pain management development in makassar - dr. syafruddin gaus, ph.d

CURRICULUM VITAENama : dr. Syafruddin Gaus, Ph.D, Sp.An-KMNTTL : Makassar /19 Oktober 1963Alamat rumah : Perumahan Dosen UNHAS Tamalanrea

Jl. Thomas Alfa Edison Blok AC Baru No. 14 Makassar-90245

Telp/HP/Fax/Email : 0411-4773189 /HP: Flexi: 0411-5764244 GSM: 081543058610

Email : udhingaus@hotmail.com

Alamat kantor : Bagian Ilmu Anestesi, Perawatan Intensif & Manajemen Nyeri

Fakultas Kedokteran UNHAS / RS. Dr. Wahidin Sudirohusodo

Jl. Perintis Kemerdekaan Km.11 Tamalanrea Makassar-90245

Telp/HP/Fax/Email : 0411-582583 / Fax.0411-590290 / HP:081543058610

anestesiologi_unhas@yahoo.co.id / udhingaus@hotmail.com

Riwayat Pendidikan : Lulus dokter umum FK Universitas Hasanuddin tahun 1991 Lulus dokter spesialis anestesi FK Universitas Hasanuddin tahun

2005 Lulus S3 Hiroshima University School of Medicine tahun 2003 Konsultan Manajemen Nyeri (KMN) tahun 2009

CURRICULUM VITAERiwayat Pekerjaan: Jabatan: - Staf Pengajar Bagian Anestesiologi: 1996-sekarang

- Sekeretaris Program Studi Bagian Anestesiologi: 2006-sekarang

- Institusi Kesehatan :1. Bagian Anestesiologi & ICU FK Universitas Hasanuddin – RS Dr. Wahidin Sudirohusodo Makassar2. Bagian Anestesi & ICU di RS. Polisi Bhayangkara mappa Oddang Makassar mulai tahun 2006 sampai sekarang3. Bagian Anestesi & ICU di RS. Ibnu Sina Makassar mulai tahun 2006 sampai sekarang 4. Bagian Anestesi di RSB. Siti Miriam Makassar mulai tahun 2006 sampai sekarang 5. Bagian Anestesi di RSIB Siti Khadijah I mulai tahun 2006 sampai sekarang

PAIN MANAGEMENT DEVELOPMENT IN MAKASSAR

Department of Anesthesiology, Intensive Care and Pain Management Faculty of Medicine, Hasanuddin University

PAIN SERVICES IN RSWS HOSPITAL

As a part of Anesthesiology, Intensive Care and Pain Management Department

ACUTE PAIN SERVICE ( APS )CHRONIC PAIN SERVICE ( Pain Clinic )CANCER PAIN SERVICE

PELAYANAN NYERI AKUT (APS)

Tujuan APS RSWS

Memberikan Analgesia pasca bedah Aplikasi dan pengembangan teknik

analgesia yang baru Pelatihan bagi dokter dan perawat dalam

penanganan nyeri Sebagai lahan penelitian dan

pengembangan keilmuan

ACUTE PAIN SERVICE FKUH-RSWS MAKASSAR( 2004 – JUNE 2009)

Provide management analgesia postoperative Mainly, EPIDURAL ANALGESIA Regular assessment and record Resident based APS Anesthesiologist Supervised Panduan Pelayanan Nyeri Pasca Bedah FKUH-

RSWS About 2832 patient from april 2004 – dec 2009

APS PATIENT RECORD

RECORDING IN WARD AND HCU

F, 32 yr. Haemorrhoidectomy , 5 days after SC, with cont epidural analgesia

Male, 70 y.o. Fracture Femur, with continuous epidural analgesia

Male, 52 y.o. Post laparatomy, with Patient Controlled Epidural Analgesia Anesthesiologist-supervised APS

