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Perioperative Pain Management
     

Perioperative Pain Management

by Richard D. Urman
 

Millions of procedures, surgical and non-surgical, are performed around the world each year. Management of perioperative pain is of great importance to patients, and a critical management issue for physicians and other health professionals who provide perioperative care. Healthcare facilities and national accrediting organizations have established standards

Overview

Millions of procedures, surgical and non-surgical, are performed around the world each year. Management of perioperative pain is of great importance to patients, and a critical management issue for physicians and other health professionals who provide perioperative care. Healthcare facilities and national accrediting organizations have established standards surrounding proper management of perioperative pain. There is now an increased burden on every hospital and training program to ensure that healthcare providers understand the essentials of pain management and are able to recognize and treat pain in a timely fashion. Poorly controlled pain leads to patient dissatisfaction and contributes to increased morbidity and mortality, such as myocardial infarction, pneumonia, and emotional effects. Proper management, including appropriate pharmacologic management and regional analgesic techniques, can improve function and shorten length of hospital stay. Patients who are undergoing procedures under sedation or anesthesia need to receive adequate pain relief with drugs or regional anesthetic techniques. In the recovery room following the procedure, the staff taking care of the patient needs to be properly trained to diagnose and treat post-procedural pain. Part of the Oxford American Pain Library, this concise, evidence-based clinical guide serves as a tool for every clinician who wishes to understand the basic mechanisms, pharmacology, invasive and noninvasive treatment modalities, guidelines and development of pain management protocols. The authors address new technologies, chronic pain issues, running an acute pain service, opioid and non-opioid pharmacology (including newly approved drugs), epidural and other regional anesthesia, and special populations such as pediatric patients, the elderly, and patients with a co-existing disease.

Editorial Reviews

Doody's Review Service
Reviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: Part of the Oxford American Pain Library series, this book focuses on perioperative pain control. It stays true to the purpose of the series by remaining short and practical while covering as many topics as possible.
Purpose: The purpose is to provide evidence-based, current strategies for controlling pain after surgery in a concise and compact form. This is a worthy objective, as pain is quite often poorly managed primarily because it is poorly understood. The authors are largely successful in addressing this issue.
Audience: The book targets all clinicians, regardless of their experience, who manage patients in pain. Its simple yet broad approach means it has something for everyone.
Features: It starts with a nice overview of the structure and function of an acute pain service that reviews the duties of various members. Chapter two is an overview of pain anatomy and physiology and provides the basis of preemptive and multimodal analgesia. The third chapter, which reviews how to assess pain during the preoperative, intraoperative, and postoperative periods, discusses a few experimental techniques of pain assessment. Chapters four and five details the pharmacology of drugs used in pain, both opioid and nonopioid, including acetaminophen, NSAIDs, gabapentin, and ketamine. Chapter six covers all common blocks used perioperatively, describing their techniques and indications. Subsequent chapters review management of pain in the elderly, children, women in labor, and those with chronic pain. Chapters are brief, clear, to the point, and share the same format: introduction, discussion, review of salient features, and a list of references.
Assessment: This is an excellent overview of acute pain management. The simple, straightforward approach belies the hard work necessary to fulfill the mission of optimal perioperative pain control — just the approach that's needed to help make medical staff better at evaluating and treating surgical pain.

Product Details

ISBN-13:
9780199937219
Publisher:
Oxford University Press, USA
Publication date:
05/08/2013
Series:
Oxford American Pain Library Series
Pages:
144
Product dimensions:
5.00(w) x 7.90(h) x 0.40(d)

Meet the Author

NV: Associate Professor of Anesthesiology and Pain Medicine, Yale University School of Medicine, New Haven, Connecticut. RDU: Assistant Professor, Anesthesiology and Director, Procedural Sedation, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts

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