the role of anesthesiologist in pain management
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The document discusses the critical role of anesthesiologists in pain management, highlighting their expertise in pain relief and care for surgical patients. It details the history and evolution of anesthesiology, the importance of anesthesiologists in various medical settings, and their extensive training in pain management techniques. The document also emphasizes the necessity for anesthesiologists to take an active role in pain clinics, as pain management is an essential part of their competencies.
the role of anesthesiologist in pain management
- 1. The Role of Anesthesiologist in Pain Manajement Husni Tanra Department of Anesthesiology, IC and Pain Management Faculty of Medicine Hasanuddin University Makassar
- 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. First Ether Anesthesia in 1846 at Massachusetts Hospital William T, Morton (left) holding globe inhaler John C Warren the Surgeon Gilber Abbot the Patient
- 5. 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
- 6. 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.
- 7. Who is Anesthesiologist? Anesthesiologists is a physician who focus on surgical patient and pain relief. ( perioperative pain management doctor)
- 8. The main role of Anesthesiologist Two main role of anesthesiologists are: 1. Life Saving (we r master in CPR) 2. Alleviate suffering (pain relief)
- 9. History of Pain Management and Critical Care Medicine
- 10. 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.
- 11. 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
- 13. 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
- 14. 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.
- 15. 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
- 22. 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.
- 26. Acute pain (Management of post operative pain at APS):
- 27. Epidural for Postoperative Pain management.
- 28. Caudal Block in Pediatric
- 29. Caudal Block in Pediatric Before Caudal Block After Caudal Block
- 30. Caudal Block in Adult
- 31. Epiduroscopy ( Minor Surgery)
- 34. Chronic pain in Pain clinic STELLATE GANGLION BLOCK at pain - clinic
- 35. 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
- 36. Epidural steroid for radicular pain At pain-clinic Chronic Pain
- 37. Femoral Block for Post Herpetic neuralgia done in pain-clinic
- 38. Femoral Block for Post Herpetic neuralgia. done in pain-clinic
- 39. Anesthesiology residents learn pain management in Onomichi Hospital, Japan
- 50. 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.
- 52. KepMenkes 779/Menkes/Sk/VIII/2008 ttg standar pelayanan anestesiologi dan reanimasi di rumah sakit
- 53. 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
- 54. 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
- 55. 55 If we don’t want to do it, somebody else will Eddy Rahardjo
- 56. • 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)
- 57. Thank you very much For your attention Memory picture with Prof. John Bonica in Seattle, US. January 1988
- 58. atas perhatian dan pengertiaannya. Makassar 23 Oktober 2013.