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In the United States about 50 million people sufer from recurrent or chronic pain, and nearly 10% of adults take medication for pain daily. Further, the disease burden of pain is expected to grow, relative to other illnesses and conditions. Despite the advances in pain medicine, most physicians are not - equately trained to treat chronic or even acute pain. As in other felds of medicine, pain medicine has long been dominated by expert op- ion relying on personal expertise, and only recently has a systematic evaluation of treatments in the terms of evidence-based medicine  been performed. And also as in other felds of medicine, a lot can be achieved in pain medicine when certain basic diagnostic and therapeutic pathways are f- lowed correctly; more than can be achieved when only a few specialists are able to treat these conditions. Standard operating procedures  (SOPs) are supposed to be concise practical aids for clinicians, standardizing treatments, diagnostic pa- ways and procedures in one of sometimes many possible ways. Although based on the available evidence, they are not evidence-based guidelines and are not supposed to replace such guidelines. On one hand, eviden- based medicine ofen leaves many options open, since in many cases the available evidence is not sufcient to recommend a specifc option. On the other hand, there might be reasons due to clinical practice (e. g.

Pharmacology. Therapy --- Human medicine --- farmacologie --- analgesie --- pijn --- huisartsen

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Advances over the past two decades have enabled physicians to revolutionize the manner in which they can assess and manage children's pain. Thirty years ago it was thought that young children did not experience pain and therefore it was not necessary to treat it. Today professionals from a variety of disciplines have contributed data that have revolutionized medical perspectives. Technological advances now enable doctors to treat acute pain in fetuses, premature neonates, infants, toddlers, children, and adolescents with increasing precision and efficacy. Research highlighting the context of chronic pain has moved them away from a mind-body dichotomy and toward an integrated, holistic perspective that leads to substantial improvement in children's adaptive functioning as well as subjective discomfort. This book covers these topics and is intended for anyone who provides medical care to children. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies. The role of the primary care practitioner is highlighted, both as a front-line resource as well as a consumer of specialized pediatric pain treatment services. Each chapter ends with a summary and specific bullet points highlighting the most central elements, making for quick and easy reference.

Anesthesiology --- Pharmacology. Therapy --- Paediatrics --- Neuropathology --- Human medicine --- farmacologie --- geneeskunde --- hersenen --- anesthesie --- pediatrie --- analgesie --- pijn --- huisartsen

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Anesthesiology --- Pharmacology. Therapy --- Paediatrics --- Neuropathology --- Human medicine --- farmacologie --- geneeskunde --- hersenen --- anesthesie --- pediatrie --- analgesie --- pijn --- huisartsen

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The book centers on the treatment of pain using the appropriate opioid and a suitable co-medication whenever necessary. While many physicians or health care providers either subscribe or advocate analgesics in response to a painful situation, their basic knowledge when and how to apply them frequently is scarce. And often there is a lack of sufficient knowledge on their potential side-effects, their mode of action, 2+ their possible interactions with other agents such as ß-blockers, Ca -antagonists, ACE inhibitors and/or benzodiazepines. In addition, not all analgesics are equivalent or equally proficient at alleviating certain painful ailments. Although there have been many of articles and books written on the subject of effective pain treatment, very few have centered on the rational use of opioids. In fact opiophobia is still around with some caregivers who consider an opioid not to be the first-line drug in severe pain. On the contrary, the myth is still around that an opioid is potentially dangerous even when used in serious painful situations, and although the WHO has stated that opioids are elementary in therapeutic strategy taking into account that they are used by mouth, by the ladder, at fixed time intervals and advocating a time consistent release formulation, they are not available in every country.

Sociology of health --- Anesthesiology --- Oncology. Neoplasms --- Orthopaedics. Traumatology. Plastic surgery --- farmacologie --- anesthesie --- spoedgevallen --- intensieve zorgen --- oncologie --- analgesie --- pijn

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Anesthesiology --- Pharmacology. Therapy --- Pathology of the organs of movement --- Psychiatry --- Neuropathology --- Human medicine --- psychiatrie --- farmacologie --- geneeskunde --- hersenen --- anesthesie --- reumatologie --- analgesie --- pijn --- alternatieve geneeswijzen