Features and Assessments of Pain, Anesthesia, and Analgesia
- 1st Edition - November 9, 2021
- Editors: Rajkumar Rajendram, Victor R Preedy, Vinood B. Patel, Colin R Martin
- Language: English
- Paperback ISBN:9 7 8 - 0 - 1 2 - 8 1 8 9 8 8 - 7
- eBook ISBN:9 7 8 - 0 - 1 2 - 8 1 8 9 9 2 - 4
Features and Assessments of Pain, Anaesthesia and Analgesia examines the syndromes of pain and how they interlink with anesthesia and analgesics. The book covers assessmen… Read more
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Request a sales quoteFeatures and Assessments of Pain, Anaesthesia and Analgesia examines the syndromes of pain and how they interlink with anesthesia and analgesics. The book covers assessments, screening and resources, and provides applications to related areas of medicine. It explores how the perception of pain results from a multifaceted interaction between illness beliefs, age, gender, time of onset, stress, socioeconomic status, and any number of other factors. In addition, the book scrutinizes how the neuroscience of pain in one condition may be relevant to understanding pain observed in other conditions.
- Provides key facts on focused areas of knowledge
- Includes a mini-dictionary of terms and defines frequently used concepts
- Describes other fields of neuroscience, pain science and anesthesia
- Explains other pharmacologic agents that may be necessary
Neuroscientists, anesthesiologists, neurologists, clinicians, graduate students, and post-doctoral fellows
- Cover
- Title page
- Table of Contents
- Copyright
- Contributors
- Preface
- Part I: Setting the scene: General aspects of anesthesia, analgesics and pain
- Chapter 1: The concept of multimorphic cancer pain: A new approach from diagnosis to treatment
- Abstract
- Acknowledgments
- Introduction
- Assessing and reassessing cancer pain and patients
- Key facts of cancer pain etiologies (Fallon et al., 2018; Lemaire et al., 2019)
- Other agents of interest: Benefits of supportive care (MASCC, 2020)
- Applications to other areas: From supportive care in cancer to supportive medicine
- Key facts of criteria defining the multimorphic nature of cancer pain (Lemaire et al., 2019)
- Treatment strategies in multimorphic cancer pain
- Key facts of WHO cancer pain management guiding principles (World Health Organization, 2018)
- Summary points: Strong opioids in cancer pain management
- Conclusion
- References
- Chapter 2: Recent advances in the linkage of attachment and pain: A new review
- Abstract
- Introduction
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 3: The management of pain in older people
- Abstract
- Introduction
- Pain perception in the elderly
- Assessing pain in older people
- Pharmacokinetic and pharmacodynamic changes affecting older people
- Overview of management of pain in older people
- Opioids
- Adjuvant analgesics
- Summary of the pharmacological management of pain in older people
- Application to other areas
- Other agents of interest
- Mini-dictionary of terms
- Summary points
- References
- Chapter 4: Anesthesia and body mass: Epidural depth and beyond
- Abstract
- Introduction
- Preoperative assessment
- Assessment of respiratory system
- Assessment of cardiovascular system
- Assessment of endocrine and musculoskeletal systems
- Intraoperative management
- Induction of anesthesia, anesthetic agents, and muscle relaxants
- Thiopental sodium
- Propofol
- Opioids
- Neuromuscular-blocking agents and antagonists
- Volatile anesthetics
- Regional anesthesia
- Cessation of anesthesia and postoperative care
- Applications to other areas
- Mini-dictionary of terms
- Key facts of anesthesia and body mass: Epidural depth and beyond
- Summary points
- References
- Chapter 5: Anesthetics and analgesic activities of herbal medicine: Review of the possible mechanism of action
- Abstract
- Introduction
- Local anesthetics herbs
- General anesthetics herbs
- Potential hazards of anesthetics herbal medicine
- Application of anesthetics herbal medicine
- Conclusion
- Applications to other areas
- Mini-dictionary of terms
- Key facts
- Summary
- References
- Chapter 6: Analgesia-first sedation and nonopioid multimodal analgesia in the intensive care unit
- Abstract
- Introduction
- Pain and its assessment in critically ill adults
- Assessment-driven protocols
- Opioid choice, route of administration, and dosing
- Analgosedation
- Multimodal nonopioid analgesia use
- Applications to other areas
- Mini-dictionary of terms
- Summary points
- References
- Chapter 7: The multidisciplinary Acute Pain Service: Features and experiences
- Abstract
- Introduction
- The history of Acute Pain Services
- Basic characteristics of an Acute Pain Service
- Acute Pain Service and clinical outcome
