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INTERVENTIONAL PAIN

MANAGEMENT
(IPM)
PEMBIMBING :
DR. WINARDI

DISUSUN OLEH :
MUHAMMAD WIKO ASHADI
71140891141
Apa itu IPM?

IPM merupakan prosedur minimal invasif yang


mengurangi nyeri dalam jangka panjang/
permanen.
Mengisi gap antara terapi nyeri farmakologi
dengan tindakan pembedahan.
Apa itu IPM?

The discipline of medicine devoted to the


diagnosis and treatment of pain and related
disorders by the application of interventional
techniques in managing subacute, chronic,
persistent and intractable pain, independently or in
conjunction with other modalities of treatments.
National Uniform Claims Commitee
Apa itu IPM?

Minimally invasive procedures including


percutaneous precision needle placement, with
placement of drug in targeted areas or ablation of
targeted nerves.

Medicare Payment Advisory Commision


Mekanisme IPM

Obat langsung
ke target

Koreksi
patologi

Blok signal neuropati


Kelebihan IPM

 Minimal invasif
 Perawatan pendek
 Dilakukan dengan bius lokal, risiko lebih kecil.
 Obat diberikan langsung ke target
 Rehabilitasi lebih dini dan efektif
 Mengurangi kebutuhan analgeti
 Bisa menhindari pembedahan
 IPM mengisi gap antara terapi farmakologi dengan pembedahan
Teknik IPM
Head & Neck
trigeminal ganglion block
sphenopalatine ganglion block
cervical interlaminar/ transforaminal epidural
cervical facet joint block
stellate ganglion block
Teknik IPM
Head & Neck
Teknik IPM
Thoracal
thoracic epidural
 thoracic facet joint block
 suprascapular nerve block
 intercostal nerve block
 splancnic nerve block
 celiac nerve block
Teknik IPM
Thoracal
Teknik IPM
Lumbar
lumbar epidural block
 lumbar facet joint block
 lumbar symphatetic block
 rami communicantes block
Teknik IPM
Lumbar
Teknik IPM
Pelvic & Sacral
caudal epidural block
 superior hypogastric plexus block
 ganglion impar block
 sacroilliac joint block
Teknik IPM
Pelvic & Sacral
Teknik IPM
Advance
vertebroplasty/ kyphoplasty
 spinal cord stimulation
SEKIAN
&
TERIMA KASIH

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