New Local Anesthetics

Local anesthetics are being increasingly applied in different surgeries. Lower side effects of neuroaxial anesthesia, regional anesthesia, and field block, in comparison to general anesthesia (volatile and intravenous agents), are the main reasons why physicians prefer to conduct surgeries under local anesthesia, especially in outpatient and day care surgeries. It is important to emphasize the presence of an anesthesiologist, and vigilant monitoring of the homodynamic parameters, in decreasing a patient's anxiety, exerting other modalities for analgesia and increasing the safety margin in many procedures.

A concise, clinically-oriented manual designed to provide information on the pharmacologic actions and interactions of locally administered drugs. The author, an associate professor of anesthesiology at Ohio State University, organizes the volume's 38 chapters into five sections: physiology, the basic properties of specific esters, the basic properties of specific amides, additives and compounds, and surgical applications of local anesthetics. Annotation copyrighted by Book News, Inc., Portland, OR

The fascinating history of local anesthetics was born in the Andean Mountains with the use of Erythroxylum coca and has gradually evolved into a group of safe drugs in anesthesiology and pain medicine. Their mechanism of action on the cell membrane produces anesthesia, analgesia, and side effects that can be catastrophic. Other effects such as antimicrobial, anti-inflammatory, antineoplastic, and other therapeutic results have also been found and are still under investigation. Pharmacological advances in local anesthetics, the use of adjuvant drugs, and new regional anesthesia techniques have resulted in greater efficacy and safety for patients.Written by authors from around the world, this book examines selected topics on local anesthetics and their current use in clinical practice.

The Handbook of Perioperative Pain Management is an up-to-date evidence-based guide to the effective management of perioperative pain even in the most challenging situations. It provides readers with an understanding of the physiology, pharmacology and psychology of acute pain together with guidelines for best practice. Examples of assessment documentation and guidelines for specific patient sub-groups are reproduced throughout the text.

The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

A practical, "how-to" guide to safe anesthesia practices in dentistry, Handbook of Local Anesthesia, 6th Edition covers all the latest advances in science, instrumentation, and pain control techniques. From basic concepts to specific injection techniques, from dosage charts to the proper care and handling of equipment, this book provides in-depth, full-color coverage of key anesthesia topics, including specific hazards and errors in technique that may result in complications. Written by Dr. Stanley Malamed, dentistry's leading expert on this subject, Handbook of Local Anesthesia is a valuable reference that will help you prevent, recognize, and manage complications of local anesthesia administration. Videos on an available companion DVD (sold separately) are narrated by Dr. Stanley Malamed, covering topics such as local anesthetic agents, anesthetic injection techniques, potential complications, and risk management. Full-color photographs and line drawings are included throughout the book. In-depth discussions cover the anesthetic agents used in dentistry, along with their clinical actions. Routes of administration are described for all anesthetics. The proper care and handling of equipment is addressed, along with the problems that may be encountered. Requirements for pain control and local anesthesia within various dental specialties are included. Comprehensive information on Articaine is included, a local anesthetic that is gaining widespread use in the United States. Numerous boxes and tables provide a quick reference and comparison of techniques, drugs, and dosages. Dosage charts, injection techniques, information on duration of action, and contraindications for local anesthetics are included at the end of the book for quick reference.

This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

This concise, evidence-based board review book, organized according to the ABA keyword list, covers all the fundamental concepts needed to pass written and re-certification board examinations. Each chapter begins with a case scenario or clinical problem from everyday practice, followed by concise discussion and clinical review questions and answers. Discussion progresses logically from preoperative assessment and intraoperative management to postoperative pain management, enhancing the reader's knowledge and honing diagnostic and clinical management skills. New guidelines and recently developed standards of care are also covered. Serving as a companion to the popular textbook Essential Clinical Anesthesia, this resourceful work reflects the clinical experiences of anesthesia experts at Harvard Medical School as well as individually known national experts in the field of anesthesiology. This practical review is an invaluable resource for anesthesiologists in training and practice, whether studying for board exams or as part of continuing education and ABA recertification.

The Essence of Analgesia and Analgesics is an invaluable practical resource for clinicians giving pain relief in any clinical setting, describing the pharmacologic principles and clinical use of all available pain medications. As well as detailed overviews of pain processing and analgesic theory, sections are dedicated to oral and panteral opioid analgesics, neuraxial opioids, NSAIDs, local anesthetics, anticonvulsant type analgesics, NMDA antagonists, alpha adrenergic analgesics, antidepressant analgesics, muscle relaxants, adjuvant medications, and new and emerging analgesics. The concise format of the chapters allows for quick and easy reading and assimilation of information. Enhanced by summary tables and figures, each chapter provides an overview of a particular drug, covering chemical structure, mode of activity, indications, contraindications, common doses and uses, advantages and disadvantages, and drug related adverse events. Key references are also provided. Edited by leading experts in pain management, this is essential reading for any clinician involved in pain management.