Regional analgesia and acute pain management

Description

Cover......Page 1 Authors......Page 2 Economics and Practice Management Issues Associated With Acute Pain Management213......Page 5 Unintentional Subdural Injection: A Complication of Neuraxial Anesthesia/Analgesia279......Page 6 Index343......Page 7 Foreword......Page 8 Regional Analgesia and Acute Pain Management: Major Leaps in Small Steps?......Page 10 New Concepts in Acute Pain Management: Strategies to Prevent Chronic Postsurgical Pain, Opioid-Induced Hyperalgesia, and Ou .........Page 12 Abdominal surgery......Page 159 Performance time......Page 13 Quality......Page 14 Patient safety......Page 15 Limitations of the current RCTs......Page 17 Infectious complications......Page 98 Summary......Page 20 References......Page 21 Indications and selection criteria......Page 25 Stimulating versus Nonstimulating Catheters......Page 26 Needle in-plane, nerve in short-axis approach......Page 27 Infusates......Page 28 Infusion Pump Selection......Page 29 Home Care......Page 30 Inaccurate Catheter Placement......Page 31 Vascular Puncture/Hematoma......Page 32 Delayed Local Anesthetic Toxicity......Page 33 Catheter Migration......Page 34 References......Page 35 Economics and practice management issues associated with acute pain management......Page 44 Anesthesiologists’ impact on cost......Page 45 Risk Factors......Page 146 Overview of RA Cost Benefits......Page 46 PACU bypass, reduced length of stay, same-day discharge......Page 47 Standardization and safety of PACU bypass protocols......Page 48 Logistics of delivery......Page 49 Neuraxial blocks......Page 50 Inpatient acute pain management......Page 51 Postoperative Infections and Potential Beneficial Role of RA......Page 52 Reduced blood transfusions......Page 53 Societal Cost of Poor Pain Management......Page 54 References......Page 55 Mechanisms and Clinical Presentation......Page 65 Prevention......Page 66 Treatment......Page 67 Adverse Effects of LE......Page 68 Mechanisms underlying the development of CPSP......Page 143 References......Page 70 Physical examination......Page 74 Electroneuromyography......Page 75 The Action Potential......Page 76 H-reflex......Page 77 EMG......Page 78 Insertional activity......Page 79 Amplitude......Page 80 Recruitment......Page 81 Intraoperative nerve monitoring......Page 82 Treatment......Page 85 References......Page 86 Incidence of neurologic complications......Page 88 Breast and plastic reconstructive surgery......Page 160 Nerve injury from plexus-peripheral needle and catheter placement......Page 91 Local anesthetic toxicity......Page 93 Transient Neurologic Symptoms......Page 94 Neural ischemia......Page 95 Hemorrhagic complications......Page 96 Plexus and Peripheral Blockade in the Anticoagulated Patient......Page 97 What does potent analgesic techniques mean......Page 150 Regional block in patients with preexisting neurologic disorders......Page 101 Multiple Sclerosis......Page 102 Spinal Stenosis and Lumbar Root Disease......Page 103 Regional anesthesia in anesthetized adults......Page 104 References......Page 105 Unintentional Subdural Injection: A Complication of Neuraxial Anesthesia/Analgesia......Page 110 Clinical presentation......Page 111 Diagnosis and treatment......Page 112 Case discussion......Page 116 Total Hip Arthroplasty......Page 162 Case discussion......Page 117 Case 3......Page 118 Case discussion......Page 119 References......Page 120 Challenges in Acute Pain Management......Page 122 Acute pain processing pathways......Page 123 Opioid-Induced Hyperalgesia......Page 124 Opioid Tolerance in Chronic Pain Patients......Page 125 Substance Abuse and Addiction......Page 127 Elderly and Cognitively Impaired Patients......Page 128 Sleep Apnea......Page 129 Neurologic Disease......Page 132 Renal Disease......Page 133 Hepatic Disease......Page 134 Orthopedic surgery......Page 161 References......Page 135 What is the incidence of CPSP......Page 142 Strategies for prevention......Page 147 How to Improve the Treatment of Acute Postoperative Pain to Prevent CPSP......Page 148 Protective anesthesia and analgesia......Page 149 Antihyperalgesics, drugs acting on secondary hyperalgesia......Page 151 References......Page 153 Local Infiltration Analgesia......Page 158 Total Knee Joint Replacement......Page 163 Drugs Used......Page 164 Infusion......Page 165 References......Page 166