Bøger af Víctor M. Whizar-Lugo

Currently, two-thirds of patients undergoing surgery experience acute postoperative pain (POP), which increases the possibility of immediate postoperative complications and facilitates the development of chronic POP. Post-surgical pain does not have a useful biological function, so it must be prevented, avoided, and/or eliminated. The objective of the rational management of acute pain after surgery is to facilitate the rapid recovery of patients with a prompt integration into their usual preoperative activities. The global crisis of opioid abuse has forced us to use other analgesic drugs as well as regional analgesia techniques that are part of effective multimodal analgesia. The non-pharmacological approach has also gained importance in the comprehensive management of acute POP. This book reviews advances in the understanding, management, and complications of POP.

Regional anesthesia has progressively evolved and currently occupies a predominant place in our daily practice. The development of skills for the safe practice of regional anesthesia requires in-depth knowledge of anatomy, physiology, pharmacology, and the pathology of each patient candidate to receive some type of regional block, as well as special and prolonged training beyond residence, particularly in this era of the COVID-19 pandemic, during which the training of thousands of anesthesiology residents has been impaired. Undoubtedly, the benefits of regional anesthesia techniques are enormous, as are their complications. Countless guidelines for regional anesthesia have been described based on the classic anatomical recommendations, the search for paresthesias, neurostimulation, and medical images. The introduction of ultrasound guidance and the rational use of local anesthetics and their adjuvants have favorably revolutionized regional anesthesia, making it safer and more effective. This book addresses several contemporary topics in regional anesthesia in a variety of interesting clinical settings with practical importance.