Essentials of Pain Medicine: Expert Consult - Online and Print / Edition 3

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This third edition of Essentials of Pain Medicine offers an accessible and concise, yet complete, overview of today's theory and practice of pain medicine and regional anesthesia. From a review of basic considerations through local anesthetics and nerve block techniques, this book provides the reader with an excellent tool for exam review or practice of Pain Management.

• Organized in a concise, practical quick-reference format.

• All chapters are brief and easy to read quickly.

• Offers specific strategies for the evaluation and management of a full range of pain syndromes, including cancer pain.

• Features over 230 diagrams, illustrations, summary charts and tables that clarify the information and make it easy to apply.

• Discusses the latest drugs and therapeutic approaches, such as acupuncture.

• Presents the management of pain for every setting where it is practiced, including the emergency room, the critical care unit, and the pain clinic.

• Includes new topics such as: imaging in pain medicine, radiation safety, issues associated with the use of narcotics, intraarticular and intraperitoneal use of opioids, pain management in the emergency room and in the intensive care unit, pain management issues during pregnancy, geriatric pain, and hospice care and end-of-life issues.
• New chapters on interventional procedures include discography, intradiscal electrothermal coagulation (IDET), vertebroplasty, and piriformis injections. Truncal blocks and neuraxial blocks and anticoagulants are added to the section on nerve blocks.

With 89 additional contributing experts.

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Editorial Reviews

Doody's Review Service
Reviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: This book covers all aspects of acute and chronic pain in a simple and direct way, making it an ideal quick reference source. It has been significantly updated since the 2005 edition, adding new chapters on chronic pain while pruning chapters on regional anesthesia. This edition is also available online via an access code, making it accessible 24/7.
Purpose: It is designed as a main source of information for pain fellows, pain practitioners, and anyone taking pain certifying examinations.
Audience: Although intended for trainee physicians and practicing pain practitioners, the book has enough information that any physicians who manage patients' pain in their clinical practice will find something to improve their skills, knowledge, or understanding in this area. The book is written by a group of people who have been in pain management for a long time.
Features: Initial sections cover basic pain neuroanatomy and physiology, followed by a section with a comprehensive evaluation of a pain patient that includes imaging studies, psychological evaluation, and other laboratory studies. The book then extensively covers the pharmacology of drugs used in pain management, as well as surgical and nontraditional, nonpharmacological therapeutic interventions. Different modalities of perioperative pain management are detailed, such as systemic and neuraxial opioids, nerve blocks, and nerve catheters. A separate discussion details pain management in pediatric, elderly, and pregnant patients. The book also covers common chronic conditions, injection techniques performed in a pain clinic for diagnostic or therapeutic purposes, and techniques for different somatic nerve or plexus blocks for regional anesthesia. The whole book is well written. Every discussion of a disease condition includes epidemiology, pathology, clinical evaluation, and evidence-based management. Injection techniques are covered in a very simple format of indication, technique, and complications. The book is well illustrated and the text is supported by many tables and treatment algorithms. The concepts are outlined very clearly and important points are stressed as key points at the end of every chapter.
Assessment: Pain books come in various forms and sizes these days. Some stress procedural techniques, some the theoretical aspects of pain, and some their usefulness because of their pocket size. This is one of the few books that can truly be called a textbook of pain for pain fellows and practicing pain physicians. It combines up-to-date information with a clear delivery in quick, easy-to-read chapters, making it a go-to book for a quick reference.
From the Publisher
"In essence, I consider that this can be looked upson as almost the complete core textbook in pain medicine, with the additional value of a very clear and useful section on regional anesthesia...Established specialists in 'Pain Medicine and Regional Anesthesia' will also find the book useful too because of its concise nature and easy accessibility of individual topics."—British Journal of Anaesthesia, 2005

"Pain books come in various forms and sizes these days. Some stress procedural techniques, some the theoretical aspects of pain, and some their usefulness because of their pocket size. This is one of the few books that can truly be called a textbook of pain for pain fellows and practicing pain physicians. It combines up-to-date information with a clear delivery in quick, easy-to-read chapters, making it a go-to book for a quick reference." - Tariq M. Malik, MD(University of Chicago Pritzker School of Medicine), Excerpts from Doody’s review service, Rating - 4 Stars!

"The book comes with an online accompaniment, allowing the reader to consult the text via the internet, thus allowing the book's text and illustrations to be accessed flexibility. The online version is eay to navigate through using sidebar application. Illustrations can be enlarged and all references are available with one mouse click...The book is well balanced in terms of basic science and clinical applications and all chapters have a narrative flow that is not laborious and can be used effectively as a quick source of information, e.g for teaching or viva practice. Overall, this book sets out to provide a concise but complete overview of pain medicine without becoming too overwhelming for the reader. In my opinion, it would be an excellent textbook to read before or at the start of pain training and also as a resource to help manage a wide variety of pain syndromes in everyday practice."

