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Complications in Regional Anesthesia and Pain Medicine PDF

400 Pages·2006·12.73 MB·English
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1600 John F.Kennedy Blvd. Suite 1800 Philadelphia,PA 19103-2899 Complications in Regional Anesthesia and Pain Medicine ISBN-13:978-1-4160-2392-0 Copyright © 2007 by Saunders,an imprint ofElsevier Inc. ISBN-10:1-4160-2392-5 All rights reserved.No part ofthis publication may be reproduced or transmitted in any form or by any means,electronic or mechanical,including photocopying,recording,or any information storage and retrieval system,without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department in Philadelphia,PA, USA:phone:(+1) 215 239 3804,fax:(+1) 215 239 3805,e-mail:[email protected] may also complete your request on-line via the Elsevier homepage (http://www.elsevier.com),by selecting ‘Customer Support’and then ‘Obtaining Permissions’. Notice Knowledge and best practice in this field are constantly changing.As new research and experience broaden our knowledge,changes in practice,treatment,and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer ofeach product to be administered,to verify the recommended dose offormula,the method and duration ofadministration,and contraindications.It is the responsibility ofthe practitioner,relying on their own experience and knowledge ofthe patient,and to make diagnoses,to determine dosages and the best treatment for each individual patient,and to take all appropriate safety precautions.To the fullest extent of the law,neither the Publisher nor the authors assume any liability for any injury and/or damage to persons or property arising out ofor related to any use ofthe material contained in this book. The Publisher Library ofCongress Cataloging-in-Publication Data Complications in regional anesthesia and pain medicine / editors,Joseph Neal, James P.Rathmell.-- 1st ed p.cm. ISBN 1-4160-2392-5 1. Conduction anesthesia--Complications.2. Pain--Treatment.3. Pain medicine. I.Neal,Joseph M.II.Rathmell,James P. RD84.C658 2007 617.9′64--dc22 2006044963 Executive Publisher: Natasha Andjelkovic Developmental Editor: Katie Davenport Project Manager: Bryan Hayward Printed in the United States ofAmerica Last digit is the print number: 9 8 7 6 5 4 3 2 1 We dedicate this book to the well being of our patients, to the education of our residents and fellows,and to the collegiality of our colleagues. Most of all,we offer our heartfelt gratitude to our families. Without their love and support,nothing would be possible— Kay,Erin,and Pete Neal Bobbi,Lauren,James,and Cara Rathmell Preface This text arose from the close collaboration of two physi- The content is organized into distinct sections.The sec- cians who have spent the early part oftheir careers fascinated tion on regional anesthesia is somewhat artificially separated with just how we might improve the safety ofthe techniques from the section on pain medicine; we realize that we use in the operating room and the pain clinic.We have many complications span both subspecialties.The first,and both published on topics ranging from how to perform a largest,portion is dedicated toward discussing the complica- “test dose” during the conduct of regional anesthesia, to tions that have been reported with specific techniques or detailing the probable mechanism underlying catastrophic agents, complications both common and uncommon. The neural injuries that have been reported during cervical last part attempts to clarify issues of informed consent and transforaminal injection. liability. In recent years, we have worked closely in performing We have been honored by the willingness of highly the editorial work of the journal Regional Anesthesia and respected friends and colleagues to devote their time Pain Medicine,and in our roles serving the journal we have and expertise to the creation of detailed chapters that were fielded many case reports detailing new and unexpected subject to rigorous editing.We believe that any knowledge- complications.The American Society ofRegional Anesthesia able anesthesiologist is likely to recognize these authors and Pain Medicine, an organization dedicated to training as leading experts in the specific complications on which physicians to safely and effectively conduct regional anesthe- they have written. Our editorial goals were to ensure a sia,has spent much effort on assembling guidelines for the consistent framework for how each chapter was organized, safe conduct ofthese techniques. Indeed,a number ofthese to require the authors to be as evidence-based as possible, guidelines have become the standard references for guiding and to provide readers with visually appealing figures the conduct ofneural blockade in settings where the risk of and boxes that would facilitate their understanding of each adverse events is elevated, such as in the administration of topic. anticoagulants to patients,or in the prevention and manage- We could not have produced this book without the ment of infectious or neurologic complications associated valued expertise ofseveral other key people.The spectacular with regional anesthesia. original artwork is by Gary Nelson,an indefatigable medical During one of our frequent discussions, the idea of illustrator from the University of Vermont. Working with compiling a single text that would detail what was known him is almost pleasurable enough to search for yet another about the occurrence, recognition, treatment, and preven- book project.The readability ofthis book is largely credited tion of complications took root and has grown to this to Jeff Baker, Managing Editor of the journal Regional new text. Anesthesia and Pain Medicine based in Seattle,Washington. When we set out to create a book focusing on the Without his attention to detail,adherence to deadlines,and complications associated with regional anesthesia and pain unflappable good humor, this project would have been medicine practice, we had just two goals: to compile in a much less pleasant. In Burlington, Vermont, it was Kellie single volume the current best knowledge regarding complica- Dutra who organized and reorganized text and reminded tions specific to our sub-specialties,and to seek that knowledge and re-reminded contributors to stay on schedule. Finally, from authors who would be recognized worldwide for their no book would ever come to fruition without a dedicated expertise on the chosen topic. and supportive publishing team. To this end, we offer our

Description:
This single-source reference addresses complications related to the practice of regional anesthesia and pain medicine. Chapters are written by a world authority on each specific complication and are evidence-based from an extensive literature search. Each chapter is constructed to follow a defined a
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