Menu Expand
Surgical Palliative Care and Pain Management, An Issue of Anesthesiology Clinics - E-Book

Surgical Palliative Care and Pain Management, An Issue of Anesthesiology Clinics - E-Book

Geoffrey Dunn | Sugantha Ganapathy | Vincent W S Chan

(2012)

Additional Information

Book Details

Abstract

This issue of Anesthesiology Clinics brings the reader up to date on the most important advances in surgical palliative care for anesthesiology intensivists.  Topics covered include recent trends and developments, palliative care of patients on high doses of narcotics, trauma in the surgical ICU, care of family in the surgical ICU, communication skills in palliative surgery, surgical palliative care in Haiti, and much more.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Surgical Palliative Care\rand Pain Management i
Copyright Page ii
Table of Contents v
Contributors iii
Foreword ix
SECTION 1: Surgical Palliative Care xi
Preface: Update on Surgical Palliative Care xiii
Chapter 1. Palliative Surgery in the Do-Not-Resuscitate Patient: Ethics and Practical Suggestions for Management 1
CASE 2
HISTORY OF DNR ORDERS IN THE PERIOPERATIVE PERIOD 3
HOSPICE PATIENTS 5
SUGGESTED PRACTICAL APPROACH TO THE PREOPERATIVE EVALUATION OF THE DNR PATIENT PRESENTING FOR SURGERY 5
INTRAOPERATIVE AND POSTOPERATIVE SYMPTOM MANAGEMENT 9
SUMMARY 10
REFERENCES 10
Chapter 2. Surgical Palliative Care: Recent Trends and Developments 13
VIGNETTES: THEN AND NOW1985 13
PALLIATIVE MEDICINE: ITS RECOGNITION AND LEGITIMIZATION IN MEDICAL PRACTICE 18
SURGERY AND PALLIATIVE CARE: THE ROLE OF THE AMERICAN COLLEGEOF SURGEONS 22
PALLIATIVE CARE AND THE AMERICAN BOARD OF SURGERY 24
SURGICAL PALLIATIVE CARE ACROSS THE SPECTRUM OF SURGERY 25
SURGICAL PALLIATIVE CARE: WILL IT TRANSFORM SURGERY AND SURGEONS? 25
REFERENCES 26
Chapter 4. Palliative Medicine in the Surgical Intensive Care Unit and Trauma 29
LONG-TERM OUTCOMES IN SICU AND TRAUMA 29
DO NOT RESUSCITATE AND THE ICU 31
END-OF-LIFE CARE IN SICU AND TRAUMA 31
INTEGRATION OF A PALLIATIVE CARE TEAM 32
SUMMARY 34
ACKNOWLEDGMENTS 34
REFERENCES 34
Chapter 5. Care of the Family in the Surgical Intensive Care Unit 37
THE FAMILY EXPERIENCE IN THE SICU: GRIEF AND BEREAVEMENT 38
FAMILY AS SURROGATE DECISION MAKER 39
WHAT DO FAMILIES NEED? 41
PALLIATIVE CARE INTERVENTIONS TO SUPPORT FAMILIES IN THE ICU 43
REFERENCES 44
Chapter 6. Communication as a Core Skill of Palliative Surgical Care 47
SURGICAL PALLIATION 48
COMMUNICATORS IN THE PERIOPERATIVE PERIOD 51
IMPROVING COMMUNICATION SKILLS 53
SUMMARY 56
REFERENCES 56
Chapter 7. Surgical Palliative Care in Haiti 59
BACKGROUND 59
HAITI 60
HISTORICAL PERSPECTIVE 60
SOCIOCULTURAL ASPECTS 61
HEALTH BELIEFS 62
PREEARTHQUAKE ACCESS TO HEALTH CARE 63
IMMEDIATE POSTEARTHQUAKE RESPONSE BY HAITIANS 63
EARLY RELIEF MISSION RESPONSE 64
PERSONAL EXPERIENCE 65
THREE MONTHS POSTEARTHQUAKE 67
SIX MONTHS POSTEARTHQUAKE 68
SUMMARY 69
EXTENDED CHALLENGES 70
ACKNOWLEDGMENTS 70
REFERENCES 70
SECTION 2: Pain Management 73
Chapter 8. Paravertebral Blocks 75
PARAVERTEBRAL ANATOMY 75
INDICATIONS 77
TECHNIQUES 78
BLIND TECHNIQUES 79
ULTRASOUND-GUIDED APPROACH 81
LOCAL ANESTHETIC MIXTURES AND MODE OF ADMINISTRATION 83
COMPLICATIONS 84
SUMMARY 85
REFERENCES 86
Chapter 9. Recent Advances in Multimodal Analgesia 91
ACETAMINOPHEN 91
NSAIDS 92
ANTICONVULSANTS 94
TRPV1 AGONIST: CAPSAICIN 94
N-METHYL-D-ASPARTATE RECEPTOR ANTAGONISTS 95
α2 AGONISTS 96
DUAL-ACTING AGENT: TAPENTADOL 97
EMERGING TECHNOLOGIES IN PAIN MANAGEMENT 97
SUMMARY 98
REFERENCES 98
Chapter 10. Pediatric Pain Management 101
ASSESSMENT OF PAIN 102
THE ACUTE PAIN SERVICE 102
PATIENT-CONTROLLED ANALGESIA 103
EPIDURAL ANALGESIA 103
CAUDAL BLOCKS 105
ADVERSE EFFECTS 105
PERIPHERAL NERVE BLOCKS 107
HEAD AND NECK NERVE BLOCKS 108
UPPER EXTREMITY BLOCKS 110
LOWER EXTREMITY BLOCKS 111
CONTINUOUS NERVE BLOCK CATHETERS 114
SUMMARY 114
REFERENCES 115
Index 119