Opioid Use, Overuse, and Abuse in Otolaryngology

This issue of Otolaryngologic Clinics, Guest Edited by Drs. Anna A. Pashkova, Peter F. Svider, and Jean Anderson Eloy, is devoted to Pain Management for the Otolaryngologist. This issue is one of six selected each year by our series Consulting Editor, Sujana S. Chandrasekhar. Articles in this important issue include: Overview of Pain Management for the Otolaryngologist; Pre-Operative Optimization; Local Blocks and Regional Anesthesia in the Head and Neck; Acute Pain Management following Head and Neck Surgery; Acute Pain Management following Sleep Surgery; Perioperative Analgesia for Thyroid and Parathyroid Surgery; Perioperative Analgesia for Sinus Surgery; Perioperative Analgesia following Otologic Surgery; Acute Pain Management following Facial Plastic Surgery; Perioperative Analgesia for Pediatric Patients Undergoing Otolaryngologic Procedures; Non-Opioid Adjuncts and Alternatives; Postoperative Analgesia in the Chronic Pain Patient; Non-Enteral Pain Management; Chronic Pain Management in the Head and Neck Patient; Controlled Substance Agreements; Pain Psychology; Sinus Headache; and Quality Improvement in Pain Medicine.

The most comprehensive, multi-disciplinary text in the field, Cummings Otolaryngology: Head and Neck Surgery, 7th Edition, provides detailed, practical answers and easily accessible clinical content on the complex issues that arise for otolaryngologists at all levels, across all subspecialties. This award-winning text is a one-stop reference for all stages of your career—from residency and board certification through the challenges faced in daily clinical practice. Updated content, new otology editor Dr. Howard W. Francis, and new chapters and videos ensure that this 7th Edition remains the definitive reference in today’s otolaryngology. Brings you up to date with the latest minimally invasive procedures, recent changes in rhinology, and new techniques and technologies that are shaping patient outcomes. Contains 12 new chapters, including Chronic Rhinosinusitis, Facial Pain, Geriatric Otology, Middle Ear Endoscopic Surgery, Pediatric Speech Disorders, Pediatric Cochlear Implantation, Tongue-Ties and Lip Ties, Laryngotracheal Clefts, and more. Covers recent advances and new approaches such as the Draf III procedure for CRS affecting the frontal recess, endoscopic vidian and posterior nasal neurectomy for non-allergic rhinitis, and endoscopic approaches for sinonasal and orbital tumors, both extra- and intraconal. Provides access to 70 key indicator (Accreditation Council for Graduate Medical Education Key Indicator Procedures), and surgical videos – an increase of 43% over the previous edition. Offers outstanding visual support with 4,000 high-quality images and hundreds of quick-reference tables and boxes.

Sataloff's Comprehensive Textbook of Otolaryngology: Head & Neck Surgery – Pediatric Otolaryngology is part of a multi-volume textbook covering basic and clinical science across the entire field of otolaryngology. Volumes in the set include; otology, neurotology and skull-based surgery; rhinology, allergy and immunology; facial plastic and reconstructive surgery; laryngology and head and neck surgery. The full set is enhanced by over 5000 full colour images and illustrations, spanning nearly 6000 pages, complete with a comprehensive index on DVD. Edited by Robert T Sataloff from Drexel University College of Medicine, Philadelphia, this volume includes contributions from internationally recognised experts in otolaryngology, ensuring authoritative content throughout. Sataloff's Comprehensive Textbook of Otolaryngology: Head & Neck Surgery – Pediatric Otolaryngology is an indispensable, in-depth guide to the field for all otolaryngology practitioners. Key Points Textbook of paediatric otolaryngology, part of six-volume set covering the entire field of otolaryngology Volumes include otology/neurotology, rhinology, plastic surgery, laryngology, head and neck surgery, and paediatric otolaryngology Over 5000 full colour images and illustrations across six volumes Edited by Robert T Sataloff, with contributions from internationally recognised otolaryngology experts

Find fast answers to inform your daily diagnosis and treatment decisions! Ferri’s Clinical Advisor 2021 uses the popular "5 books in 1" format to deliver vast amounts of information in a clinically relevant, user-friendly manner. This bestselling reference has been significantly updated to provide you with easy access to answers on 1,000 common medical conditions, including diseases and disorders, differential diagnoses, clinical algorithms, laboratory tests, and clinical practice guidelines—all carefully reviewed by experts in key clinical fields. Extensive algorithms, along with hundreds of new figures and tables, ensure that you stay current with today's medical practice. Contains significant updates throughout, covering all aspects of current diagnosis and treatment. Features 27 all-new topics including chronic rhinosinusitis, subclinical brain infarction, reflux-cough syndrome, radiation pneumonitis, catatonia, end-stage renal disease, and genitourinary syndrome of menopause, among others. Includes new appendices covering common herbs in integrated medicine and herbal activities against pain and chronic diseases; palliative care; and preoperative evaluation. Offers online access to Patient Teaching Guides in both English and Spanish.

