ISBN-10:
0071442022
ISBN-13:
9780071442022
Pub. Date:
11/16/2005
Publisher:
McGraw-Hill Professional Publishing
Pain Management and Sedation: Emergency Department Management / Edition 1

Pain Management and Sedation: Emergency Department Management / Edition 1

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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
  • Product Details

    ISBN-13: 9780071442022
    Publisher: McGraw-Hill Professional Publishing
    Publication date: 11/16/2005
    Pages: 544
    Product dimensions: 7.30(w) x 9.20(h) x 0.69(d)

    About the Author

    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.

    James B. Ducharme, MD, Professor of Emergency Medicine, Dalhousie University, New Brunswick, Canada

    As one of the “gurus” of pain management in the ED, Dr. Ducharme is a frequent lecturer in the US and Canada. Dr. Ducharme has organized the pain management sessions at the ACEP National Scientific Assembly the last 2 years.

    Michael Murphy, MD, Chief of Anesthesiology, Lincolnton Medical Center, Lincolnton, North Carolina and Clinical Assistant Professor of Emergency Medicine, University of North Carolina, Chapel Hill, North Carolina

    Dr. Murphy is double-boarded in Anesthesiology and Emergency Medicine and a co-editor of Ron Walls’ successful Airway Management book for Lippincott.

    Table of Contents

    Section I: ADMINISTRATIVE

    1.History/Background

    2.Definitions

    3.Regulations

    4.Documentation/Standardized Forms

    5.Quality Improvement/Risk Management

    6.Legal Aspects

    7.Policies and Procedures

    Section II: APPROACH TO THE PATIENT

    1.Preprocedural Patient
    Assessment

    2.American Society of Anesthesia (ASA) Classifications

    3.Pain Scales

    4.Equipment

    5.Procedural Patient Assessment and Monitoring

    a.Airway

    b.Respiratory

    c.Cardiovascular/Hemodynamics

    d.Neurologic

    6.Post Procedure Evaluation

    a.Discharge Criteria Assessment of Patient Stability

    b.Patient Discharge Instructions

    Section III: PHYSIOLOGY

    1.Cardiovascular

    2.Respiratory

    3.Central Nervous System

    4.Autonomic Nervous System

    5.Renal

    6.Hepatic

    Section IV: PROCEDURE/TECHNIQUES

    1.Conscious Sedation

    2.Pain Management

    a.Definition, acute vs chronic

    b.Pathophysiology

    c.The Drug Seeking Patient

    3.Regional Anesthesia

    4.Nerve Blocks

    5.Local Anesthesia

    a.Topicals

    1.Vapocoolant sprays

    2.Creams: EMLA, Eutetic, elemax

    3.Combination Solutions: Tac, LET

    b.Injectables

    1.Amides

    2.Esters

    3.Long acting vs short acting

    4.Others: Benadryl

    c.Iontophoresis (numby)

    Section V. PHARMACOLOGY

    1.Muscle Relaxants

    2.Neuromuscular Blockers

    3.Adjunctive Medications

    a.Atropine/Glycopyrolate

    b.Lidocaine

    c.Others

    4.Reversal Agents

    a.Naloxone/Naltrexone

    b.Flumazenil

    5.Agents for Conscious Sedation (Sedative Drugs)

    a.Propofol

    b.Etomide

    c.DPT

    d.Chloral Hydrate

    e.Barbiturates

    f.Benzodiazepines

    g.Ketamine

    6.Pain Medications

    a.Opoids

    b.Nonsteroidal

    c.Acetaminophen

    d.Others

    7.Anesthetics

    a.Inhalant anesthetics

    b.Nitrous oxide

    Section VI: SPECIAL CONSIDERATIONS

    1.Devices

    a.Transcutaneous Electrical Nerve Stimulation (TENS)

    b.Continuous Infusions

    2.Palliative Care

    3.Pediatrics

    a.Pediatrics

    b.Neonates

    c.Children with Special Health Care Needs

    4.Geriatrics

    5.The Pregnant Patient

    6.Nonpharmacologic Interventions

    a.Hypnosis

    b.Psychologic Techniques

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