Perioperative Pain Management

Edited by Richard D. Urman and Nalini Vadivelu

Oxford American Pain Library

Covers the diagnosis, treatment and managment of the spectrum of perioperative pain
Includes chapters on pain in special populations such as pediatric and elderly patients
Concise, point-of-care guide

Perioperative Pain Management

Edited by Richard D. Urman and Nalini Vadivelu

Description

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.

Perioperative Pain Management

Edited by Richard D. Urman and Nalini Vadivelu

Oxford American Pain Library

1. Introduction to Acute Pain Management: A Team Approach
2. Mechanisms of Pain
3. Assessment of Pain
4. Pharmacologic Agents: Opioids
5. Pharmacologic Agents: Non-opioids
6. Regional Anesthesia Techniques
7. Medication Delivery Systems
8. Complementary and Alternative Medicine
9. Chronic Pain Patient and other Co-Existing Conditions
10. Special Populations: Pediatric and Elderly Patients
11. Obstetric Pain
12. Outcomes and Future Directions

Perioperative Pain Management

Edited by Richard D. Urman and Nalini Vadivelu

Oxford American Pain Library

Author Information

Edited by Richard D. Urman, Assistant Professor, Anesthesiologist and Director of Procedural Sedation, Brigham & Women's Hospital, Harvard Medical School, USA, and Nalini Vadivelu, Associate Professor, Anesthesiology and Pain Medicine, Yale University School of Medicine, USA

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

Contributors:

Vanita Ahuja, MD
Assistant Professor
Department of Anaesthesia and Intensive Care
Government Medical College and Hospital
Chandigarh, India

Wilson Almonte, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Orvil Ayala, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Veronica Carullo, MD
Assistant Professor, Department of Anesthesiology
Assistant Professor, Department of Pediatrics
Albert Einstein School of Medicine
Yeshiva University
New York, New York

Juan P. Cata, MD
Instructor
Department of Anesthesiology and Perioperative Medicine
Division of Anesthesiology and Critical Care
The University of Texas MD Anderson Cancer Center
Houston, Texas

Sherif Costandi, MD
Pain Management Department
Cleveland Clinic
Cleveland, Ohio

Ehab Farag MD, FRCA
Staff Anesthesiologist
Department of Anesthesiology
Anesthesiology Institute
Cleveland Clinic
Cleveland, Ohio

Maged Guirguis, MD
Department of General Anesthesiology
Anesthesiology Institute
Cleveland Clinic
Cleveland, Ohio

Amitabh Gulati, MD
Assistant Professor
Department of Anesthesiology and Critical Care
Memorial Sloan Kettering Cancer Center
New York, New York

Karina Gritsenko, MD
Assistant Professor, Department of Anesthesiology
Albert Einstein School of Medicine
Yeshiva University
New York, New York

Boleslav Kosharskyy, MD
Assistant Professor, Department of Anesthesiology
Albert Einstein School of Medicine
Yeshiva University
New York, New York

Zachary Leuschner, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Christine Milner, MS, RN, CPNP, CPON
Nurse Practitioner, Pediatric Pain Management Service
Department of Anesthesiology
Department of Pediatrics
Montefiore Medical Center New York, New York

Sukanya Mitra, MD
Professor
Department of Anaesthesia and Intensive Care
Government Medical College and Hospital
Chandigarh, India

Nathaniel Pleasant, MD
Resident in Pain Management
Department of Anesthesiology
Weill Medical College, Cornell University
New York, New York

Richard W. Rosenquist, MD
Chair
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Atit Shah, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Naum Shaparin, MD
Assistant Professor, Department of Anesthesiology
Assistant Professor, Department of Family and Social Medicine
Albert Einstein School of Medicine
Yeshiva University
New York, New York

Dmitri Souzdalnitski, MD, PhD
Associate Staff
Department of Pain Management
Cleveland Clinic
Cleveland, Ohio

Yi Cai Isaac Tong, MD
Department of Anesthesiology, Perioperative and Pain Medicine
Brigham and Women's Hospital
Harvard Medical School
Boston, Massachusetts

Travis Nickels, MD
Department of General Anesthesiology
Anesthesiology Institute
Cleveland Clinic
Cleveland, Ohio

David Turk, MD
Resident
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Richard D. Urman, MD, MBA
Assistant Professor, Anesthesiologist, and Director of Procedural Sedation
Brigham & Women's Hospital
Harvard Medical School
Boston, Massachusetts

Nalini Vadivelu, MD
Associate Professor
Department of Anesthesiology
Yale University School of Medicine
New Haven, Connecticut

Amaresh Vydyanathan, MD
Department of Pain Management and Anesthesiology
Montefiore Medical Center
New York, New York

Joseph Walker III, MD
Assistant Professor
Department of Orthopedics
University of Connecticut
Farmington, Connecticut

Roniel Weinberg, MD
Assistant Professor, Department of Anesthesiology
Weill Medical College, Cornell University
New York, New York

Alison Weisheipl, MD
Clinical Fellow in Anaesthesia
Brigham and Women's Hospital
Boston, Massachusetts

Sherif Zaky, MD, PhD
Assistant Professor of Anesthesiology
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Department of General Anesthesiology
Anesthesiology Institute
Cleveland Clinic
Cleveland, Ohio

Perioperative Pain Management

Edited by Richard D. Urman and Nalini Vadivelu

Oxford American Pain Library

Reviews and Awards

"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." - Doody's Notes