Administration Medicine Economics

Acute Pain Management: A Practical Guide by Pamela E. Macintyre

By Pamela E. Macintyre

Highly counseled, BMA scientific e-book Awards 2015

Comprehensive acute ache administration not ability purely taking good care of sufferers with discomfort as a result of postoperative and trauma-related causes―it now contains coping with sufferers with acute discomfort bobbing up from a wide selection of stipulations.

Acute discomfort administration: a realistic Guide

presents overall healthiness execs with basic and sensible info to aid them deal with sufferers with acute discomfort properly and successfully. The e-book additionally is helping them to spot and deal with acute ache in additional advanced sufferers, for whom powerful therapy will be challenging.

In this new version, chapters were revised and up-to-date, usually largely, to mirror present wisdom and perform. This source will unquestionably be invaluable to various execs in assessing and dealing with acute discomfort.

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Extra resources for Acute Pain Management: A Practical Guide

Example text

All rely on APS nurses and regardless of the model chosen, an organized team approach is important. Whether simple or “high-tech” analgesic options are used, patients whose pain relief is managed by an APS may have less pain, suffer fewer side effects, and express greater satisfaction, than patients whose pain management is supervised by less experienced staff (ANZCA and FPM, 2010). Unfortunately, many APSs have tended to concentrate on the “high-tech” approaches to pain relief and placed much less emphasis on improving the simple methods of analgesia throughout their hospital.

Pain Physician 14(4): E343–60. indb 30 30-10-2014 22:03:51 Pharmacology of opioids ●● ●● Antagonists: Drugs that bind to but do not stimulate opioid receptors and may reverse the effect of opioid agonists. , produce a submaximal response compared with an agonist). Agonist–antagonists: Drugs that are agonists at one opioid receptor type and antagonists at another. Chapter 4 ●● Genetic polymorphisms of the μ-opioid receptor have been described and have been shown in some studies to affect pain relief and opioid requirements in patients given morphine and fentanyl after surgery (ANZCA and FPM, 2010).

Monitors that can measure a patient’s PetCO2 or PtcCO2 in general wards are becoming more common. However, it is unlikely that every patient given an opioid in every hospital will be able to have continuous PetCO2 or PtcCO2 and SpO2 monitoring for some while yet. , 2011). It is therefore sometimes recommended that patients assessed as being at a higher risk of OIVI should be monitored more closely. While this will be the case for selected patients, any attempts to rely more generally on “identification” of an “at-risk” patient will result some being missed.

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