SUSUNAN ACARA RAPAT

 Pembahasan poliklinik nyeri

 Belleza Pain Clinic (BPC)

 Diskusi & Kesimpulan

KOLABORASI POLIKLINIK
(INTERVENSI) NYERI
25 Januari 2022
RS Belleza Kedaton
 DEFINITION
 NYERI :
 Pengalaman sensori & emosional yg tidak
menyenangkan yg dihubungkan dengan kerusakan
jaringan/potensial terjadinya kerusakan jaringan.
 Konsultasi Pelayanan pasien poliklinik nyeri :
 kegiatan konsultasi yg dilakukan di bagian rawat
jalan oleh dokter spesialis anestesiologi KMN
 PAIN SERVICES IN HOSPITAL

(the place for anesthesiologist to work in

pain management out of OT)
1. ACUTE PAIN SERVICES
2. PAIN CLINIC
3. PALLIATIVE PAIN SERVICE
FIRST PAIN CLINIC CONCEPT
Seattle around 35 years ago by anaesthetist
Dr. John Bonica

Dr Bonica’s search for ways to

relieve his patient’s pain came the
genesis of the idea that the
treatment of pain must come from a
teamwork of a number of medical
specialities
 The trend in pain management has been
moving toward a multidisciplinary approach

Setting up a good pain

management clinic means
assembling the right skills
and talents
 MODALITIES IN PAIN CLINIC

1. Trigger Point Injection

2. Epidural Steroid Injection
3. Nerve Blocks
(Intercostal, Suprascapularis, etc)
1. Ganglion Block (Stellate Ganglion Block)
2. Acupuncture with Needle electric-
stimulation, Heater Lamp, Cupping
Epidural steroid injection

STELLATE GANGLION BLOCK

Femoral Block for Post
Herpetic neuralgia
done in pain-clinic
PAIN CLINIC
WAITING ROOM, EXAMINATION &
ADMINISTRATION
PROCEDURES IN PAIN CLINIC
 FROM WORKSHOP TO REALITY : ITS OUR
RESPONSIBILITY
Workshop in Manniquine/Cadaver
INTERVENTION PROCEDURES IN COT
TREND INCREASE IN PAIN CLINIC

1. Pain Clinic in RSWS Makassar, 2006

2. Pain Clinic in RS Mitra, Jakarta, 2008
3. Pain Clinic in RS Kertha Husada Bali, 2009
4. Pain Clinic in RS Bintaro, 2009
5. Pain Clinic in RS Siloam Karawaci, 2009
6. Pain Clinic in RS Sanglah, Bali, 2010
7. Pain Clinic and Palliative in RSP UNHAS, since 2011
8. Pain Clinic Intervention in Surabaya, 2011
9. Pain Clinic in RS Immanuel, Bandung, 2013
10. Pain Clinic in RSUD Soetomo, Surabaya, 2014
11. Pain Clinic in Syaiful Anwar Hospital , Malang, 2014
12. Pain Clinic in Murni Teguh Hospital in Medan, 2015
2006 2007 2008 2009 20102011 2012 2013 2014 2015

Even we don’t have PAIN SPECIALIST in Indonesia …..

ANESTHESIOLOGIST IN PAIN
CLINIC
PROGRESS IN INDONESIA
 PAIN SERVICES IN HOSPITAL

(the place for anesthesiologist to work in

pain management out of OT)
1. ACUTE PAIN SERVICES
2. PAIN CLINIC
3. PALLIATIVE PAIN SERVICE
 PALIATIVE PAIN SERVICES

 Each specialist department have

own paliative services
 Undermanage cancer pain will be
consulted to our pain clinic
PAIN CLINIC & PALLIATIVE CARE
 CONCLUSION

 Limited time of anesthesiologist, lack

of collaboration with other specialist &
lack of hospital support will be a great
challenge

 Commitment of all human resources &

institution are the key of success in
setting up pain services