Handbook Of Pain Surgery

Concise handbook on the surgical management of pain by internationally acclaimed neurosurgeon Functional neurosurgery has experienced unprecedented capabilities because of technological advances in neuroimaging, basic sciences, and increasingly sophisticated therapeutic interfaces. Intractable pain syndromes are among the most prevalent conditions, yet represent one of the most challenging areas of neurosurgery. Handbook of Pain Surgery, edited by esteemed functional neurosurgeon Kim J. Burchiel, explores the science and art of treating patients with intractable pain. The succinct text and videos provide a compact, reader-friendly guide on this unique neurosurgical subspecialty. Ten chapters on craniofacial pain encompass standard and newer approaches for the treatment of trigeminal neuralgia, including microvascular decompression, rhizotomy, neurectomy, stereotactic neurosurgery, percutaneous radiofrequency, percutaneous retrogasserian glycerol rhizolysis, and percutaneous balloon compression. Other sections detail spinal cord and peripheral nerve stimulation techniques, nonsurgical approaches, and destructive procedures such as dorsal rhizotomy and dorsal root ganglionectomy, CT-guided-cordotomy, and midline myelotomy. Key Highlights The use of spinal cord stimulation in the management of failed back surgery syndrome The pros and cons of nerve surgery for peripheral neuropathic pain An overview on intrathecal analgesic therapies including patient selection and implant techniques Innovative treatments for intractable pain such as dorsal root entry zone (DREZ) lesioning More than 130 superb color illustrations by Andy Rekito elucidate pain syndromes and procedures Videos posted in the Thieme MediaCenter provide further guidance on select surgical techniques Highly portable and affordable, this book is an ideal reference for hospitals rounds. It is essential reading for neurosurgical residents, fellows, and practicing neurosurgeons, in particular, those specializing in treating spinal, peripheral nerve, and craniofacial pain syndromes.

Functional neurosurgery has experienced unprecedented capabilities because of technological advances in neuroimaging, basic sciences, and increasingly sophisticated therapeutic interfaces. Intractable pain syndromes are among the most prevalent conditions, yet represent one of the most challenging areas of neurosurgery. Handbook of Pain Surgery, edited by esteemed functional neurosurgeon Kim J. Burchiel, explores the science and art of treating patients with intractable pain. The succinct text and videos provide a compact, reader-friendly guide on this unique neurosurgical subspecialty. Ten chapters on craniofacial pain encompass standard and newer approaches for the treatment of trigeminal neuralgia, including microvascular decompression, rhizotomy, neurectomy, stereotactic neurosurgery, percutaneous radiofrequency, percutaneous retrogasserian glycerol rhizolysis, and percutaneous balloon compression. Other sections detail spinal cord and peripheral nerve stimulation techniques, nonsurgical approaches, and destructive procedures such as dorsal rhizotomy and dorsal root ganglionectomy, CT-guided-cordotomy, and midline myelotomy. Key Highlights The use of spinal cord stimulation in the management of failed back surgery syndrome The pros and cons of nerve surgery for peripheral neuropathic pain An overview on intrathecal analgesic therapies including patient selection and implant techniques Innovative treatments for intractable pain such as dorsal root entry zone (DREZ) lesioning More than 130 superb color illustrations by Andy Rekito elucidate pain syndromes and procedures Videos posted in the Thieme MediaCenter provide further guidance on select surgical techniques Highly portable and affordable, this book is an ideal reference for hospitals rounds. It is essential reading for neurosurgical residents, fellows, and practicing neurosurgeons, in particular, those specializing in treating spinal, peripheral nerve, and craniofacial pain syndromes.

According to the Centers for Disease Control and Prevention (CDC), there were nearly 40,000 opioid-related deaths in the U.S in the last year alone. These numbers have increased considerably for a variety of reasons, and the growing role of prescription drug abuse has been widely recognized. There has also been increasing consciousness of the lack of dedicated and formalized training dedicated to prescription of analgesics, particularly among surgical trainees and practicing surgeons. Recent studies demonstrate that only a small minority of training programs mandates any opioid prescribing education, despite the fact that nearly all programs allow trainee prescription of opioids on an outpatient basis. Therefore, it is not surprising that despite a growing body of literature illustrating the value of opioid alternatives and adjuncts, practicing surgeons in all specialties largely ignore these evidence-based practices and continue to prescribe opioids in situations for which alternatives are proven, safe, and effective. There are many reasons for preparing a concise and practical resource describing evidence-based practices targeting surgeons and surgical subspecialists, including but not limited to: (1) The exponential increase in prescription drug abuse associated with the “opioid epidemic,” as surgeons play an important role in managing perioperative and chronic pain in a variety of practice setting; this issue bears importance from the patient, physician, and policymaker standpoint; (2) With increasing recognition of the role of quality improvement in patient safety initiatives, and literature demonstrating inadequate opioid prescribing education (OPE) in surgical training programs, it is only a matter of time before accreditation bodies including the ACGME incorporate strong recommendations and mandates for OPE; (3) Myriad literature demonstrating the existence of evidence-based alternatives to opioids – All surgeons and surgical subspecialists would benefit from a practical guide concisely laying this literature out. We feel that surgeons of all experience levels may benefit, ranging from the first year surgical intern to an experienced practitioner trying to remain compliant with the evolving opioid regulatory environment. Hence, the appropriate target audience for this text would be for the tens of thousands of current surgical trainees in many specialties, including general surgery, thoracic surgery, otolaryngology, plastic surgery, urology, gynecology, vascular surgery, neurosurgery, and orthopedic surgery. Furthermore, surgeons out of training would be another audience of interest, as there are increasing courses for continuing medical education based on perioperative and chronic pain management. Currently, there are no comparable and competitive guides with these target audiences; all of the existing literature about perioperative and chronic pain is targeted either specifically for patients, anesthesiologists, or pain medicine physicians. This will be the only up to date guide focusing on evidence-based practices for perioperative pain control, and each section will also include information on chronic pain sequelae relevant to each surgical specialty. The editors envision this text being an interdisciplinary endeavor, incorporating surgeons from multiple specialties, anesthesiologists, pain medicine physicians, and palliative physicians as appropriate.

