Surgical Pain Management

A Complete Guide to Implantable and Interventional Pain Therapies

Edited by Sanjeet Narang, Alison Weisheipl, and Edgar L. Ross

Covers neuroaxial drug delivery, electrical stimulation of the peripheral and central nervous system, and a variety of invasive procedures for chronic and cancer pain
Outlines the steps for defining a potential candidate for implant and the infrastructure to support the perioperative period
Addresses the psychological review of a patient prior to an implant
Includes a primer in healthcare education for patients with impant devices
Appendices provide supplemental information regarding guidelines, physiology, technologies available, troubleshooting, and documentation required to organize an interventional service

Surgical Pain Management

A Complete Guide to Implantable and Interventional Pain Therapies

Edited by Sanjeet Narang, Alison Weisheipl, and Edgar L. Ross

Description

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.

Surgical Pain Management

A Complete Guide to Implantable and Interventional Pain Therapies

Edited by Sanjeet Narang, Alison Weisheipl, and Edgar L. Ross

Part I: Foundations of a Surgical Pain Management Team
1. Organization of an Implant Service
2. Anesthetic Management for Chronic Pain Surgery
3. Psychological Evaluation of the Surgical Pain Patient
4. Patient Education for Surgical Intervention for Pain
Part II: Operations in Surgical Pain Management
5. Implantable Drug Delivery Systems
6. Externalized Epidural Infusion Systems
7. Dorsal Column Stimulation
8. Peripheral Nerve Stimulation
9. Craniofacial Nerve Stimulation
10. Field Stimulation
11. Sacral Nerve Stimulation
12. Treatment of Discogenic Pain: Minimally Invasive Procedures
13. Vertebroplasty and Kyphoplasty
14. Minimally Invasive Treatments for Spinal Stenosis: Percutaneous Lumbar
15. Endovenous Ablation
Part III. Appendices
Appendix 1. ASRA Anticoagulation Guidelines
Appendix 2. Applied Spinal Anatomy
Appendix 3. Pharmacology of Intrathecal Medications
Appendix 4. CSF Pharmacokinetics
Appendix 5. Guide to Choosing Electrodes and Pulse Generators
Appendix 6. Problem Solving Stimulator Malfunction
Appendix 7. Implantable Devices and Equipment
Appendix 8. FDA Medical Device Reporting
Appendix 9. Sample OR Dictations
Appendix 10. Surgeon's Preference Cards
Appendix 11. Preventing Surgical Site Infections: Antimicrobial Prophylaxis, Skin Preparation and Surgical Field Draping
Appendix 12. Incisions, Wounds and Suturing
Appendix 13. Surgical Instruments

Surgical Pain Management

A Complete Guide to Implantable and Interventional Pain Therapies

Edited by Sanjeet Narang, Alison Weisheipl, and Edgar L. Ross

Author Information

Edited by Sanjeet Narang, MD, Assistant Professor in Anaesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Womens Hospital, Harvard Medical School, Alison Weisheipl, MD, Instructor in Anaesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Womens Hospital, Harvard Medical School, and Edgar L. Ross, MD, Associate Professor of Anaesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Womens Hospital, Harvard Medical School

Sanjeet Narang is an Instructor in Anesthesia and Pain Management in the Department of Anesthesiology, Perioperative, and Pain Medicine at Harvard Medical School and Brigham and Women's Hospital in Boston, Massachusetts. Edgar L. Ross is an Assistant Professor of Anesthesia and Pain Management in the Department of Anesthesiology, Perioperative, and Pain Medicine at Harvard Medical School and Brigham and Women's Hospital in Boston, Massachusetts. Alison Weisheipl is an Instructor in Anesthesia and Pain Management in the Department of Anesthesiology, Perioperative, and Pain Medicine at Harvard Medical School and Brigham and Women's Hospital in Boston, Massachusetts.

Contributors:

Chris R. Abrecht, MD
Department of Anesthesiology, Perioperative and Pain Medicine
Harvard Medical School
Brigham and Women's Hospital
Boston, Massachusetts

Raheel Bengali, MD
Fellow, Harvard Medical School
Department of Anesthesiology, Perioperative and Pain Management
Brigham and Women's Hospital
Boston, Massachusetts

David Boyce, MD
Instructor in Anesthesiology
Harvard Medical School
Department of Anesthesiology
Brigham and Women's Hospital
Boston, Massachusetts

Ram V.S.R. Chavali, MD
Department of Neurosurgery
Division of Interventional Neuroradiology
Harvard Medical School
Brigham and Women's Hospital
Boston, Massachusetts

Rob Chow, MD
Fellow, Harvard Medical School
Department of Anesthesiology, Perioperative and Pain Management
Brigham and Women's Hospital
Boston, Massachusetts

Ankur Dave, MD
Fellow, Harvard Medical School
Department of Anesthesiology, Perioperative and Pain Management
Brigham and Women's Hospital
Boston, Massachusetts

J. Tasker Gundy, MD
Fellow, Harvard Medical School
Department of Anesthesiology, Perioperative & Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Julie H.Y. Huang, MD, MBA
Assistant Professor of Anesthesiology and Critical Care Medicine
Division of Pain Medicine
New York-Presbyterian-Weill Cornell Pain Medicine
New York-Presbyterian-Lower Manhattan Hospital
New York, New York

