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Ambulatory care can be a challenging setting in which to provide anesthesia – not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.
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.
Seasoned clinicians comprehensively, yet succinctly, summarize their years of experience in the diagnosis and treatment of acute and chronic pain across a wide variety of medical conditions. Drawing on their extensive personal knowledge of internal medicine, family practice, rheumatology, neurology, cardiology, as well as of urology, oncology, neurology, physical medicine, and gastroenterology, they provide all the practical information needed by busy practitioners to initiate appropriate diagnostic tests and therapy-without having to consult other references. Treatment is presented in practical terms, with specific but full information given on medications and dosages.
Based on the symbol of the olive tree and the gathering of Israel.
This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.
Ted Grant was a well-known figure in the international Marxist movement. He had a significant impact on British politics. When he died all the most important newspapers carried extensive obituaries that recognised this fact. This is a remarkable work that comprehensively covers the development of Ted's life and ideas, starting from his early family background in Johannesburg right up to his death in London in 2006 at the age of 93. From his earliest youth in South Africa Ted Grant dedicated his life to the struggle for the emancipation of the working class. Moving to Britain in 1934 to seek new horizons, within a decade he had become the leading theoretician of the Trotskyist movement. The b...
Medically unexplained somatic symptoms are problematic in psychiatry, primary care settings, and other clinical areas. The burden they impose on health-care systems constitutes a significant public health problem. At the international symposium "Rethinking Somatoform Disorders," this problem was addressed by specialists working in somatoform disorders, psychiatric nosology, epidemiology, and biological and cross-cultural psychiatry. The meeting was the third of the Keio University International Symposia for Life Sciences and Medicine, in collaboration with the World Health Organization and the World Psychiatric Association.