Anesthesiology And Pain Management (developments In Critical Care Medicine And Anaesthesiology)

Theodore H. Stanley, M.D. Anesthesiology and Pain Management contains the Refresher Course manuscripts of the presentations of the 36th Annual Postgraduate Course in Anesthesiology which took place at The Cliff Conference Center in Snowbird, Utah, February 22-26, 1991. The chapters reflect new data and concepts within the general framework of "pain research and basic science," "clinical topics in pain management." The purposes of the textbook are to 1) act as a reference for the anesthesiologists attending the meeting, and 2) serve as a vehicle to bring many of the latest concepts in anesthesiology to others within a short time of the formal presentation. Each chapter is a brief but sharply focused glimpse of the interests in anesthesia expressed at the conference. This book and its chapters should not be considered complete treatises on the subjects addressed but rather attempts to summarize the most salient points. This textbook is the ninth in a continuing series documenting the proceedings of the Postgraduate Course in Salt Lake City. We hope that this and the past and future volumes reflect the rapid and continuing evolution of anesthesiology in the late twentieth century. ix list of Contributors Ashburn, Michael A. Department of Anesthesiology, University of Utah, Salt Lake City, Utah Basbaum, Allan Department of Anatomy & Physiology, University of California - San Francisco, San Francisco, California Bonica, John J. Department of Anesthesiology, The University of Washington, Seattle, Washington Cousins, Michael J. Front Matter....Pages i-xiii Pain Management: Past and Current Status Including Role of the Anesthesiologist....Pages 1-30 Peripheral Mechanisms of Sensitization and Hyperalgesia....Pages 31-37 Neurotransmitter Systems Involved in Nociceptive Transmission....Pages 39-51 The Contribution of the Nervous System to Inflammation and Inflammatory Disease....Pages 53-60 Pain and the Sympathetic Nervous System: A Clinical Perspective....Pages 61-66 The Central Nervous System Substrate for the Transmission of ′′Pain′′ Messages....Pages 67-72 The Management of Pain: The Future....Pages 73-92 Mechanisms of Analgesic Action of Spinal Opioids....Pages 93-102 Clinical Applications of Spinal Opioids in Acute and Chronic Pain....Pages 103-119 Local Anesthetics: Update....Pages 121-129 Differential Neural Blockade: Clinical Utility and Current Concepts....Pages 131-152 Neurolytic and Neuroablative Procedures....Pages 153-180 Regional Anesthesia for the Management of Post-Operative Pain....Pages 181-185 Regional Anesthesia in the Pediatric Population....Pages 187-192 Clinical Protocol and Role of Controlled Release Morphine in the Surgical Patient....Pages 193-212 Acute Pain: Assessment and Clinical Implications....Pages 213-217 Postoperative Pain Management in Children....Pages 219-225 Choice of Methods for Acute Pain Control....Pages 227-236 Patient-Controlled Analalgesia I: Historical Perspective and Newer Devices....Pages 237-243 Patient-Controlled Analgesia II: Comparative Studies and Alternative Routes of Administration....Pages 245-248 Comparative Efficacy of Post-Operative Pain Control Techniques....Pages 249-256 Structure and Development of an Acute Pain Service....Pages 257-266 Future Trends in Postoperative Pain Management....Pages 267-282 Chronic Pain: The Anesthesiologist’s Role....Pages 283-289 Chronic Non-Malignant Pain: The Interdisciplinary Model and Behavioral Aspects....Pages 291-300 Therapeutic Strategies in the Management of Patients with Pain and Cancer....Pages 301-321 Myofascial Trigger Point Pain....Pages 323-329 Reflex Sympathetic Dystrophy and Causalgia: Diagnosis and Management....Pages 331-350 Non-Invasive Drug Delivery Systems for the Management of Postoperative Pain....Pages 351-363 Chronic Pain Management in Pediatrics....Pages 365-368 The Role of Adjuvant Drugs and Anesthetic Blocks in the Management of Patients with Cancer and Pain....Pages 369-384