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