Essentials of Neuroanesthesia and Neurointensive Care by ProQuest


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									870                                            Book reviews

Chronic Pain Management: Guidelines for                 Essentials of Neuroanesthesia and Neurointensive
     Multidisciplinary Program Development. Eds M.         Care. A. K. Gupta, A. W. Gelb; Saunders
     E. Schatman, A. Campbell; informa Healthcare,         Elsevier; Distributor: Elsevier Australia – shop.
     52 Vanderbilt Avenue, New York, NY 10017,   , Tower 1, 475 Victoria Avenue,
     USA; $149.95; 155×235 mm; pp. 284; ISBN: 978-         Chatswood, NSW 2067; $125.00; 150×230 mm;
     1-4200-4512-3.                                        pp. 344; ISBN: 978-1-4160-4653-0.
   The evidence base for cognitive and behaviourally       This excellent, 344-page handbook is aimed at
based multidisciplinary management of chronic pain is   residents and specialist trainees who are focusing
quite strong and there is increasing acknowledgement    their interest on neuroanaesthesia and neurosurgical
that this type of therapy improves outcomes when        intensive care. It would therefore be of most use to
combined with standard medical treatments.              a European or North American doctor, who was
Unfortunately, multidisciplinary pain management        expected to have responsibility for both intraoperative
programs are not well supported by funders. Chronic     management and ICU care, or Australian anaesthetists
Pain Management: Guidelines for Multidisciplinary       or trainees who wish to extend their knowledge.
Program Development is a fascinating review of             Over 60 experts from prestigious neurosurgical
developments in the USA since the first programs        centres in the UK, Canada and the USA have authored
commenced in the 1970s and 80s up to the present        the 50 short, fact-filled chapters. As such the book is
time. The editors, both psychologists, have brought     good value and is an authoritative, comprehensive
together many well known authors for the 16 chapters    and concise resource.
in the book.                                               The transatlantic editorship has canvassed a wide
   As one delves into these pages, the similarities     range of opinions and best practices and brings
(and difficulties) in terms of general acceptance of    authority to the content.
multidisciplinary pain management programs in the          It contains clear illustrations and useful lists and
USA parallel those we have experienced in Australia.    tables with clear explanations. It is easy to read and
   Questions such as how to bring doctors,              the style of each chapter, with reinforcing key points
physiotherapists,      psychologists,    occupational   and further reading, makes reading easier and more
therapists and nurses together to deliver the same      retentive.
message in their own specialised ways, and how to          There is a heavy emphasis on surgical approaches
get (predominantly passive) patients wanting a ‘quick   (10 pages), surgical positioning (eight pages) and
fix’ to their chronic pain problems to become (and      anaesthesia for specific neurosurgical disorders (95
remain) engaged, are discussed. The perennial           pages). Thus, almost one-third of the book is occupied
problems of how to get funding – whether for            by the section on intraoperative care of patients and
public hospitals from state health departments or       this section is sandwiched between precise chapters
from Medicare, private health funds or workers’         on the basic sciences (neuroanatomy, physiology and
compensation insurers – are also explored.              pharmacology) and neurosurgical intensive care.
   While this book will not be everyone’s bedside          It would have been more transparent for the book
reading, it has a lot of useful information which       to have been named “Essentials of Neuroanaesthesia
is relevant to Australian multidisciplinary pain        and Neurosurgical Intensive Care”, as there are no
management programs. Two particularly valuable          chapters on meningitis, encephalitis, delirium or
chapters which I enjoyed were “Efficacy and Cost        
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