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Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 54
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
Background:
Since 2001 it has been shown that successful pain
therapy by consultations of the classical type cannot be provided
in somatic medical disciplines.
Aim:
The aim of the study is to work in liaison mode and to
elucidate specific qualitative and quantitative aspects.
Methodology:
For anesthesiologists, basic guidelines of pain
therapy were provided in an SOP (StandardOperating Procedures)
available at each time. On the side of general and abdominal
surgery, anesthesiologists were allowed to prescribe medication
in parallel to the surgeons.
Results:
This approach achieved: 1. the pain therapists
(anesthesiologists responsible for pain therapy)- took care
for the surgical patients longer in average than before; accept
responsibility for the consequences of their therapeutic
recommendations. 2. patients did not receive unrealistic
recommendations. 3. advices were implemented 1:1. 4. the
working group consisting of surgeons and pain therapists (Dept.
of Anesthesiology) can devolve experiences obtained during the
last years to the other surgeons.
Conclusions:
The algorithms may serve to achieve that i) as a 1st
step, pain therapy is reliable and can be used in each individual
case, ii) as 2nd step, surgeons are better qualified, in particular, on
an individual base, to provide/prescribe appropriate pain therapy
(with more than only prescribing metamizole and/or piritramide,
iii) as 3rd step (in the near future), the general pain niveau on
wards of general and abdominal surgery is reduced to aminimum,
and iv) as 4th step, consultations by pain therapists should be
reduced with no disadvantage for the efficacy of pain therapy.
Biography
Dr. Brinkers has completed his MD at the university of Bonn. His postdoc-
toral studies are based on the habilitation thesis about the influence of CL
on pain therapy. He is now senior house officer at the pain clinic of the uni-
versity Magdeburg.
Michael.Brinkers@med.ovgu.deThe surgeon and the CL-psychiatrist: together in pain
management
Brinkers M, Pfau G, Lodes U, Jacob D
and
Meyer F
Pain Clinic, Germany
Brinkers M et al., Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003