Alan David Kaye

En años recientes, hemos presenciado cambios considerables en el tratamiento del dolor agudo. Esto ha dado lugar a una reducción del consumo de opioides y a estancias hospitalarias más cortas debido a una serie de estrategias que incluyen técnicas de recuperación mejoradas después de la cirugía y bloqueos nerviosos guiados por ecografía.Fundamentos del tratamiento para el dolor agudo. Un enfoque interdisciplinario es una referencia completa, que abarca tanto el dolor quirúrgico como el no quirúrgico, para todo el equipo de tratamiento del dolor agudo, y que ofrece un enfoque multidisciplinario de este campo complejo y en rápida evolución. Esta 1.ª edición comienza con una visión general de los principios básicos del tratamiento del dolor, incluida anatomía y fisiología del dolor agudo, evaluación y medición del dolor, neurobiología y genética, analgesia preventiva y dolor quirúrgico, y servicio de tratamiento del dolor posoperatorio. A continuación, aborda el tratamiento del dolor por sistema orgánico, por población de pacientes y por modalidad de tratamiento, y finaliza con una revisión de las consideraciones sobre subespecialidades y temas relacionados.

Covering both surgical and non-surgical pain, Acute Pain Management Essentials is a comprehensive, clinically oriented reference for the entire acute pain management team. Edited by Drs. Alan David Kaye and Richard D. Urman, this new title brings together the expertise of contributing authors from anesthesiology, medicine, surgery, and allied health professions to offer an interdisciplinary approach to this complex and fast-changing field. Beginning with an overview of basic principles, it then approaches pain management by organ system, by patient population, and by treatment modality, ending with review of subspecialty considerations and related topics.Examines all types of acute pain, including non-surgical pain that requires non-regional anesthesia management techniquesBegins with basic principles of pain management, including anatomy and physiology of acute pain, evaluation and measurement of pain, neurobiology and genetics, preemptive analgesia and surgical pain, running a post-operative pain management service and moreSubsequent chapters are organized by Organ Systems, Special Populations, Treatment Modalities, and Subspecialty ConsiderationsIncludes related topics such as dental and facial pain, foot and ankle surgery, the primary care setting, nursing considerations, enhanced recovery pathways (ERAS), quality and safety considerations, and moreAn ideal resource for anesthesiologists who specialize in pain medicine, as well as physicians and fellows from other disciplines who care for patients experiencing surgical or non-surgical pain, as well as PAs, NPs, RNs, and pharmacists Enrich Your eBook Reading ExperienceRead directly on your preferred device(s),such as computer, tablet, or smartphone.Easily convert to audiobook,powering your content with natural language text-to-speech.

In this issue of the Anesthesiology Clinics, there are many exciting pharmacology reviews giving us a glimpse into future practice. It begins with a definitive review by Drs. Pamela Palmer and Ronald Miller on current and developing methods of patient-controlled analgesia. There are five focused reviews on drugs designed and utilized in pain management and drug addiction: buprenorphine, acetaminophen, an oral sufentanil preparation, and tapentadol. These reviews are timely because so many new drugs have come to market to modulate and to better target pain and inflammation. Likewise, there has been an explosion in use of a number of anticoagulants that modulate the coagulation cascade. Two reviews provide a clear understanding of how many of these newer agents work, discussion of the new recombinant activated factor VII (Novo7®), and guidelines for these drugs in clinical anesthesia and pain practice. Evolving understanding and clinical use of dexmetomidine, in the OR, ICU, and peripheral sites has reshaped the practice of sedation for a large population of patients. These topics describe highly clinically relevant perioperative agents. There are also reviews on pharmacological options in the management of patients with hypertension, cardiac disease, and new cardiac anesthesia agents in the OR and ICU. There is a special review on the role of statins in cardiac anesthesia, a very exciting and evolving topic. Also reviewed is levosimendan, a calcium sensitizer utilized for acutely decompensated congestive heart failure and shown to reduce cardiac troponin release after cardiac surgery. Lastly, the future of induction and inhalation agents and structure-based modifications are examined.