- The diffusion of Acute Pain Services
- The main clinical experiences regarding the establishment of an Acute Pain Service
- Conclusion
- Application to other areas
- Other agents of interest
- Key facts—Mini-dictionary
- Summary points
- References
- Chapter 8: Monitoring anesthesia: Electroencephalography and beyond
- Abstract
- Introduction
- Raw electroencephalography
- Bispectral index
- Evoked potential
- Entropy
- Narcotrend
- Cerebral state index
- Applications to other areas
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Part II: The syndromes of pain
- Chapter 9: Cluster headache and pain: Features and treatments
- Abstract
- Introduction
- Epidemiology
- Rhythmicity
- Pathophysiology
- Trigeminal autonomic cephalalgias
- Treatment
- Applications to other areas
- Other agents of interest
- Conclusion
- Mini-dictionary of terms
- Key facts/summary points
- References
- Chapter 10: Migraine and pain: Features and treatments
- Abstract
- Features
- Treatments
- Prophylactic migraine treatment
- Nonpharmacological approach
- Conclusion
- Applications to other areas
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 11: Complex regional pain syndrome
- Abstract
- Introduction
- Diagnosis
- Pathophysiology
- Management
- Pharmacologic treatment
- Interventional treatment
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 12: Phantom limb pain
- Abstract
- Disclaimer
- Introduction
- Diagnosis
- Pathophysiology
- Management
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 13: Painful diabetic neuropathy: The roles of microglia
- Abstract
- Introduction
- Painful diabetic neuropathy
- Microglia
- Microglial activation during neuropathic pain
- Central glia-neuronal interaction
- Conclusion
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 14: Maternal deprivation and nociception
- Abstract
- Introduction
- Development of nociceptive pathways
- Maternal deprivation
- Maternal deprivation and nociception: Preclinical perspectives
- Maternal deprivation and nociception: Signaling pathways changes
- Early life stress in humans including maternal deprivation
- Environmental enrichment as a potential intervention against the effects of MD
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 15: Giving birth and pain
- Abstract
- Introduction
- Modes of delivery
- Stages of delivery
- Pain treatment in giving birth
- Neuraxial analgesia and anesthesia
- Postpartum pain
- Nonpharmacological treatment
- Application to other areas
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 16: Abdominal pain in gastroparesis
- Abstract
- Introduction
- Types of gastroparesis
- Symptoms of gastroparesis
- Abdominal pain in gastroparesis
- Symptom assessment in gastroparesis
- Physical examination of gastroparesis patients
- Diagnosis of gastroparesis
- Treatment of gastroparesis
- Treatment of abdominal pain in gastroparesis
- Conclusion
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 17: Appendicitis and related abdominal pain
- Abstract
- Introduction
- Etiology
- Pathophysiology
- Natural history models
- Typical presentation
- Atypical presentation
- Inflammatory markers
- Clinical prediction rules and imaging tests
- Management
- Surgical approach and complications
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 18: Ovarian hormones, site-specific nociception, and hypertension
- Abstract
- Introduction
- Nociception mechanisms and modulation in hypertension: An overview
- Nociception and blood pressure
- Sex differences and ovarian hormones
- Applications to other areas
- Other agents of interest (250–500 words)
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 19: Linking the heart and pain: Physiological and psychophysiological mechanisms
- Abstract
- Introduction
- The history of the subject
- Aspects related to (i, ii) a hypertension-related hypoalgesia phenomenon in chronic and acute pain conditions and (iii) a pain-killing etiology of the essential (primary) hypertension
- Aspects related to (iv) the effectiveness of pain management prediction and monitoring by cardiovascular measures and to (v) effective pain control by cardiovascular mechanisms with pain-killing effects
- An aspect related to (vi) the pain-o-meter technology
- An aspect related to (vii) the baroreflex control of blood volume and pressure fluctuations in response to posture or body position changes in patients with pain
- Summarizing the current knowledge of heart and pain relationships
- Applications to other areas
- Other areas of interest
- Mini-dictionary of terms
- Key facts of the issue associated with heart and pain interactions and related challenges
- Summary points
- References
- Chapter 20: Chronic pain in military veterans
- Abstract
- Introduction
