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This book extensively reviews the increased understanding and development of pain and sedation management in the emergency department. Articles address measuring pain; changing physician and nurse attitudes about pain; the drug-seeking patient; aberrant drug-related behaviors; managing chronic pain in the acute care setting; painful dilemmas; pain in the pediatric population; prehospital pain management; basic pharmacological advances; placebo use; and future directions.
The only reference on managing pain in the emergency room, this groundbreaking resource is the first book to provide an authoritative, clinical reference on managing acute pain and chronic pain problems in the ER. Includes drug and dosage tables throughout with details on drug therapeutics, regulations, drug-seeking patients, legal aspects of pain management and sedation, and more.
Procedural sedation is commonly used in the emergency department for patients undergoing painful procedures such as fracture reduction or electrical cardioversion. The fourth volume in the Essential Emergency Medicine series, Essential Emergency Procedural Sedation and Pain Management provides a unique interprofessional perspective on delivering procedural sedation and analgesia. The book is designed for staff physicians, residents, nurses, professionals, and allied health care workers. Although procedural sedation is commonly employed and recognized as a required skill set for emergency physicians, there is a lack of appropriate education in the area, and this book bridges gaps in training, especially in the interprofessional team setting.
Procedural sedation and analgesia represents one of the great advances in the maturation of emergency medicine as a discrete speciality within medicine. Once the exclusive domain of the anesthesiologist, sedation and pain management procedures are now a routine part of all emergency department practices. Emergency Sedation and Pain Management is a comprehensive medical text addressing emergency sedation and analgesia with specific emphasis on treatment of the emergency department patient. The easily accessible, clinically oriented format allows the reader fast and efficient access to the key points in each chapter. The text presents a clinical approach to the treatment of pain in emergency patients, including pediatric and adult populations. Analgesia, sedation, and anesthetic techniques are presented in an informative, authoritative, and concise format - written and edited by physicians with extensive research as well as clinical emergency medicine expertise. The chapters are richly supplemented with tables, photographs, and step-by-step illustrations.
This book is a comprehensive medical text addressing emergency sedation and analgesia in the emergency department.
Millions of procedures requiring sedation are performed each year, covering a large array of medical specialties in both inpatient and outpatient settings. This tremendous growth has led to sedation being administered by a wide range of healthcare providers, including non-anesthesiologist physicians, nurses and nurse practitioners. Moderate and Deep Sedation in Clinical Practice is a concise, practical handbook for all medical and surgical professionals who sedate patients. This up-to-date, evidence-based 'how-to' manual instructs these professionals on how to evaluate patients, updates relevant pharmacology, and guides them on legal and quality assurance issues. It contains advice on sedation for specific populations, such as elderly, pediatric, ICU, emergency room, endoscopy, and reproductive technologies. Written and edited by experts in procedural sedation and sedation education, this book will help users develop safer techniques, policies, and procedures. It is essential reading for any healthcare provider administering moderate or deep sedation.
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
This book is intended for periodontal residents and practicing periodontists who wish to incorporate the principles of moderate sedation into daily practice. A history of the development of sedation in dental practice sets the stage for understanding the need for a comprehensive preanesthetic evaluation to identify potentially reactive patients prior to treatment. Useful drugs for moderate sedation and reversal agents in the office setting are reviewed to ensure proper perioperative usage. Comprehensive airway management and rescue skills are then documented in detail so that the patient may be properly managed in the event that the sedation progresses beyond the intended level. A key aim is to equip the reader with sufficient knowledge and preparedness to overcome the patient management challenges associated with common and uncommon deviations from intraoperative norms. Finally, for those academicians interested in teaching the principles of sedation to periodontal residents, a curriculum development tool is provided to ensure comprehensive training leading to competency.