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the role of anesthesiologist in pain management

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In conclution, I want to say that;
We Anesthesiologists are diserve to work in pain clinic, because pain management is a part of our competence.

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the role of anesthesiologist in pain management

  1. 1. The Role of Anesthesiologist in Pain Manajement Husni Tanra Department of Anesthesiology, IC and Pain Management Faculty of Medicine Hasanuddin University Makassar
  2. 2. Before Eva was created from Adam’s rib, he was put into sleep Anesthesia was the first applied science in the world Prof. Hyodo Japan
  3. 3. First Ether Anesthesia in 1846 at Massachusetts Hospital William T, Morton (left) holding globe inhaler John C Warren the Surgeon Gilber Abbot the Patient
  4. 4. The feat earned Morton the epitaph in Massachusetts • The Inventor of anesthetic inhalation • By whom pain in surgery was annulled • Since whom science has control of PAIN • Before whom, surgery as agony
  5. 5.  What is Anesthesiology? Anesthesiology is the practice of medicine dedicated to the pain relief and total care of the surgical patient before, during and after surgery.
  6. 6.  Who is Anesthesiologist? Anesthesiologists is a physician who focus on surgical patient and pain relief. ( perioperative pain management doctor)
  7. 7. The main role of Anesthesiologist Two main role of anesthesiologists are: 1. Life Saving (we r master in CPR) 2. Alleviate suffering (pain relief)
  8. 8. History of Pain Management and Critical Care Medicine
  9. 9. Steven D. WALDMAN  First Anesthesiologist who practice pain management in US.  Founder the Society for Pain Practice Management (SPPM).  One of the leader of Intervention Pain Management.
  10. 10. ANESTHESIOLOGIST  is a superman Doctor IS NOT JUST IN THE OPERATING ROOM • Operating room hospital surgicenter • Labor & delivery suite • Other procedural areas • Intensive care unit (ICU) • PACU • Pain management acute pain chronic/ cancer pain o Emergency Medicine • “Code Blue” team • Respiratory therapy • Administration operating room hospital medical school • Education health professionals public • Research • Managers Copyright © 2003 American Society of Anesthesiologists. All rights reserved
  11. 11. The Ideal Anesthesiologist
  12. 12. Who is Anesthesiologist? • Anesthesiologist Is a suprman phycisian, not only in OR but also ........ • Anesthesiology, best job in America. • Their salary of;  Anesthesiologist earn $ 292.000/year  Obgy doctor $ 222.000/year  Psychiatrist $ 177.000/year GREAT Z’S 2009
  13. 13. Why it has to be an anesthesiologist in Pain Clinic? • We are working with various analgesic drugs in our daily basis; 1. Common analgesic (paracetamol) 2. Non-opioid analgesic (NSAIDs) 3. Opioid analgesic 4. Local anesthetic 5. We had been trained in regional blocks, cenrally or peripherally. So we are mastering in pain pathway.
  14. 14. Why Anesthesiologist for PM? • Our experiences in OT, made us to get use in peripheral as well as neuroaxial block This is the Basic intervention pain management
  15. 15. Peripheral Neural blockade
  16. 16. Neuraxial Blockade
  17. 17. Epidural Block Multipurpose weapon for; • Epidural Anesthesia • Post operative pain relief • Treatment of chronic pain (LBP, symphatic pain, etc). • Cancer pain, if oral or iv is failed.
  18. 18. Acute pain (Management of post operative pain at APS):
  19. 19. Epidural for Postoperative Pain management.
  20. 20. Caudal Block in Pediatric
  21. 21. Caudal Block in Pediatric Before Caudal Block After Caudal Block
  22. 22. Caudal Block in Adult
  23. 23. Epiduroscopy ( Minor Surgery)
  24. 24. Epiduroscopy Minor Surgery
  25. 25. Epiduroscopy (Minor Surgery)
  26. 26. Chronic pain in Pain clinic STELLATE GANGLION BLOCK at pain - clinic
  27. 27. Stellate Ganglion Block Indication of SGB: 1. Reflex Symphatic Dystrophy (RSD) 2. Phantom Limb Pain 3. Herpes Zooster 4. Raynaud’s Syndrome 5. Facial Palsy
  28. 28. Epidural steroid for radicular pain At pain-clinic Chronic Pain
  29. 29. Femoral Block for Post Herpetic neuralgia done in pain-clinic
  30. 30. Femoral Block for Post Herpetic neuralgia. done in pain-clinic
  31. 31. Anesthesiology residents learn pain management in Onomichi Hospital, Japan
  32. 32. Historyry of Intervention Pain Management?  Interventional pain management have been developing new technique since 1960 by John Bonica.  This tehnique was previously the role of Anesthesiologists, but now is opened to many other spesialists ( neurosurgeons, orthopaedics, rehabilitation medicine, and so on).  American Society of Interventional Pain Physicians (ASIPP),  Imaging techniques have become a part of this new techniques.
  33. 33. KepMenkes 779/Menkes/Sk/VIII/2008 ttg standar pelayanan anestesiologi dan reanimasi di rumah sakit
  34. 34. Why it has to be an anesthesiologist in Pain Clinic? • We are working with various analgesic drugs in our daily basis; 1. Has been trained at least 4 years in 2. using Analgesic Opioid, Non- opiod as well as Adjuvan drugs, inlude Local anesthetics. 3. We had been trained in regional blocks, cenrally or peripherally. So we are mastering in pain pathway. 4. We are mastering in CPR, cause this is our daily activity In Operating teatre
  35. 35. In conclution, I want to say that; We Anesthesiologists are diserve to work in pain clinic, because pain 54 management is a part of our competence. Husni Tanra
  36. 36. 55 If we don’t want to do it, somebody else will Eddy Rahardjo
  37. 37. • Be a good Anesthesiologist  Not only providing good and safe anesthesia in OT, but also Providing pain management  jangan mau disebut sebagai Dokter Bius (Bihos)
  38. 38. Thank you very much For your attention Memory picture with Prof. John Bonica in Seattle, US. January 1988
  39. 39. atas perhatian dan pengertiaannya. Makassar 23 Oktober 2013.

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