- Theoretical models of chronic pain
- Military basic training and rates of injury
- Combat-related injuries in military personnel
- Types of chronic pain in veterans
- Comorbid conditions in veterans with chronic pain
- Psychological comorbidities and social factors in veterans with chronic pain
- Pain assessment and treatment
- Nonpharmacologic pain modalities
- Conclusion
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts of chronic pain in military veterans
- Summary points
- References
- Chapter 21: Nociception during surgery
- Abstract
- Introduction
- Nociceptive pathway during surgery
- Monitoring of nociception under general anesthesia
- Intraoperative nociception and postoperative complications
- Effects of intraoperative nociception on postoperative pain
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 22: Breast cancer and nociceptione
- Abstract
- Introduction
- Treatments for breast cancer-induced pain
- Limitations of cancer pain treatments
- Bone pain in breast cancer
- Treatments of bone pain in breast cancer
- Side effects observed for the treatments of bone cancer pain
- Animal models of breast cancer pain: Breast inoculation models
- Animal models of breast cancer pain: A brief history of bone inoculation models
- Animal models of breast cancer pain: Distinct bone inoculation models
- Possible pharmacological targets for breast cancer pain relief
- Cancer pain treatment by nonpharmacological treatments
- Conclusions
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 23: Postoperative pain after rhinoplasty and rhinologic surgery
- Abstract
- Introduction
- Intraoperative analgesia and anesthesia
- Postoperative pain management
- Conclusion
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 24: Pain response, neonates, and venipuncture
- Abstract
- Introduction
- Pathophysiology of pain and CNS effects
- Pain assessment tools
- Problems in assessing neonatal pain
- Pain relief measures
- Conclusion
- Application to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Further reading
- Chapter 25: Carpal tunnel syndrome and pain
- Abstract
- Acknowledgments
- Introduction
- Median nerve compression
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 26: Pain and HIV
- Abstract
- Introduction
- Etiology of chronic pain in HIV
- HIV-associated distal symmetric polyneuropathy
- Current pain management
- HIV, pain, and opioid use
- Nonpharmacologic approaches to HIV-related pain
- Future steps
- Applications to other areas
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 27: Pain mechanisms in computer and smartphone users
- Abstract
- Introduction
- Origins and mechanisms of neck-shoulder pain
- Low-back pain mechanisms in computer and smartphone users
- Individual risks factors
- Physical risks factors for the development of pain
- Psychosocial risks factors
- Physical activity to prevent and manage musculoskeletal pain in computer and smartphone users
- Ergonomics to prevent occupational musculoskeletal pain in computer and smartphone users
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Part III: Interlinking anesthesia, analgesics and pain
- Chapter 28: Health professionals’ and lay people’s positions regarding the use of analgesics in cancer cases
- Abstract
- Introduction
- Studies of clinicians and the public
- Mapping general practitioner’s positions regarding the use of opioids
- Mapping lay people’s and health professionals’ positions on the use of analgesics in postoperative pain management
- Mapping lay people’s and health professionals’ positions regarding the use of morphine to relieve intense pain
- Mapping lay people’s and health professionals’ positions regarding temporary or terminal sedation
- General discussion
- Applications to other areas
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 29: Manual compression at myofascial trigger points ameliorates musculoskeletal pain
- Abstract
- Introduction
- Link between MTrPs and musculoskeletal pain
- Diagnosis of MTrPs
- Effects of compression at MTrPs for musculoskeletal pain
- Possible mechanisms of MTrP compression effects
- Applications to other areas
- Mini-dictionary of terms
- Key facts of MTrP compression for musculoskeletal pain
- Summary points
- References
- Chapter 30: Multimodal analgesia and postsurgical pain
- Abstract
- Introduction
- Definition and classification of PSP
- Incidence of PSP and CPSP
- Pathophysiology of postoperative pain
- Peripheral sensitization, central sensitization, and neuroplastic changes in the brain after incision
- Importance of PSP control
- Risk factors for CPSP
- Evaluation of pain intensity
- PSP management: Enhanced recovery after surgery programs (ERAS)-preemptive, preventive, and multimodal analgesia (MA)
