Surgical Pain Management : A Complete Guide to Implantable and Interventional Pain Therapies

Surgical Pain Management is an essential, step-by-step guide to surgical techniques and the perioperative management of chronic pain patients whose treatment includes implantable therapies. Chapters review the steps necessary for defining a potential candidate for implant and the infrastructure to support the perioperative period and beyond, controversies in approaches for both intrathecal and spinal cord stimulation implants, healthcare education for patients with these devices, neuroaxial drug delivery, electrical stimulation of the peripheral and central nervous system, and a variety of invasive procedures for chronic and cancer pain. Appendices provide supplemental information regarding guidelines, physiology, technologies available, troubleshooting, and documentation required to organize an interventional service. This book details a range of approaches from basic implant therapies to more advanced therapies, making it an ideal companion to an advanced training program in interventional pain management and a useful resource for developing a team that will optimize care for some of the most difficult to treat chronic pain patients. Content: Cover Surgical Pain Management Copyright Dedication Contents Contributors Chapter 1. Organization of an Implant Service Chapter€2. Anesthetic Management for Chronic Pain Surgery Chapter€3. Psychological Evaluation of the Surgical Pain Patient Chapter€4. Patient Education for Surgical Interventions for Pain Chapter€5. Implantable Drug Delivery Systems Chapter€6. Externalized Epidural Infusion Systems Chapter€7. Dorsal Column Stimulation Chapter€8. Peripheral Nerve Stimulation Chapter€9. Craniofacial Nerve Stimulation Chapter 10. Field Stimulation. Chapter 11. Sacral Nerve StimulationChapter 12. Treatment of Discogenic Pain: Minimally Invasive Procedures Chapter 13. Vertebral Augmentation Chapter 14. Minimally Invasive Treatments for Spinal Stenosis: Percutaneous Lumbar Decompression Chapter 15. Endovenous Ablation Chapter 16. Deep Brain Stimulation in Refractory Chronic Pain Appendix 1. ASRA Anticoagulation Guidelines Appendix 2. Applied Spinal Anatomy Appendix 3. Pharmacology of Intrathecal Medications Appendix 4. Cerebrospinal Fluid Pharmacokinetics Appendix 5. Guide to Choosing Electrodes and Pulse Generators. Appendix 6. Stimulator Malfunction Problem-SolvingAppendix 7. Implantable Devices and Equipment Appendix 8. Food and Drug Administration Medical Device Reporting Appendix 9. Sample Operating Room Dictations Appendix 10. Surgeon's Preference Cards Appendix 11. Preventing Surgical Site Infections: Antimicrobial Prophylaxis, Skin Preparation, and Surgical Field Draping Appendix 12. Incisions, Wounds, and Suturing Appendix 13. Surgical Instruments Appendix 14. Cordotomy for Intractable Malignant Pain Index. 'Surgical Pain Management' is an essential step-by-step guide to surgical techniques and the perioperative management of chronic pain patients whose treatment includes implantable therapies. Chapters review what makes a potential candidate for implant therapy, patient education, and the surgical management of a patient along with the needed resources to organize an implant service. This book is an ideal companion to an advanced training program in interventional pain management and a useful resource for developing a team that will optimize care for some of the most difficult to treat chronic pain patients