POSTTONSILLECTOMY BLEEDING
YOUR PATIENT Print Section Listen A 10-year-old female presents to the emergency room with a history of spitting blood-tinged secretions for 2 days and vomiting blood in the last 12…
TONSILLECTOMY AND ADENOIDECTOMY IN A PATIENT WITH OBSTRUCTIVE SLEEP APNEA
YOUR PATIENT Print Section Listen A 5-year-old with obstructive sleep apnea presents for tonsillectomy and adenoidectomy. PREOPERATIVE CONSIDERATIONS Print Section Listen Sleep apnea is defined as a pause in breathing…
Neuromodulation for Pain
INTRODUCTION Print Section Listen Neurostimulation techniques have been used in the management of pain for close to 50 years. Transcutaneous electrical nerve stimulation (TENS) represents one of the most widely…
Setting Up a Pain Treatment Facility
INTRODUCTION Print Section Listen Over the past several years, there has been considerable interest in expanding the role of the pain management specialist as an integral member of the health…
Ethical Issues and Problems of Physician Trust in the Chronic Pain Patient
INTRODUCTION Print Section Listen The focus of the ethics literature regarding pain management has shifted from issues related to the treatment of patients experiencing terminal pain to the concept of…
Outcome Measurements in Pain Medicine
INTRODUCTION Print Section Listen The measurement of health is central to the evaluation of health care. Until the first part of the 20th century, health was defined as the absence…
Physical Modalities, Orthoses, and Assistive Devices
PHYSICAL MODALITIES Print Section Listen Modalities are commonly used to produce a response in tissues and include heat, water, cold, sound, and electricity. These modalities should not be used as…
Acupuncture
INTRODUCTION Print Section Listen There has been growing interest in the West about the application of acupuncture to control pain since President Nixon’s well-publicized trip to China in 1971. The…
Physical Medicine and Rehabilitation
INTRODUCTION Print Section Listen The objectives of this chapter are to review the literature for articles about skilled therapy services applied to treat painful conditions; report primary outcomes of therapy…
Cognitive-Behavioral Treatment of Sleep Disorders in the Pain Patient
INTRODUCTION Print Section Listen The physician treating either pain or sleep disorders is familiar with the comorbidity of complaints in the two domains. Inasmuch as sleep disturbances and pain each…
