Pain Management and Sedation: Emergency Department Management: Emergency Department Management

Paperback | October 14, 2005

bySharon Mace, James Ducharme, Michael Murphy

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DETAILED GUIDANCE ON PAIN RELIEF IN THE ED

This thorough and informative text provides ready, expert answers to both everyday questions and to the often challenging, complex, and diverse issues that arise around pain management and sedation in the emergency department. Written by three leading authorities, Pain Management and Sedation provides in-depth, yet practical and easy-to-find guidance on relieving the complaint that brings more than 50% of patients to emergency care. A groundbreaking work, it is the first text to treat this important subject in depth from the emergency room perspective.

Covering every aspect of the subject, Pain Management and Sedation offers

  • Step-by-step guidance on approaches to patients, from preprocedure through discharge
  • System-by-system patient evaluation protocols
  • In-depth coverage of specific techniques, from conscious sedation through iontophoresis
  • Drug-class by drug-class guidance on pharmacologic agents
  • Specific guidance on pediatric, geriatric, pregnant, neonatal, and other patients with special considerations
  • Coverage of useful techniques such as TENS, hypnosis, psychologic approaches, and other nonpharmacologic interventions
  • Expert advice on key policy, administrative, and legal concerns

    EXPERT GUIDANCE

  • Patient assessment protocols
  • Drug regulations
  • Drug-seeking patients
  • Local and regional anesthesia
  • Conscious sedation
  • Drug therapeutics, with dosage charts
  • Patients with special considerations
  • Anxiety relief
  • Nonpharmacologic interventions
  • Legal and administrative issues
  • Pricing and Purchase Info

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    From the Publisher

    DETAILED GUIDANCE ON PAIN RELIEF IN THE EDThis thorough and informative text provides ready, expert answers to both everyday questions and to the often challenging, complex, and diverse issues that arise around pain management and sedation in the emergency department. Written by three leading authorities, Pain Management and Sedation p...

    Sharon E. Mace, MD, Director, Observation Unit, and Director, Pediatric Education, Department of Emergency Medicine, The Cleveland Clinic, Cleveland, Ohio Dr. Mace and her colleagues at Cleveland Clinic are the recipients of several NIH grants to study pain management in the ED; this is an outgrowth of their work in chest pain/car...
    Format:PaperbackDimensions:544 pages, 9.2 × 7.3 × 0.69 inPublished:October 14, 2005Publisher:McGraw-Hill EducationLanguage:English

    The following ISBNs are associated with this title:

    ISBN - 10:0071442022

    ISBN - 13:9780071442022

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    Extra Content

    Table of Contents


    Section I: ADMINISTRATIVE
    1.History/Background
    2.Definitions
    3.Regulations
    4.Documentation/Standardized Forms
    5.Quality Improvement/Risk Management
    6.Legal Aspects
    7.Policies and Procedures

    Section II: APPROACH TO THE PATIENT
    1.Preprocedural PatientAssessment
    2.American Society of Anesthesia (ASA) Classifications
    3.Pain Scales
    4.Equipment
    5.Procedural Patient Assessment and Monitoring
    a.Airway
    b.Respiratory
    c.Cardiovascular/Hemodynamics
    d.Neurologic
    6.Post Procedure Evaluation
    a.Discharge Criteria Assessment of Patient Stability
    b.Patient Discharge Instructions

    Section III: PHYSIOLOGY
    1.Cardiovascular
    2.Respiratory
    3.Central Nervous System
    4.Autonomic Nervous System
    5.Renal
    6.Hepatic

    Section IV: PROCEDURE/TECHNIQUES
    1.Conscious Sedation
    2.Pain Management
    a.Definition, acute vs chronic
    b.Pathophysiology
    c.The Drug Seeking Patient
    3.Regional Anesthesia
    4.Nerve Blocks
    5.Local Anesthesia
    a.Topicals
    1.Vapocoolant sprays
    2.Creams: EMLA, Eutetic, elemax
    3.Combination Solutions: Tac, LET
    b.Injectables
    1.Amides
    2.Esters
    3.Long acting vs short acting
    4.Others: Benadryl
    c.Iontophoresis (numby)

    Section V. PHARMACOLOGY
    1.Muscle Relaxants
    2.Neuromuscular Blockers
    3.Adjunctive Medications
    a.Atropine/Glycopyrolate
    b.Lidocaine
    c.Others
    4.Reversal Agents
    a.Naloxone/Naltrexone
    b.Flumazenil
    5.Agents for Conscious Sedation (Sedative Drugs)
    a.Propofol
    b.Etomide
    c.DPT
    d.Chloral Hydrate
    e.Barbiturates
    f.Benzodiazepines
    g.Ketamine
    6.Pain Medications
    a.Opoids
    b.Nonsteroidal
    c.Acetaminophen
    d.Others
    7.Anesthetics
    a.Inhalant anesthetics
    b.Nitrous oxide

    Section VI: SPECIAL CONSIDERATIONS
    1.Devices
    a.Transcutaneous Electrical Nerve Stimulation (TENS)
    b.Continuous Infusions
    2.Palliative Care
    3.Pediatrics
    a.Pediatrics
    b.Neonates
    c.Children with Special Health Care Needs
    4.Geriatrics
    5.The Pregnant Patient
    6.Nonpharmacologic Interventions
    a.Hypnosis
    b.Psychologic Techniques