Pain Management and Anesthesiology: Papers presented at the 43rd Annual Postgraduate Course in Anesthesiology, February 1998 (Developments in Critical Care Medicine and Anaesthesiology, 33)

__Pain Management and Anesthesiology__ contains the presentations made at the 43rd Annual Postgraduate Course in Anesthesiology sponsored by the University of Utah and held at Snowbird, Utah, USA, February 20-24, 1998. This volume addresses recent advances in the understanding of the basic science and clinical management of pain. The textbook includes sections on recent advances in the understanding of pain signal processing, as well as reviews of the clinical management of acute, chronic, cancer-related, and pediatric pain. In addition, this text includes a discussion of the behavioral assessment and treatment of the pain patient. This textbook is the sixteenth in a continuing series documenting the proceedings of the postgraduate course. Front Matter....Pages i-xii Mechanisms of Opioid Analgesia and Tolerance....Pages 1-11 Descending Facilitation of Pain....Pages 13-18 The Contribution of NMDA and Second Messengers to the Persistent Pain States Produced by Tissue and Nerve Injury....Pages 19-27 New Clinical Pharmacology Concepts in Pain Management....Pages 29-54 The Contribution of Substance P to Long-Term Changes in the Spinal Cord Dorsal Horn: Reorganization in the Setting of Persistent Injury....Pages 55-63 Pain and the Surgical Stress Response....Pages 65-73 Visceral Pain and Visceral Hyperalgesia....Pages 75-79 Postoperative Pain: Assessment and Choice of Methods of Treatment....Pages 81-94 Patient-Controlled Analgesia (Part I): Historical Perspective....Pages 95-101 Peripheral Treatment of Acute Pain....Pages 103-108 Patient-Controlled Analgesia (Part II): Update on its Clinical Usage....Pages 109-123 Organization and Operation of an Acute Pain Service....Pages 125-135 Use Of Non-Opioid Analgesic Techniques....Pages 137-152 Pain Management in Children....Pages 153-166 Effect of Postoperative Pain Relief on Surgical Outcome....Pages 167-172 Pain Assessment in Kids—The Fifth Vital Sign....Pages 173-184 Complications and Relative Safety of Regional Anesthesia in Children....Pages 185-204 Pediatric Sedation Challenges Outside the Operating Room....Pages 205-216 Spinal Opioids: Clinical Applications for Acute and Chronic Pain....Pages 217-236 Epidural Steroids....Pages 237-245 Mechanisms and Treatment of Spinal Cord Injury Pain: An Update....Pages 247-262 Prevention of Post-Herpetic Neuralgia....Pages 263-275 Update on Anatomy, Physiology and Pharmacology of Epidural Neural Blockade....Pages 277-294 The Interface Between Acute and Chronic Pain Management....Pages 295-301 Radiation Safety for the Pain Physician and the use of a Laser Guided C-Arm to Facilitate Pain Block Placements....Pages 303-309 Back Matter....Pages 311-312