It presents, discusses, evaluates, and treats pain patients and their conditions as a whole and not as an isolated entity. The quality of information is very high and up to date. No book on the market rivals this one in its usefulness to trainees in anesthesia doing pain rotations or pain fellowships. The practical tips at the end of every chapter in the format of a case are a treat for every aspiring pain physician.
Description:
Purpose:This comprehensive and up-to-date book on acute and chronic pain management includes case scenarios at the end of chapters to bring the topics to life.
Audience:The editors aimed to produce a comprehensive, evidence-based guide for the management of pain, which they accomplish.
Features:All physicians who manage patients in pain can benefit. Although the book is specifically meant for pain physicians, all anesthesiologists will find it helpful in their day-to-day practice. The extent of the information and the way it is presented makes it useful for any level of trainee. The topics covered are so broad that there is something for practitioners in any field.
Assessment:The book is broadly divided into eight sections containing 34 chapters, with an appendix of MCQs at the end. The first section lays the foundation of pain management by providing a historical perspective leading to the multidisciplinary approach we practice now. The next few sections cover the usual topics of anatomy/physiology of pain, clinical assessment, and drug pharmacology, including alternative and herbal medicines. The key focus is purely clinical, and all the information is very practical. Section five covers nonpharmacological approaches like injection techniques, acupuncture, occupational/functional restoration, and behavioral/psychological interventions. The next two sections discuss management of acute pain and chronic pain in different settings. Common conditions like postsurgical pain, labor pain, and regional techniques, as well as fibromyalgia, neck/back pain, headache, and cancer pain are covered. The emphasis is on providing information needed in real life, like how to do systematic patient evaluation to arrive at a firm diagnosis and then provide evidence-based pain management. The last sections cover topics like pain control in children and the elderly and drug addicts. The book is well written and it provides unambiguous information and clear guidance. After reading each topic, you would know what to do with a patient. The book is meant to provide a general outline for pain management, so it lacks details like injection techniques or in-depth discussions of pathophysiology of diseases, but that is not needed in daily practice.