- Framework of multimodal analgesia (MA)
- Nonpharmacological interventions
- Systemic nonopioid analgesics
- Systemic opioid analgesics
- Regional anesthesia, local anesthesia, and site infiltration with local anesthetics
- Populations that need special consideration in treating PSP
- Application of MA to other areas
- Conclusions
- Application to other areas
- Other agents of interest
- Key facts
- Mini-dictionary of terms
- Summary points
- References
- Chapter 31: Pain, ultrasound-guided Pecs II block, and general anesthesia
- Abstract
- Introduction
- Acute and chronic postoperative pain in breast surgery
- General anesthesia: A brief description
- Technical description of ultrasound-guided Pecs II block
- Clinical application ultrasound-guided Pecs II block
- Pectoral nerves, intercostal nerve, and long thoracic nerve
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts of ultrasound-guided Pecs II block
- Summary points
- References
- Chapter 32: Pain control during prostate biopsy and evolution of local anesthesia techniques
- Abstract
- Introduction
- Applications of local anesthetics to other areas
- Mini dictionary
- Key facts
- Summary points
- References
- Chapter 33: Pain reduction in cosmetic injections: Fillers and beyond
- Abstract
- Introduction
- Psychological intervention
- Vibration
- Local anesthesia
- Vapocoolant anesthesia
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 34: Anesthesia and combat-related extremity injury
- Abstract
- Introduction
- Anesthesia and war
- Acute pain
- Regional anesthesia in extremity injury
- Osseointegration and targeted muscle reinnervation
- Damage control resuscitation
- Conclusion
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Key facts of point of injury care
- Summary points
- References
- Chapter 35: Spinal anesthesia: Applications to cesarean section and pain
- Abstract
- Introduction
- History of spinal anesthesia in the field of obstetrics
- Spinal technique
- Preparation
- Choice of spinal medication
- Continuous spinal anesthesia
- Intraoperative management
- Recovery from spinal anesthesia
- Postoperative complications
- Conclusion
- Application to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 36: Postoperative pain management: Truncal blocks in thoracic surgery
- Abstract
- Introduction
- Pain management for thoracic surgery patients within ERAS (enhanced recovery after surgery) protocols
- Multimodal analgesia
- Truncal blocks
- Pectoral block type I and II
- Serratus anterior plane block (SAPB)
- Paravertebral block (PVB)
- Intercostal block
- Retrolaminar block (RLB)
- Erector spinae plane block (ESPB)
- Conclusion
- Application to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 37: Postoperative pain management: Truncal blocks in general surgery
- Abstract
- Introduction
- Truncal blocks
- Transversus abdominis plane block
- Rectus sheath block
- Ilioinguinal nerve and iliohypogastric nerve blocks
- Paravertebral block
- Intercostal block
- Quadratus lumborum block
- Erector spinae plane block
- Transversalis fascia plane block
- Contraindications in truncal blocks
- Preparation for truncal blocks
- Conclusion
- Application to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 38: Linking analgesia, epidural oxycodone, pain, and laparoscopy
- Abstract
- Introduction
- Laparoscopy
- Pain after laparoscopy
- Pain treatment after laparoscopy
- Interventions during surgery to prevent postoperative pain
- Epidural analgesia
- Oxycodone
- Oxycodone central nervous penetration
- Epidural oxycodone
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts of epidural oxycodone
- Summary points
- References
- Chapter 39: Levobupivacaine features and linking in infiltrating analgesia
- Abstract
- Pharmacological basis for choice of local anesthetic for central and peripheral blocks
- Local anesthetic properties
- The mechanism of LA action
- Pharmacokinetics
- Local anesthetic toxicity
- Pharmacology and use of levobupivacaine
- Our local infiltration analgesia (LIA) body protocol
- Discussion
- Conclusions
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts of levobupivacaine
- Summary points
- References
- Part IV: Assessments, screening, and resources
- Chapter 40: The pain catastrophizing scale: Features and applications
- Abstract
- Introduction
- Features
- Applications
- Summary-conclusion
- Applications to other areas
- Mini-dictionary of terms
- Key facts
- References
- Chapter 41: Pain-related behavioral scales among a low back pain population: A narrative review
- Abstract
- Introduction
- Methodology
- Results
- Discussion
- Limitations
- Conclusions
- Clinical implication/Applications to other areas
- Mini-dictionary of terms
- Key facts
- Summary points
- Appendix
- References
