Essentials of Pain Management

Nalini Vadivelu, MD Associate Professor Department of Anesthesiology Yale University School of Medicine New Haven, Connecticut USA Richard D. Urman, MD, MBA Assistant Professor of Anesthesia Harvard Medical School Director, Hospital Procedural Sedation Management Department of Anesthesiology Brigham & Women’s Hospital Boston, Massachusetts USA Roberta L. Hines, MD Nicholas M. Greene Professor of Anesthesiology Department Chair and Chief, Anesthesiology Yale University School of Medicine New Haven, Connecticut USA

Part 1. Introduction.- 1. Introduction to Pain Management, Historical Perspectives, and Careers in Pain Management.- 2.Multidisciplinary Approach to Pain Management.- Part 2. Anatomy and Physiology.- 3.Anatomic and Physiologic Principles.- 4.Acute and Chronic Mechanisms of Pain.- Part 3. Clinical Principles.- 5.Assessment of Pain: Complete Patient Evaluation.- 6.Diagnostic Testing in Pain Management.- Part 4. Pharmacology.- 7.Opioids: Pharmacokinetics and Pharmacodynamics.- 8.Opioids: Basic Concepts in Clinical Practice.- 9.Non-opioid Analgesics in Pain Management.- 10.Alternative and Herbal Pharmaceuticals.- 11.Importance of Placebo Effect in Pain Management.- Part 5. Non-pharmacologic Management of Pain.- 12.Psychological and Psychosocial Evaluation of the Chronic Pain Patient.- 13.Interventional Pain Management.- 14.Functional Restoration of Patients with Pain.- 15.Occupational Therapy in Client-Centered Pain Management.- 16.Acupucture.- 17.Nursing Perspective on Pain Management.- 18.Post-surgical Pain Management.- Part 6. Acute Pain Management.- 19.Surgical and Trauma Patient and Burns.- 20.Regional Anesthesia Techniques.- 21.Principles of Ultrasound Techniques.- 22.Labor Pain Management.- Part 7. Chronic Pain Management.- 23.Neuropathic Pain.- 24.Ischemic and Visceral Pain.- 25.Fibromyalgia, Arthritic, and Myofascial Pain .- 26.Head, Neck, and Back Pain.- 27.Headache.- 28.Management of Cancer Pain.- 29.Ethics in Pain Management and End of Life Care.- Part 8. Additional Topics.- 30.Pediatric Pain Management.- 31.Managing Pain in the Addicted Patient.- 32.Pain Management in Elderly Patients.- 33.Management of Oro-Dental Pain.- 34.Drug Formulary for Pain Management.- Appendix.- Multiple Choice Questions.