Analgesia in Major Abdominal Surgery

Anton KrigeConsultant in Intensive Care Medicine and AnaesthesiaRoyal Blackburn Hospital, UKMichael J. P. ScottConsultant in Anaesthesia and Intensive Care MedicineRoyal Surrey NHS Foundation Trust, UK

• Section 1: Background.- Introduction to cover Enhanced Recovery Programmes and contextualize advance in surgery and analgesic options.- Anatomy of the Nerve Innervation of the Abdominal Cavity & Types of Pain with Illustrations of Different Surgical Approaches.- Multimodal simple analgesia.- Opiates & Routes of delivery.- Section 2: Regional Techniques.- Central Neuraxial Blocks.-  Continuous Paravertebral Blocks.- Psoas Compartment Blocks.- Abdominal Wall Blocks: Transabdominus Plane (TAP) Blocks.- Abdominal Wall Blocks: Rectus Sheath Catheters.- Continuous Wound Infusions Catheters.- Section 3: Non-opioid analgesics.- Lidocaine Infusions.-  Gabapentinoids.- Ketamine.- Dexamethazone.

“This book will be a valuable addition to the library of students, practicing anesthesiologists, and acute and chronic pain teams, because it describes the various drugs and techniques used since inception of the subject … . The in-depth description of invasive techniques supplemented by actual color photographs and 3D illustrations offer an important resource for students to learn pain management through the first year of residency, the practicing ‘generalist,’ and a quick reckoner for the ‘regionalist.’” (Nishant Kumar, Anesthesia & Analgesia, Vol. 129 (5), November, 2019)