Surgical Pain Management is an essential, step-by-step guide to surgical techniques and the perioperative management of chronic pain patients whose treatment includes implantable therapies. Chapters review the steps necessary for defining a potential candidate for implant and the infrastructure to support the perioperative period and beyond, controversies in approaches for both intrathecal and spinal cord stimulation implants, healthcare education for patients with these devices, neuroaxial drug delivery, electrical stimulation of the peripheral and central nervous system, and a variety of invasive procedures for chronic and cancer pain. Appendices provide supplemental information regarding guidelines, physiology, technologies available, troubleshooting, and documentation required to organize an interventional service. This book details a range of approaches from basic implant therapies to more advanced therapies, making it an ideal companion to an advanced training program in interventional pain management and a useful resource for developing a team that will optimize care for some of the most difficult to treat chronic pain patients.

The Oxford Handbook of Pain Management is the essential resource for all clinicians involved in the management of pain. Organised into sections dealing with basic principles of treatment, therapeutic interventions, including non-medical management of pain, and specific clinical situations, the Handbook emphasises the multimodal treatment options available for patients with pain conditions and brings them together to provide a truly biopsychosocial approach to management. Covering both chronic and acute pain, it will help the practitioner to choose the right treatment for the right patient at the right time.

This multimedia handbook and video atlas provides an interactive learning experience for practitioners who perform interventional procedures with radiographic guidance for acute or chronic pain. The print text is a formatted portable reference for reviewing anatomy, indications, physical examination findings, set-up, technique, and risks and complications for a wide range of head, neck, spine, and pelvic interventions. Buyers also have access to the ebook for use on any mobile device or computer, and twenty-four high quality procedural videos with voice-over narration that walk you through the interventions. Covering in-demand procedures such as epidural blocks, medial branch blocks, sympathetic blocks, spinal cord stimulation, and more, these dynamic videos put you in the operating suite as each procedure unfolds. Shot from the perspective of the interventionalist with a split screen view, the videos correlate positioning of the needle on the fluoroscopic image to the movement of the practitioner’s hands to help you put it all together. These videos offer the opportunity to “stand in” on actual procedures with an expert, and demonstrate proper injection technique, effective targeting, and live contrast review to build skills in interventional pain management. All of the essential high yield text, video, and image content are here in an accessible interface for residents, fellows, and seasoned practitioners looking to master interventional techniques or brush-up on current pain management procedures. Key Features: An integrated handbook, ebook, and video package—accessible anytime, anywhere Fosters dynamic teaching of interventional pain procedures A consistent approach to non-surgical pain relief, covering interventions for spine, head, neck, and pelvis Demonstrates proper technique, needle placement, and precision targeting for positive outcomes Highly illustrated quick-reference print and digital handbook link seamlessly to 24 step-by-step videos with audio

Offering expert guidance from seasoned clinicians at Massachusetts General Hospital, this bestselling handbook provides accurate, clinically essential information in a portable, quick-reference format. Broad-based, multidisciplinary coverage draws from the disciplines of anesthesiology, neurology, behavioral medicine, nursing, psychiatry, and physical therapy to provide practical, evidence-based information for sound therapeutic choices. Now in full color for the first time, The Massachusetts General Hospital Handbook of Pain Management, Fourth Edition, contains numerous new chapters, new illustrations, and other features that keep you up to date with today’s latest approaches to pain management.

3* Doody's Review! This concise quick reference guide has been thoroughly updated in its second edition. It remains clinically focused, based on experience underpinned by published research data.With 18 brand new chapters on topics ranging from perioperative blood works and urine analysis to light therapy in pain management and rehabilitation, the book covers anesthetic equipment, monitoring, premedication, intravenous induction agents, injectable anesthetic combinations, inhalant anesthesia, anesthesia for specific diseases, fluid therapy, anesthetic emergencies and complications, acute and chronic pain management. Nine new chapters address anaesthetic considerations for different surgeries. Drug dosages and anesthetic protocols are provided in tabular form. New to this edition are chapters covering anesthesia considerations for specific conditions and diseases, including perioperative blood works and urine analysis blood transfusion medicine anesthetic considerations and interpretations rehabilitation and pain management for chronic pain patients pain management of oncologic pain and radiation therapy acupuncture and herbal medication for acute and chronic pain and low level light therapy in pain management. Containing over 300 color illustrations, Small Animal Anesthesia and Pain Management is ideal for all those who need practical information easily to hand: small animal practitioners, veterinary technicians/nurses, and veterinary students.