Mohammed A. Issa, MD
Instructor, Harvard Medical School
Department of Psychiatry
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

David Janfaza, MD
Instructor in Anesthesia
Harvard Medical School
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Jeremy Jones, MD
Assistant Professor
Uniformed Services University of the Health Sciences
Interdisciplinary Pain Management Clinic
San Antonio Military Medical Center
Fort Sam Houston, Texas

Scott A. King, MD
Lt. Col. United States Air Force, Medical Corps
Assistant Professor of Anesthesiology
Uniformed Services University of the Health Sciences
Eglin, Florida

Michele L. Matthews, PharmD, CPE, BCACP
Associate Professor of Pharmacy Practice
MCPHS University
Advanced Pharmacist Practitioner - Pain Management
Brigham and Women's Hospital
Boston, Massachusetts

Brendan McGinn, MD
Assistant Professor of Anesthesiology
Upstate Medical University
Syracuse, New York

Jorge Mendez, MD
Owner, Ivy League Pain Management Center
Boonton, New Jersey

Ziev B. Moses MD
Resident, Harvard Medical School
Department of Neurosurgery
Brigham and Women's Hospital
Boston, Massachusetts

Srdjan S. Nedeljkvoc, MD
Fellowship Director, Pain Medicine
Assistant Professor of Anesthesia
Harvard Medical School
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Ehren Nelson, MD
Instructor in Anesthesia
Harvard Medical School
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Michael Nguyen, MD
Instructor in Anesthesiology
Department of Anesthesiology
Brigham and Women's Hospital
Harvard Medical School
Boston, Massachusetts

Christian Peccora, MD
Fellow, Harvard Medical School
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Diane Polombi, RN
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Josemaria Paterno, MD
Attending Anestheisologist, Harvard Medical School
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Department of Anesthesia, Critical Care, and Pain Medicine
Massachusetts General Hospital
Boston, Massachusetts

John S. Quick, MD
Attending Physician
Department of Anesthesiology and Pain Medicine
Geisinger Medical Center
Danville, Pennsylvania

Elizabeth Rickerson, MD
Instructor in Anesthesia
Harvard Medical School
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Christian Sampson, MD
Assistant Professor of Surgery
Harvard Medical School
Brigham and Women's Hospital
Boston, Massachusetts

Elizabeth Scanlan, APRN-BC, MSN
Nursing Directory, Pain Management Center
Brigham and Women's Hospital
Boston, Massachusetts

Chris Sears, RN
Brigham and Women's Hospital
Boston, Massachusetts

Jason Stewart, MD
Instructor, Harvard Medical School
Department of Psychiatry
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Milan Stojanovic, MD
Chief of Pain Medicine
VA Boston Healthcare System
Jamaica Plain, Massachusetts

Travis Tierney, MD, PhD
Assistant Professor of Neurosurgery
Harvard Medical School
Brigham and Women's Hospital
Boston, Massachusetts

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

Andrew Vaclavik, MD
Attending Physician
Department of Anesthesia and Pain Medicine
VA Boston Healthcare System
Jamaica Plain, Massachusetts

Assia Valovska, MD
Instructor in Anaesthesia
Harvard Medical School
Department of Anesthesiology, Perioperative & Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Daniel Vardeh, MD
Fellow, Harvard Medical School
Department of Neurology
Department of Anesthesiology, Perioperative, and Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

Michael Vaninetti, M.D.
Fellow, Harvard Medical School
Department of Anesthesiology, Perioperative and Pain Management
Brigham and Women's Hospital
Boston, Massachusetts

Cyrus Ahmadi Yazdi, MD
Fellow, Harvard Medical School
Department of Anesthesiology, Perioperative & Pain Medicine
Brigham and Women's Hospital
Boston, Massachusetts

R. Jason Yong MD
Instructor in Anesthesia
Harvard Medical School
Department of Anesthesiology, Perioperative and Pain Management
Brigham and Women's Hospital
Boston, Massachusetts

Surgical Pain Management

A Complete Guide to Implantable and Interventional Pain Therapies

Edited by Sanjeet Narang, Alison Weisheipl, and Edgar L. Ross

Reviews and Awards

Featured in BookAuthority's list of the 39 Best Pain Management Books of All Time

"The inclusion of case studies and the multiple forms for provision of care, not seen in other texts, serves to elevate its functional value... The conciseness of this text makes it easy to reference." - Collin Clarke, Canadian Journal of Anesthesia

"I am confident that this book is an excellent addition in Interventional Pain disciplines. The flow and content in most of the chapters is adequate and focused towards the title of the chapter...this is a well written and informative guide for all practicing physicians" - Gauhar Afshan, Anaesthesia, Pain & Intensive Care

"It provides comprehensive knowledge and the collective experience and insight of over forty healthcare professionals involved in pain alleviation." - Nano Khilnani, Biz India Online News

"It will be of help for pain specialists and for those who are considering training in pain as a subspecialty. The book allows comparison of your practice with theway in which it is performed in a leading academic department." - P. L. Gambus, British Journal of Anaesthesia

"Any physician or health professional working in the field of chronic pain should have this book in their collection to better understand how implantable devices for the management of pain work and what the clinician and patient should know about them." - Open Pain Journal Vol. 9, Serge Marchand, Ph.D.