BookCarl Edward Noe, editor.
Summary: This book focuses on the modern clinical management of acute and chronic pain syndromes. It not only presents information in a clinically illuminating format, but in a manner that is cognizant of the current prescription opioid epidemic. Divided into seven sections, this book covers acute pain, common pain conditions, regional pain problems, interdisciplinary evaluation and treatment, medical treatments and pain in different stages of life. Concluding with the exploration of several special topics, the last section includes an important discussion on the regulatory and legal issues in the use of controlled substances. Chapters are concise and relevant, with an emphasis on treatment based upon evidence from clinical trials and interpretation by practitioners in the field. Expertly written text is further supplemented by high-quality figures, images and tables outlining proven treatments with drug, dose or other information describing details of treatment. Timely, informative, and socially conscious, Pain Management for Clinicians: A Guide to Assessment and Treatment is a valuable reference for clinicians who manage patients with chronic and common pain problems.
Contents:
Intro
Introduction
Contents
Contributors
Part I: Acute Pain
Chapter 1: Pain Assessment and Treatment for the Trauma and Burn Patient
Pain Management of the Trauma Patient
Introduction
Traumatic Pain Pathologies
Assessment of Pain in the Trauma Patient
Opioid Medications
Non-opioid Medications
Interventional Pain Procedures
Non-pharmacological Interventions
Special Populations
Summary of Treatments for Trauma Pain (Tables 1.1, 1.2, 1.3, and 1.4)
Pain Management for the Burn Patient
Introduction
Burn Insult Classification Steroids
Local Anesthetics
Gabapentinoids
Ketamine
Alpha-2-agonists
Opioids
Beta-Blockers
Potentially Helpful Agents with Less Evidence
Nonpharmacologic Treatments that May Be Useful
Future Perioperative Pain Management Modalities
Opioid-Free Analgesia?
Charts
Evidence-Based Treatment
Strong Evidence
Weak or Insufficient Evidence
Emerging or Promising Treatments
Timing Basic Options
Enhanced Recovery After Surgery Example Pain Management Protocols
Inguinal Hernia Repair (Ambulatory: Mild to Moderate Pain Anticipated) Laparoscopic Cholecystectomy (Ambulatory: Moderate Pain Anticipated)
Open Reduction Internal Fixation Calcaneus (Ambulatory: Severe Pain Anticipated)
Multilevel Spine Fusion (Hospitalized: Severe pain, Opioid tolerance, and Comorbid Conditions Anticipated)
Open Thoracotomy (Hospitalized: Severe Pain and Comorbid Conditions Anticipated)
References
Chapter 3: Inpatient Pain Management
Acute Pain Service with Regional and Neuraxial Blocks
Upper Extremity Pain
Thoracic Pain
Abdominal Pain
Lower Extremity
Summary of Treatment Principles and Methods Formulation of Individualized Treatment and Rehabilitation Plan
Evaluation of Medications for Effectiveness, Side Effects, Dependency, and Interactions
Medications
Classes of Medications
Antiepileptics
Opioids
Treatment of the Psychological Distress that Often Accompanies Intractable Pain
Relaxation Training
Biofeedback
Group Therapy
Family Involvement
Medications
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
Tricyclic Antidepressants (TCAs)
Selective Serotonin Reuptake Inhibitors (SSRIs)
Physical Function/Behavior Modification