Essentials of Pain Medicine-4판

Accessible, concise, and clinically focused, Essentials of Pain Medicine, 4th Edition, by Drs. Honorio T. Benzon,
Srinivasa N. Raja, Scott M. Fishman, Spencer S. Liu, and Steven P. Cohen, presents a complete, full-color overview of
today's theory and practice of pain medicine and regional anesthesia. It provides practical guidance on the full range
of today's pharmacologic, interventional, neuromodulative, physiotherapeutic, and psychological management options for
the evaluation, treatment, and rehabilitation of persons in pain.

New to this Edition
•Features hundreds of diagrams, illustrations, summary charts and tables that clarify key information and injection
techniques - now in full color for the first time.


•Includes the latest best management techniques, including joint injections, ultrasound-guided therapies, and new
pharmacologic agents (such as topical analgesics).



•Discusses recent global developments regarding opioid induced hyperalgesia, addiction and substance abuse,
neuromodulation and pain management, and identification of specific targets for molecular pain.



•Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the
text, figures, Q&As, and references from the book on a variety of devices.


Key Features
•Covers all you need to know to stay up to date in practice and excel at examinations - everything from basic
considerations through local anesthetics, nerve block techniques, acupuncture, cancer pain, and much more.


•Uses a practical, quick-reference format with short, easy-to-read chapters.

•Presents the management of pain for every setting where it is practiced, including the emergency room, the critical
care unit, and the pain clinic.

Author Information
By Honorio Benzon, MD, Professor of Anesthesiology, Associate Chair for Academic Affairs and Promotions, Northwestern
University Feinberg School of Medicine, Chicago, Illinois; Srinivasa N. Raja, MD, Professor of Anesthesiology, Critical
Care Medicine and Neurology, Director of Pain Research, Division of Pain Medicine, Johns Hopkins University School of
Medicine, Baltimore, Maryland ; Scott M Fishman, MD, Professor of Anesthesiology and Pain Medicine, Chief, Division of
Pain Medicine, Vice Chair, Department of Anesthesiology and Pain Medicine, University of California Davis School of
Medicine, Sacramento, California; Spencer S Liu, MD, Clinical Professor of Anesthesiology, Attending Anesthesiologist,
Director of Acute Pain Service, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York and
Steven P Cohen, MD, Associate Professor of Anesthesiology and Critical Care Medicine, Director of Medical Education,
Pain Management Division, Johns Hopkins School of Medicine, Baltimore, Maryland

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Section 1: Basic Considerations

1. Anatomy and Physiology of the Pain Signaling Process
2. Neurochemistry of Somatosensory and Pain Processing
3. Taxonomy: Definition of Pain Terms and Chronic Pain Syndromes

Section 2: Clinical Evaluation and Diagnostic Examinations

4. Physical Examination of the Patient with Pain
5. Pain Assessment
6. Psychological Evaluation and Testing
7. Diagnostic and Statistical Manual of Mental Disorders and Pain Management
8. Neurophysiologic Testing for Pain
9. Anatomy, Imaging and Common Pain-Generating Degenerative Pathologies of the Spine
10. Determination of Disability

Section 3: Perioperative Pain Management

11. Preventive Analgesia
12. Perioperative Nonopioid Infusions for Postoperative Pain Management
13. Patient-Controlled Analgesia
14. Intrathecal Opioid Injections for Postoperative Pain
15. Epidural Opioids for Postoperative Pain
16. Continuous Peripheral Nerve Blocks
17. Pediatric Postoperative Pain
18. Chronic Pain After Surgery

Section 4: Chronic Pain Syndromes

19. Migraine Headache and the Trigeminal Autonomic Cephalalgias (TAC)
20. Tension-Type Headache, Chronic Tension-Type Headache, and Other Chronic Headache Types
21. Postmeningeal Puncture Headache and Spontaneous Intracranial Hypotension
22. Cervicogenic Headache
23. Orofacial Pain
24. Overview of Low Back Pain Disorders
25. Myofascial Pain Syndrome
26. Fibromyalgia and Centralized Pain States
27. Complex Regional Pain Syndrome
28. Herpes Zoster and Postherpetic Neuralgia
29. Postamputation Pain
30. Central Pain States
31. Pelvic Pain
32. Painful Peripheral Neuropathies
33. Entrapment Neuropathies

Section 5: Cancer Pain and Pain in Special Situations

34. Approach to Management of Cancer Pain
35. Management of Pain at End of Life
36. Pain Management in the Emergency Department
37. Chronic Pain Management in Children and Adolescents
38. Sickle Cell Pain
39. Pain Management During Pregnancy and Lactation
40. Pain Control in the Critically Ill Patient
41. Geriatric Pain

Section 6: Pharmacology and Pharmacologic Modalities

42. Major Opioids and Pain Management
43. Opioids Used for Mild to Moderate Pain
44. The Prescription Drug Abuse Epidemic and Emerging Prescribing Guidelines
45. Legal and Regulatory Issues in Pain Management
46. Urine Drug Testing
47. Substance Use Disorders and Detoxification
48. Psychopharmacology for Pain Medicine
49. Membrane Stabilizers
50. Recommendations for Pharmacological Therapy of Neuropathic Pain
51. Nonopioid Analgesics: NSAIDs, COX-2 Inhibitors, and Acetaminophen
52. Intravenous Infusions for Refractory Cancer and Chronic Pain States
53. Pharmacologic Management of Myofascial Pain
54. Pharmacologic Management of CRPS
55. Pharmacology for the Interventional Pain Physician
56. Role of Cannabinoids in Pain Management

Section 7: Therapeutic Interventions

57. Ablative Neurosurgical Procedures for Treatment of Chronic Pain
58. Physical Medicine and Rehabilitation Approaches to Pain Management
59. Psychological Interventions for Chronic Pain
60. Acupuncture
61. Tai Chi and Chronic Pain

Section 8: Interventional Techniques for Pain Management

62. Interlaminar Epidural Steroid Injections for Lumbosacral Radicular Pain
63. Transforaminal Epidural Steroid Injections and Selective Nerve Root Blocks
64. ANTI TNF - α Drugs and DMARDs for Low Back Pain
65. Facet Syndrome
66. Sacroiliac Joint Syndrome
67. Piriformis Syndrome
68. Pulsed Radiofrequency, Water-Cooled Radiofrequency, and Cryoneurolysis
69. Discography
70. Vertebroplasty and Kyphoplasty
71. Neurolytic Sympathetic Blocks
72. Central and Peripheral Neurolysis
73. Spinal Cord Stimulation
74. Peripheral Nerve Stimulation
75. Dorsal Root Ganglion Stimulation
76. Implanted Drug Delivery Systems for the Control of Chronic Pain
77. Fluoroscopy and Radiation Safety
78. Efficacy of Interventional Procedures for Neuropathic Pain

Section 9: Other Nerve Blocks in Pain Medicine

79. Ultrasound-Guided Procedures for Pain Management
80. Deep Muscle Injections: Piriformis, Scalene Muscle, Iliposoas Injections
81. Ultrasound-Guided Musculoskeletal Injections--Shoulder, Hip, and Knee
82. Head and Neck Blocks
83. Truncal Blocks: Intercostal, Paravertebral, Interpleural, Tap, Suprascapular, Ilioinguinal, and Iliohypogastric
Nerve Blocks
84. Sympathetic Blocks: Stellate Ganglion, Lumbar Sympathetic Blocks, and Visceral Sympathetic Blocks -- Fluoroscopy
and Ultrasound-Guided
85. Interventional Pain Procedures in Patients on Anticoagulants
86. Interventional Pain Procedures and the Risk of Infection