E-Book Overview
Acute Pain brings coverage of this diverse area together in a single, comprehensive clinical reference, from the basic mechanisms underlying the development of acute pain, to the various treatments that can be applied to control it in different clinical settings. Much expanded in this second edition, the volume reflects the huge advances that continue to be made in acute pain management. Part One examines the basic aspects of acute pain and its management, including applied physiology and development neurobiology, the drugs commonly used in therapy, assessment, measurement and history-taking, post-operative pain management and its relationship to outcome, and preventive analgesia. Part Two reviews the techniques used for the management of acute pain. Methods of drug delivery and non-pharmaceutical treatments including psychological therapies in adults and children and transcutaneous electrical nerve stimulation are considered here. Part Three looks at the many clinical situations in which acute pain can arise, and the methods of treatment that may be suitable in each circumstance, whether the patient is young or old, has pain due to surgery, trauma, medical illness or childbirth, or is undergoing rehabilitation. Issues specific to the management of acute pain in the developing world are also covered here.
E-Book Content
Clinical Pain Management Acute Pain
LEAD EDITOR Andrew SC Rice MB BS MD FRCA Reader in Pain Research, Department of Anaesthetics, Pain Medicine and Intensive Care Imperial College London; and Honorary Consultant in Pain Medicine, Chelsea and Westminster Hospital Foundation NHS Trust, London, UK
SERIES EDITORS Douglas Justins MB BS FRCA Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists Consultant in Pain Medicine and Anaesthesia Pain Management Centre St Thomas’ Hospital London, UK Toby Newton-John BA(Hons) MPsych(Clin) PhD Consultant Clinical Psychologist and Program Director Innervate Pain Program and Faculty of Medicine, University of Sydney Australia Richard F Howard BSc MB ChB FRCA Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists Consultant in Paediatric Anaesthesia and Pain Management Great Ormond Street Hospital for Children London, UK Christine A Miaskowski RN PhD FAAN Professor and Associate Dean for Academic Affairs Department of Physiological Nursing UCSF School of Nursing San Francisco, CA, USA
Acute Pain Edited by Pamela E Macintyre, Suellen M Walker, and David J Rowbotham Chronic Pain Edited by Peter R Wilson, Paul J Watson, Jennifer A Haythornthwaite, and Troels S Jensen Cancer Pain Edited by Nigel Sykes, Michael I Bennett, and Chun-Su Yuan Practice and Procedures Edited by Harald Breivik, William I Campbell, and Michael K Nicholas
Clinical Pain Management Acute Pain 2nd edition
Edited by
Pamela E Macintyre
BMEDSC MBBS FANZCA MHA FFPMANZCA
Consultant Anaesthetist; and Director, Acute Pain Service Department of Anaesthesia, Pain Medicine and Hyperbaric Medicine Royal Adelaide Hospital and University of Adelaide Adelaide, Australia
Suellen M Walker
MBBS MM(PM) MSC PHD FANZCA FFPMANZCA
Clinical Senior Lecturer in Paediatric Anaesthesia and Pain Medicine UCL Institute of Child Health and Great Ormond Street Hospital NHS Trust London, UK
David J Rowbotham
MB CHB MD MRCP FRCA
Professor of Anaesthesia and Pain Management; and Head, Clinical Division of Anaesthesia, Critical Care and Pain Management, University of Leicester Leicester, UK
First published in Great Britain in 2003 This second edition published in 2008 by Hodder Arnold, an imprint of Hodder Education, part of Hachette Livre UK, 338 Euston Road, London NW1 3BH http://www.hoddereducation.com & 2008 Hodder & Stoughton Limited All rights reserved. Apart from any u