Given the risks, physiologic tolls, and morbidity associated with spine surgery, it is imperative to optimize outcomes with appropriate interventions in the pre-, peri-, and postoperative period. There have been numerous publications in other surgical specialties and more recently in the spine literature describing various techniques to improve patients' outcomes. In the preoperative setting, surgical education, patients risk stratification and optimization of medical conditions, smoking cessation, and weight loss are critical. In the perioperative period, monitoring and minimization of blood loss, appropriate neuroanesthesia and analgesia, and metabolism management play a significant role. In the postoperative setting, early ambulation, wound care management and opioid-sparing analgesia, among others, play a role in recovery.

Offering in-depth coverage of an often-neglected topic, Revision Lumbar Spine Surgery identifies clinical problems and discusses recent major advances in this challenging area. Dr. Robert F. Heary and a team of international experts share their knowledge and experience with even the most difficult lumbar cases, helping you provide optimal outcomes for your patients. You'll find authoritative guidance on indications, diagnosis, approaches, and follow-up, with a focus on the significant advances that have occurred over the past two decades in this fast-changing field. - Identifies the clinical problems related to unsuccessful back spine surgery as well as indications, diagnosis, and new treatment options and advances in this complex area. - Provides in-depth information on the multiple options that exist for most clinical situations: anterior, posterior, lateral, and combined anterior and posterior approaches. - Covers methods of fixation, the use of interbody grafting, and surgical planning related to scar tissues, bleeding, and spinal fluid leaks. - Discusses critical follow-up topics such as key clinical procedures, radiography, patient reported outcomes, and pain management. - Includes timely chapters on robotics, bone density issues, medical fitness concerns, instrumentation options, imaging considerations, and much more.

A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.

Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.

Perioperative Pain Management is an up-to-date, evidence-based guide for clinicians who diagnose and treat post-surgical patients.

A practical guide to perioperative cognitive disorders, the most common complications of anesthesia and surgery in older people.

Spine Secrets Plus—a Secrets Series® title in the new PLUS format— gives you the answers you need to succeed on your rotations, your boards, and your career. Dr. Vincent J. Devlin provides the expert perspective you need to grasp the nuances of spine surgery and related specialties. This new edition offers expanded coverage, a larger format, and colorful visual elements to provide an overall enhanced learning experience. All this, along with the popular question-and answer approach, makes it a perfect concise board review tool and a handy clinical reference. - Prepare effectively with the proven question-and-answer format of the highly acclaimed Secrets Series®. - Master all common conditions and their treatments. - Identify key facts using the "Top 100 Secrets". - Review material quickly thanks to bulleted lists, tables, and short answers. - Apply memory aids and "secrets" from experts in the field. - Get an overall enhanced learning experience from the new PLUS format, with an expanded size and layout for easier review, more information, and full-color visual elements. - Stay current on the latest standards in medical care thanks to extensive updates, including new chapters on Spinal Cord Stimulation and Implantable Drug Delivery Systems, Special surgical Techniques for the Growing Spine, Pathophysiology of Degenerative Disorders of the Spine, Discogenic Low Back Pain, Treatment Options for Osteoporotic Vertebral Compression Fractures, and Disorders Affecting the Spinal Cord and Nerve Roots. - See a clearer picture of what you encounter in practice through larger, detailed images and illustrations. - Find information quickly and easily with additional color that enhances tables, legends, key points, and websites.

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.

The world's most renowned researchers in fluid management explain what you should know when providing infusion fluids to surgical patients.