This is the 2015 volume of this book-series written as annual review of recent advances in anaesthesia/anesthesiology, written mostly for a readership of anesthesiolgists/anaesthetists.There are several chapters that are of interest to a wider readership concerned with management of acute and chronic pain. There are interesting discussions of neuraxial blocks for obstetric pain, e.g. when to start epidural analgesia in relation to progress of vaginal delivery, spinal/epidural analgesia for severe preeclampsia with low platelet counts.In the chapter on Enhanced Recovery After Surgery (ERAS) Programs for abdominal surgery the authors emphasize that epidural analgesia is an import part of these programs.Total knee arthroplasty results in severe postoperative pain unless expert nerve blocks and multimodal analgesia are practised skilfully.There is also an important chapter covering the prescription opioid abuse crisis in the USA, important because a considerable part of patients developing this serious problem, even with unintended fatal overdose, start their opioid use after surgery, continuing for too long with too high doses and not appropriate monitoring by their general practitioner. Anesthesiologists and surgeons are now focusing on their responsibility for a better and safer prolonged postoperative pain-management including instructions to the patients and their family physicians with a clear opioid-weaning program.
Scandinavian Journal of Pain – de Gruyter
Published: Oct 1, 2017
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