A comprehensive practical reference for all health care professionals who care for patients with substance abuse problems. Part I provides a framework for clinical management of these patients and Part II is comprised of chapters on working with specific populations and groups.

​This in-depth text addresses how to approach and treat the chronic pain patient struggling with problematic opioid use. It discusses the approach for patients who may be at high risk of problematic use, such as those with a history of mental illness or substance use disorder. The first part covers diagnosis and treatment, focusing on common best practices that practitioners can adapt to any practice. Two of the chapters detail alternative and replacement therapies for opioid. Two more cover special issues in the treatment of women and older patients. The second part reviews the ethical, legal, regulatory, and policy issues surrounding the treatment of patients with comorbid pain and addiction. The book includes strategies for documentation that mitigate the risk of legal issues or ethical boundary crossings. The last part of the book addresses treating comorbid pain and opioid use disorder in different medical settings and the treatment of co-occurring mental illnesses and substance abuse. Treating Comorbid Opioid Use Disorder in Chronic Pain is of great value to psychiatrists, pain physicians, primary care providers, social workers, drug rehabilitation centers, and other behavioral health professionals. ​

Here's a comprehensive and clinically-specific reference on toxicology. The 3rd Edition includes chapters on overdose during rapid-sequence intubation and conscious sedation, management of complications of thrombolytic agents, and the application of hyperbaric medicine in toxicology. Provides the perfect balance of basic pharmacokinetics and clinical management. Contributions are by experts in the field.

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.

Includes software offering more than 1,300 multiple-choice questions and other activities complete with answers and rationales, nursing process step, client needs category, taxonomic level when applicable, chapter and unit tests, a comprehensive test, and a score report. Text has been updated to include all approved drugs. Contents include general pharmacology, the nursing process and pharmacotherapeutics, coverage of all drug classes, and data on hundreds of generic drugs. Charts, diagrams, and illustrations.

Provides detailed information about the composition, history, effects, uses and abuses of common drugs, including illegal drugs and addictive substances, as well as commonly abused classes of prescription drugs.

This compact, portable, alphabetically organized drug reference provides quick access to current, reliable information on more than 4,500 commonly prescribed medications. Each drug monograph is divided into pharmacological and patient care considerations, and includes action, indications, contraindications, route/dosage, interactions, lab test interferences, adverse reactions, precautions/warnings, administration/storage, assessment/interventions, and patient/family education. Icons and a second color are used to help readers quickly locate the information they are looking for. Coverage includes the newest FDA approvals, investigational and orphan drugs, and indications for labeled, unlabeled, and orphan uses. The included Drug Identifier CD-ROM enables readers to search and identify drugs by appearance.

This text offers an authoritative account of general medical and surgical conditions as they apply to the practice of dentistry and oral healthcare. Now established as the standard reference on the subject, Medical Problems in Dentistry is essential for students learning for the first time or practitioners needing to keep up-to-date with their knowledge. Detailed coverage outlines the complete relevance of systemic diseases and their treatment to dentistry – essential knowledge for the whole dental team User-friendly format allows ease of access to information whether for exam revision purposes or for a specific issue confronting staff in a busy clinical environment Clearly written with excellent use of illustrations, the book is an essential, easy to use, reliable source of information Text completely updated and re-organised to increase focus on the more dentally-relevant aspects of medicine and subject areas that have undergone recent change Entries more fully alphabetized to improve access to information Accompanying ‘key points boxes’ highlight the most crucial aspects of specific medical conditions Content peer-reviewed by a specialist Advisory Board to ensure accuracy of information and the inclusion of the latest advances Additional coverage of autoinflammatory disorders, biological response modifiers, craniofacial transplantation, drug reactions, drug-resistant microbial infections, osteonecrosis, and immune reconstitution syndrome Completely new entries such as alternative and complementary medicine, health promotion, men’s issues and occupational health New national and international guidelines, selected recent references and up-to-date websites

The opioid epidemic is responsible for longest sustained decline in U.S. life expectancy since the time of World War I and the Great Influenza. In 2017, nearly 50,000 Americans died from an opioid overdose - with an estimated 2 million more living with opioid addiction every day. The Opioid Epidemic: What Everyone Needs to Know® is an accessible, nonpartisan overview of the causes, politics, and treatments tied to the most devastating health crisis of our time. Its comprehensive approach and Q&A format offer readers a practical path to understanding the epidemic from all sides: the basic science of opioids; the nature of addiction; the underlying reasons for the opioid epidemic; effective approaches to helping individuals, families, communities, and national policy; and common myths related to opioid addiction. Written by two expert physicians and enriched with stories from their experiences in the crosshairs of this epidemic, this book is a critical resource for any general reader -- and for the individuals and families fighting this fight in their own lives.

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