VIEWS: 15 PAGES: 3 CATEGORY: Medicine POSTED ON: 9/2/2010
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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, elsevier.com.au, 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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