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Doody's Review ServiceReviewer: Tariq M. Malik, MD (University of Chicago Pritzker School of Medicine)
Description: A volume in the Interventional and Neuromodulatory Techniques for Pain Management, this is a quite comprehensive survey of complications of different interventional pain techniques.
Purpose: The purpose is to highlight complications of pain interventions and how to avoid them, thereby promoting the safety of patients. Pain procedures are becoming increasingly more complex and routine, and this book is intended to provide practitioners with a single source to review complications.
Audience: Interventional pain physicians at all levels of experience are the intended audience. The book is edited and authored by well-established practitioners and researchers in their fields.
Features: The 18 chapters are grouped into four sections. Section one deals with complications of neurostimulation done both peripherally and centrally. The next section covers intrathecal drug delivery system complications in extensive detail. Section three has five chapters dealing with practically all the advanced disc procedures including artificial disc replacement. The last section is a series of brief chapters enumerating complications that can arise from the commonly done fluoro-guided procedures — steroid injections, rhizotomies, and joint injections. Each chapter starts with an overview and provides clinical pearls. Then, complications are considered in order of timing, type, or merit. The authors nicely classify complications as biological or mechanical, emphasizing that prevention of different complications requires different approaches. The book discusses not only the incidence of each complication, but also its etiology and risk factors in order to minimize it. The coverage of joint and bursa injections in the last chapter is too brief. Management of complications is not covered in depth, but then this was not the intention of the editors.
Assessment: This is an excellent review of pain procedures. Complications are important aspects of informed consent. No book will prepare a physician better for getting an informed consent than this one does and no book will better inform a physician how to safely do high-risk pain procedures. This is a worthwhile read for any pain practitioner.