DIAGRAM KASUS SESUAI PEMBEDAHANN=2823,2004-2009

Digesti

fObg

yn

Ortope

di

Urolog

i

Thora

xtum

or

Plasti

k 0.00

10.00

20.00

30.00

40.0030.77 29.53

13.40

22.08

2.48 0.74 0.99

%

%

DIAGRAM KASUS APS SESUAI PEMBEDAHAN TAHUN 2010, N=812

Orthop

aedi

ObsGyn

Oncolog

y

Digestive

Urolog

y

Thora

x-vasc

ularPla

stic

Pediat

rics

0

20

40

60

80

100

120

140

160

IntermittentContinuous

DIAGRAM INTENSITAS NYERI ( NRS ) N=2823,2004-2009

0 1 - 3 4 - 6 7 - 100.00

10.0020.0030.0040.0050.0060.0070.0080.0090.00

15.88

81.39

2.73 0.00

Persentase tingkat nyeri

Persentase tingkat nyeri

DIAGRAM TINGKAT KEPUASAN N=2823,2004-2009

tidak puas

kurang puas

puas sangat puas

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

0.005.96

79.40

14.62

persentasi tingkat kepuasaan

WHAT THE PATIENT GET FROM OUR APS ?

16%

81%

3% 0%

Persentase tingkat nyeri

01 - 34 - 67 - 10

WHAT THE APS DOCTOR GET ?

0.00

5.96

79.40

14.62

0.00 20.00 40.00 60.00 80.00 100.00

tidak puas

kurang puas

puas

sangat puas

%

%

INNER SATISFACTION OF THE DOCTOR ………

TINGKAT KEPUASAN PASIEN

Opening of KLINIK NYERI DAN AKUPUNTUR RSWS-FKUH

NOVEMBER, 2006

Eastern – Western combined 1. Acupuncture with Needle stimulation, Heater

Lamp, Cupping2. Trigger Point Injection3. Epidural Steroid Injection4. SGB ( Stellate Ganglion Block ) 5. Nerve Blocks

( Intercostal, Suprascapularis, etc )

CLINIC MODALITIES

CLINIC RESOURCE HUMAN RESOURCES

TRAINING OVERSEAS ( US, JAPAN, CHINA, THAILAND, SINGAPORE )

WORKSHOP OVERSEAS ( US, CANADA, HONGKONG, THAILAND )

FACILITY 5 BEDS CLINIC CHINESE TCM ( e.g. Electro-accupuncture, heat

lamp etc ) ULTRASOUND Guide Nerve Block and Trigger

point injection RADIOFREQUENCY

PAIN CLINIC SITUATION

REKAP PASIEN PAIN CLINIC ( 2010-2011)

semester awal 2010

semester akhir 2010

semester awal 2011

0

50

100

150

200

250

300

78

190

287

JUMLAH KUNJUNGAN PASIEN DI PAIN KLINIK THN 2010-2011

jan mar mei jul sept

nov jan mar may

0

50

100

150

200

250

PAIN DIAGNOSED IN PAIN CLINIC Miofascial pain Back Pain, radicular and non-radicular Shoulder Pain Postherpetic Neuralgia Trigeminal Neuralgia Arthritis Headache etc

PROCEDURES IN PAIN CLINIC

INTERVENTION PROCEDURES IN COT

TO BE A CENTRE OF PAIN TRAINING , EDUCATION AND DEVELOPMENT

Nurse education Medical Student Clerkship Accupunture and TCM Course Pain Education for GP doctor Pain Update Meeting Intervention Pain Management Workshop

NURSE TRAINING FOR PAIN MANAGEMENT

“ make pain visible “

MEDICAL AND STUDENT EDUCATION ON PAIN

ACCUPUNTURE AND TCM COURSE Start from 2006, every year, with 2

professor/doctor from Xiamen University 20-30 Participants each course

INTERVENTION PM WORKSHOP Intervention pain workshop with Singapore

instructure ( 2006 ) Intervention Pain Management workshop

with manniquine under c-arm fluoroscopy (Since 2010; every 6 month; 15-20 paticipants each workshop)

CONCLUSION

PAIN MANAGEMENT DEVELOPMENT IN RSWS-FKUH“NOT JUST TO GIVE EXCELLENT PAIN SERVICE BUT TO BE A CENTRE FOR PAIN EDUCATION “

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