Anaesthesia, May 2012

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Product Details

  • ISBN-13: 9781437722420
  • Publisher: Elsevier Health Sciences
  • Publication date: 8/5/2011
  • Edition description: New Edition
  • Edition number: 3
  • Pages: 640
  • Sales rank: 409,964
  • Product dimensions: 8.70 (w) x 11.10 (h) x 1.00 (d)

Meet the Author

Professor of Anesthesiology
Senior Associate Chair for Academic Affairs
Feinberg School of Medicine
Northwestern University
Chief, Division of Pain Medicine
Northwestern Memorial Hospital
Chicago, IL

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Table of Contents


1. Anatomy and Physiology of Somatosensory and Pain Processing
2. The Neurochemistry of Somatosensory and Pain Processing
3. Taxonomy: Definition of Pain Terms and Chronic Pain Syndromes


4. Physical Examination of the Patient with Pain
5. Pain Assessment
6. Psychologic Evaluation and Testing
7. Neurophysiologic Testing for Pain
8. Anatomy, Imaging and Common Pain Generating Degenerative Pathologies of the Spine
9. Determination of Disability


10. Opioid Receptors
11. Major Opioids in Pain Management
12. Minor and Short-Acting Opioids
13. Opioid Therapy: Adverse Effects Including Addiction
14. Psychopharmacology for Pain Medicine
15. Membrane Stabilizers
16. Nonsteroidal Antiinflammatory Drugs and COX-2 Selective Inhibitors
17. Muscle Relaxants
18. Drugs for the Interventional Physician: Botulinum Toxin, Steroids, Radiopaque Dye


19. Diagnostic Nerve Blocks
20. Neurosurgical Procedures for Treatment of Intractable Pain
21. Physical Medicine and Rehabilitation Approaches to Pain Management
22. Acupuncture
23. Pyschological Interventions For Chronic Pain
24. Substance Use Disorders and Detoxification


25. Pain Management in the Emergency Department
26. Preemptive Analgesia: Physiology and Clinical Studies
27. Patient-Controlled Analgesia
28. Intrathecal Opioid Injections for Postoperative Pain
29. Epidural Opioids for Postoperative Pain
30. Intraarticular and Intraperitoneal Opioids for Postoperative Pain
31. Pediatric Postoperative Pain
32. Pain Management During Pregnancy and Lactation
33. Pain Management in the Critically Ill Patient


34. Classification of Headache Disorders
35. Migraine Headache and Cluster Headache
36. Tension Type Headache, Chronic Tension Headache and Other Chronic Headache Types
37. Postdural Puncture Headache and Spontaneous Intracranial Hypotension
38. Cervicogenic Headache and Orofacial Pain
39. An Overview of Low Back Pain Disorders
40. Interlaminar Epidural Steroid Injections for Lumbosacral Radiculopathy
41. Selective Nerve Root Blocks and Transforaminal Epidural Steroid Injections
42. Facet Joint Pain: Facet Joint Injections and Facet Rhizotomy
43. Pain Originating from the Buttock: Sacroiliac Joint Dysfunction and Piriformis Syndrome
44. Myofascial Pain Syndrome
45. Fibromyalgia
46. Complex Regional Pain Syndrome (CRPS): Terminology and Pathophysiology
47. Complex Regional Pain Syndrome (CRPS): Diagnosis, and Treatment
48. Herpes Zoster and Postherpetic Neuralgia
49. Phantom Pain
50. Central Pain States
51. Visceral Pain and Pelvic Pain
52. Sickle Cell Anemia
53. Diabetic and Other Peripheral Neuropathies
54. Entrapment Neuropathies
55. Chronic Pain Management in Children
56. Geriatric Pain


57. Spinal Cord Stimulation
58. Implanted Drug Delivery Systems for Control of Chronic Pain
59. Discography
60. Intradiscal Techniques: Intradiscal Electrothermal Coagulation (IDET) and Nucleoplasty
61. Osteoporosis and Percutaneous Vertebroplasty
62. Issues in Fluoroscopy: Advantages of Fluoroscopy, Radiation Safety


63. Pharmacologic Management of Cancer Pain
64. Management of Pain at End of Life
65. Visceral Neurolytic Sympathetic Blocks
66. Intrathecal and Epidural Neurolysis: Agents Used for Neurolytic Block


67. Local Anesthetics – Clinical Aspects
68. Spinal Anesthesia
69. Epidural Anesthesia
70. Combined Spinal-Epidural Technique
71. Caudal Anesthesia
72. Head and Neck Blocks
73. Brachial Plexus Block: Techniques Above the Clavicle
74. Brachial Plexus Block: Techniques Below the Clavicle
75. Truncal Blocks: Intercostal, Paravertebral, Interpleural, Suprascapular, Ilioinguinal, and Iliohypogastric Nerve Blocks
76. Lumbar Plexus, Femoral, Lateral Femoral Cutaneous, Obturator, Saphenous, and Fascia Iliaca Blocks
77. Sciatic Nerve Block
78. Ankle Block
79. Issues in Peripheral Nerve Blocks: Use of Nerve Stimulators, Multiple Versus Single Injection Techniques, and Use of Adjuvants
80. Peripheral Sympathetic Blocks
81. Complications After Peripheral Nerve Blockade
82. Complications After Neuraxial Blockade
83. Anticoagulants and Neuraxial Injections

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