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per Medici e Operatori Sanitari
per Medici e Operatori Sanitari
LIBRERIA STUDIUM
Acute Pain Management
A Practical Guide, Fourth Edition
Macintyre, Schug
Editore
CRC Press
Anno
2014
Pagine
287
ISBN
9781482233506
63,00 €
Highly Commended, BMA Medical Book Awards 2015
Comprehensive acute pain management no longer means only caring for patients with pain resulting from postoperative and trauma-related causes—it now includes managing patients with acute pain arising from a wide variety of conditions.
Acute Pain Management: A Practical Guide provides health professionals with simple and practical information to help them manage patients with acute pain safely and effectively. The book also helps them to identify and manage acute pain in more complex patients, for whom effective treatment can be challenging.
In this new edition, chapters have been revised and updated, often extensively, to reflect current knowledge and practice. This resource will undoubtedly be helpful to a variety of professionals in assessing and managing acute pain.
Introduction
Effectiveness of Acute Pain Management
Adverse Effects of Undertreated Severe Acute Pain
Acute Pain Management and Patient Outcomes
Delivery of Effective Acute Pain Management
Education
Guidelines and Protocols
Acute Pain Services
Assessment and Monitoring
Types of Pain
Assessment of Pain and Pain Relief
Assessment of Adverse Effects
Pharmacology of Opioids
Mechanism of Action
Effects of Opioids
Predictors of Opioid Dose
Titration of Opioid Dose
Commonly Used Opioid Agonists
Agonist–Antagonists
Opioid Antagonists
Pharmacology of Local Anesthetics
Mechanism of Action
Efficacy of Local Anesthetics
Adverse Effects of Local Anesthetics and Their Management
Commonly Used Local Anesthetic Drugs
Nonopioid and Adjuvant Analgesic Agents
Paracetamol
Nonselective Nonsteroidal Antiinflammatory Drugs
COX-2 Selective Inhibitors (coxibs)
Alpha-2-adrenergic Agonist Drugs
Antidepressant Drugs
Anticonvulsant Drugs
Membrane Stabilizing Drugs
Inhalational Agents
Calcitonin
Glucocorticoids
Systemic Routes of Opioid Administration
Oral
Subcutaneous and Intramuscular
Intravenous
Rectal
Transdermal
Transmucosal
Patient-Controlled Analgesia
Equipment
Analgesic Drugs Used with PCA
The PCA "Prescription"
Requirements for the Safe Management of PCA
Management of Inadequate Analgesia
Complications of PCA
"Step-down" Analgesia
Alternative Systemic Routes of PCA Administration
Epidural and Intrathecal Analgesia
Anatomy
Contraindications
Drugs Used with Epidural Analgesia
Requirements for the Safe Management of Epidural Analgesia
Patient-Controlled Epidural Analgesia
Management of Inadequate Analgesia
"Step-down" Analgesia
Complications and side Effects of Epidural Analgesia
Concurrent Antithrombotic or Antiplatelet Therapy
Intrathecal Analgesia
Other Regional and Local Analgesia
Continuous Peripheral Nerve Blockade
Intraarticular Analgesia
Wound Infiltration
Topical Analgesia
Nonpharmacological Therapies
Psychological Interventions
Transcutaneous Electrical Nerve Stimulation
Acupuncture
Physical Interventions
Acute Neuropathic and Persistent Postacute Pain
Pathophysiology of Neuropathic Pain
Clinical Features and Diagnosis of Neuropathic Pain
Acute Neuropathic Pain Syndromes
Treatment of Acute Neuropathic Pain
Progression of Acute to Persistent Pain
Preventive Analgesia
Nonsurgical Acute Pain
Burns Injury
Spinal Cord Injury
Other Specific Conditions
More Complex Patients
Older Patients
Opioid-Tolerant Patients
Patients with an Addiction Disorder
Patients with Obstructive Sleep Apnea
Pregnant or Lactating Patients
Patients with Renal or Hepatic Impairment
Opioid Analgesia after Discharge from Hospital
Potential Risks
Choice of Discharge Opioid Regimen
Information for Patients and Treating Doctors
Self-Assessment Questions
Answers
Index
