Section 1: Background.- Introduction to cover Enhanced Recovery Programmes and contextualize advance in surgery and analgesic options.- Anatomy of the Nerve Innervation of the Abdominal Cavity & Types of Pain with Illustrations of Different Surgical Approaches.- Multimodal simple analgesia.- Opiates & Routes of delivery.- Section 2: Regional Techniques.- Central Neuraxial Blocks.- Continuous Paravertebral Blocks.- Psoas Compartment Blocks.- Abdominal Wall Blocks: Transabdominus Plane (TAP) Blocks.- Abdominal Wall Blocks: Rectus Sheath Catheters.- Continuous Wound Infusions Catheters.- Section 3: Non-opioid analgesics.- Lidocaine Infusions.- Gabapentinoids.- Ketamine.- Dexamethazone.
This book presents current evidence in an Enhanced Recovery Programme context, and provides a common sense approach to using the array of available analgesia techniques appropriately in major abdominal surgery.
Current pain relief options are discussed, many of which have been described only in the last ten years. Topics covered range from the now widespread use of portable ultrasound machines to an appreciation of the value of some older drugs in a new context.
Analgesia for Major Abdominal Surgery is aimed at anesthetists, acute pain teams, and acute pain nurses, as well as colorectal, hepatobiliary, urological and gynecological surgeons.
Consultant in Intensive Care Medicine and Anaesthesia
Royal Blackburn Hospital, UK
Michael J. P. Scott
Consultant in Anaesthesia and Intensive Care Medicine
Royal Surrey NHS Foundation Trust, UK