- Chapter 42: The analgesia nociception index: Features and application
- Abstract
- Introduction
- Basic principle of the ANI
- Features of the ANI monitor
- Interpretation of ANI values
- Clinical applications
- Conclusions
- Mini-dictionary of terms
- Key facts of ANI
- Summary points
- References
- Chapter 43: Pain, anesthetics and analgesics/back pain evaluation questionnaires
- Abstract
- Introduction
- Back pain evaluation questionnaires for disease-specific measures
- Conclusion
- Suggestions for practical procedures
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 44: The back pain functional scale: Features and applications
- Abstract
- Introduction
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts of back pain functional scale
- Summary points
- References
- Chapter 45: Cognitive impairment, pain, and analgesia
- Abstract
- Introduction
- Physiological and pathological aging: Cognitive impairment
- Pain in the elderly
- Neurodegenerative disorders: Alzheimer’s disease
- Pain and Alzheimer’s disease
- Future
- References
- Chapter 46: Biomarkers in endometriosis-associated pain
- Abstract
- Background
- Prevalence
- Diagnosis
- Classification
- Treatment
- Biomarkers
- Blood biomarkers
- Urine biomarkers
- Endometrial biomarkers
- Discussion
- Mini-dictionary of terms
- Key facts of endometriosis
- Summary points
- Applications to other areas
- References
- Chapter 47: Biomarkers in bladder pain syndrome: A new narrative
- Abstract
- Introduction
- Biomarkers
- IC/BPS biomarkers and their potential relationship to disease pathophysiology
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 48: Biomarkers of statin-induced musculoskeletal pain: Vitamin D and beyond
- Abstract
- Introduction
- Statin associated muscle symptoms
- Cholesterol and vitamin D
- SAMS biomarkers
- Conclusion
- Other agents of interest
- Applications to other areas
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Chapter 49: Performance-based and self-reported physical fitness in musculoskeletal pain
- Abstract
- Physical fitness
- Musculoskeletal disorders
- Widespread musculoskeletal pain
- Assessment of physical fitness in widespread musculoskeletal pain
- Applications to other areas
- Other agents of interest
- Mini-dictionary of terms
- Key facts
- Summary points
- References
- Index
- No. of pages: 598
- Language: English
- Edition: 1
- Published: November 9, 2021
- Imprint: Academic Press
- Paperback ISBN: 9780128189887
- eBook ISBN: 9780128189924
RR
Rajkumar Rajendram
Dr Rajkumar Rajendram is a clinician scientist with a focus on internal medicine, anaesthesia, intensive care and peri-operative medicine. He graduated with distinctions from Guy’s, King’s and St. Thomas Medical School, King’s College London in 2001. As an undergraduate he was awarded several prizes, merits and distinctions in pre-clinical and clinical subjects.
Dr Rajendram began his post-graduate medical training in general medicine and intensive care in Oxford. He attained membership of the Royal College of Physicians (MRCP) in 2004 and completed specialist training in acute and general medicine in Oxford in 2010. Dr Rajendram subsequently practiced as a Consultant in Acute General Medicine at the John Radcliffe Hospital, Oxford.
Dr Rajendram also trained in anaesthesia and intensive care in London and was awarded a fellowship of the Royal College of Anaesthetists (FRCA) in 2009. He completed advanced training in regional anaesthesia and intensive care. He was awarded a fellowship of the Faculty of Intensive Care Medicine (FFICM) in 2013 and obtained the European diploma of intensive care medicine (EDIC) in 2014. He then moved to the Royal Free London Hospitals as a Consultant in Intensive Care, Anaesthesia and Peri-operative Medicine. He has been a fellow of the Royal College of Physicians of Edinburgh (FRCP Edin) and the Royal College of Physicians of London (FRCP Lond) since 2017 and 2019 respectively. He is currently a Consultant in Internal Medicine at King Abdulaziz Medical City, National Guard Heath Affairs, Riyadh, Saudi Arabia.
Dr Rajendram’s focus on improving outcomes from Coronavirus Disease 2019 (COVID-19) has involved research on point of care ultrasound and phenotypes of COVID-19. Dr Rajendram also recognises that nutritional support is a fundamental aspect of medical care. This is particularly important for patients with COVID-19. As a clinician scientist he has therefore devoted significant time and effort into nutritional science research and education. He is an affiliated member of the Nutritional Sciences Research Division of King’s College London and has published over 400 textbook chapters, review articles, peer-reviewed papers and abstracts.
VP
Victor R Preedy
VP
Vinood B. Patel
CR