Pain Management and Sedation: Emergency Department Management - Sharon Mace, James Ducharme, Michael Murphy

Pain Management and Sedation: Emergency Department Management

Buch | Softcover
544 Seiten
2005
McGraw-Hill Medical (Verlag)
978-0-07-144202-2 (ISBN)
123,40 inkl. MwSt
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Offers information on how to manage pain in the emergency room.
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DETAILED GUIDANCE ON PAIN RELIEF IN THE ED

This thorough and informative text provides ready, expert answers to both everyday questions and to the often challenging, complex, and diverse issues that arise around pain management and sedation in the emergency department. Written by three leading authorities, Pain Management and Sedation provides in-depth, yet practical and easy-to-find guidance on relieving the complaint that brings more than 50% of patients to emergency care. A groundbreaking work, it is the first text to treat this important subject in depth from the emergency room perspective.

Covering every aspect of the subject, Pain Management and Sedation offers



Step-by-step guidance on approaches to patients, from preprocedure through discharge
System-by-system patient evaluation protocols
In-depth coverage of specific techniques, from conscious sedation through iontophoresis
Drug-class by drug-class guidance on pharmacologic agents
Specific guidance on pediatric, geriatric, pregnant, neonatal, and other patients with special considerations
Coverage of useful techniques such as TENS, hypnosis, psychologic approaches, and other nonpharmacologic interventions
Expert advice on key policy, administrative, and legal concerns

EXPERT GUIDANCE

Patient assessment protocols
Drug regulations
Drug-seeking patients
Local and regional anesthesia
Conscious sedation
Drug therapeutics, with dosage charts
Patients with special considerations
Anxiety relief
Nonpharmacologic interventions
Legal and administrative issues

Sharon E. Mace, MD, Director, Observation Unit, and Director, Pediatric Education, Department of Emergency Medicine, The Cleveland Clinic, Cleveland, Ohio Dr. Mace and her colleagues at Cleveland Clinic are the recipients of several NIH grants to study pain management in the ED; this is an outgrowth of their work in chest pain/cardiovascular disease in the ED.

Section I: ADMINISTRATIVE1.History/Background2.Definitions3.Regulations4.Documentation/Standardized Forms5.Quality Improvement/Risk Management6.Legal Aspects7.Policies and Procedures
Section II: APPROACH TO THE PATIENT1.Preprocedural PatientAssessment2.American Society of Anesthesia (ASA) Classifications3.Pain Scales4.Equipment5.Procedural Patient Assessment and Monitoringa.Airwayb.Respiratoryc.Cardiovascular/Hemodynamicsd.Neurologic6.Post Procedure Evaluationa.Discharge Criteria Assessment of Patient Stabilityb.Patient Discharge Instructions
Section III: PHYSIOLOGY1.Cardiovascular2.Respiratory3.Central Nervous System4.Autonomic Nervous System5.Renal6.Hepatic
Section IV: PROCEDURE/TECHNIQUES1.Conscious Sedation2.Pain Managementa.Definition, acute vs chronicb.Pathophysiologyc.The Drug Seeking Patient3.Regional Anesthesia4.Nerve Blocks5.Local Anesthesiaa.Topicals1.Vapocoolant sprays2.Creams: EMLA, Eutetic, elemax3.Combination Solutions: Tac, LETb.Injectables1.Amides2.Esters3.Long acting vs short acting4.Others: Benadrylc.Iontophoresis (numby)
Section V. PHARMACOLOGY1.Muscle Relaxants2.Neuromuscular Blockers3.Adjunctive Medicationsa.Atropine/Glycopyrolateb.Lidocainec.Others4.Reversal Agentsa.Naloxone/Naltrexoneb.Flumazenil5.Agents for Conscious Sedation (Sedative Drugs)a.Propofolb.Etomidec.DPTd.Chloral Hydratee.Barbituratesf.Benzodiazepinesg.Ketamine6.Pain Medicationsa.Opoidsb.Nonsteroidalc.Acetaminophend.Others7.Anestheticsa.Inhalant anestheticsb.Nitrous oxide
Section VI: SPECIAL CONSIDERATIONS1.Devicesa.Transcutaneous Electrical Nerve Stimulation (TENS)b.Continuous Infusions2.Palliative Care3.Pediatricsa.Pediatricsb.Neonatesc.Children with Special Health Care Needs4.Geriatrics5.The Pregnant Patient6.Nonpharmacologic Interventionsa.Hypnosisb.Psychologic Techniques

Zusatzinfo 100 Illustrations, unspecified
Verlagsort New York
Sprache englisch
Maße 185 x 234 mm
Gewicht 759 g
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Notfallmedizin
Medizin / Pharmazie Medizinische Fachgebiete Pharmakologie / Pharmakotherapie
ISBN-10 0-07-144202-2 / 0071442022
ISBN-13 978-0-07-144202-2 / 9780071442022
Zustand Neuware
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