Main description:

Surgical Pain Management is an essential, step-by-step guide to surgical techniques and the perioperative management of chronic pain patients whose treatment includes implantable therapies. Chapters review the steps necessary for defining a potential candidate for implant and the infrastructure to support the perioperative period and beyond, controversies in approaches for both intrathecal and spinal cord stimulation implants, healthcare education for patients with
these devices, neuroaxial drug delivery, electrical stimulation of the peripheral and central nervous system, and a variety of invasive procedures for chronic and cancer pain. Appendices provide supplemental information regarding guidelines, physiology, technologies available, troubleshooting, and
documentation required to organize an interventional service. This book details a range of approaches from basic implant therapies to more advanced therapies, making it an ideal companion to an advanced training program in interventional pain management and a useful resource for developing a team that will optimize care for some of the most difficult to treat chronic pain patients.

Contents:

Part I: Foundations of a Surgical Pain Management Team
1. Organization of an Implant Service

2. Anesthetic Management for Chronic Pain Surgery

3. Psychological Evaluation of the Surgical Pain Patient

4. Patient Education for Surgical Intervention for Pain

Part II: Operations in Surgical Pain Management
5. Implantable Drug Delivery Systems

6. Externalized Epidural Infusion Systems

7. Dorsal Column Stimulation

8. Peripheral Nerve Stimulation

9. Craniofacial Nerve Stimulation

10. Field Stimulation

11. Sacral Nerve Stimulation

12. Treatment of Discogenic Pain: Minimally Invasive Procedures

13. Vertebroplasty and Kyphoplasty

14. Minimally Invasive Treatments for Spinal Stenosis: Percutaneous Lumbar

15. Endovenous Ablation

Part III. Appendices
Appendix 1. ASRA Anticoagulation Guidelines

Appendix 2. Applied Spinal Anatomy

Appendix 3. Pharmacology of Intrathecal Medications

Appendix 4. CSF Pharmacokinetics

Appendix 5. Guide to Choosing Electrodes and Pulse Generators

Appendix 6. Problem Solving Stimulator Malfunction

Appendix 7. Implantable Devices and Equipment

Appendix 8. FDA Medical Device Reporting

Appendix 9. Sample OR Dictations

Appendix 10. Surgeon's Preference Cards

Appendix 11. Preventing Surgical Site Infections: Antimicrobial Prophylaxis, Skin Preparation and Surgical Field Draping

Appendix 12. Incisions, Wounds and Suturing

Appendix 13. Surgical Instruments