First EFIC® Symposium Societal Impact of Pain - SIP

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Narinder Rawal
Prof. Narinder Rawal MD,PhD,FRCA (Hon)
Professor of Anesthesiology
Department of Anaesthesiology & Intensive
Care
Orebro University Hospital
• Professor Narinder Rawal, MD, PhD, FRCA
(Hon)
• Graduated from India
• In Sweden since 1974
• Professor in Anaesthesiology, Department
of Anaesthesiology and Intensive Care,
Örebro University
• Visiting Professor:
1)University of Texas, Houston, USA since
1987
2)University of L'Aquila, Italy since 1999
3)Benares University, India, since 2008
• Invited as Visiting Professor to about 100
institutions
• Original papers over 150
• Book chapters and review articles over 90
• Books published/edited 15
• Member of Editorial Board of over 10
international Anaesthesia or Pain Journals
• Awards from over 30 societies/institutions
for distinguished services in teaching of
regional anaesthesia and pain medicine
including Labat Award (ASRA 2010) and Carl
Koller Award (ESRA 2010)
• Secretary General of European Society of
Regional Anaesthesia (ESRA) ( 2000 -
2009)
Narinder Rawal is a professor of anaesthesiology.
His main research area is primarily in
postoperative pain and its management
.Studies show that a relatively large group of
patients have severe pain after different types
of surgery. We also know that effective
treatments and drugs are available and
therefore there should not be a problem.
Narinder has developed an organization model
on postoperative pain relief, the so-called
Örebro model, which has received attention
both nationally and internationally.
• “We have developed a model which allows
individual pain management of all patients
undergoing surgery. This is a “specialist
nurse-based, anaesthesiologist-supervised
model”. Annual audits have shown that this
model has been working successfully for
nearly 20 years” said Narinder. An important
feature of this model is the education of
nurses on the wards, a job which is mainly
carried out by acute pain nurses.
• Thanks to advances in surgical and
anaesthesiological techniques, it is becoming
increasingly common to perform day
surgery. The problem is that after major
operations are over and when patients
return home, they often still suffer from pain.
• “ We are working on studies to further
develop patient-controlled administration of
regional anaesthesia. This ultimately means
that we can offer good pain relief at home.
In connection with this we also developed a
method in which patients may take home a
small disposable pump filled with local
anaesthetic. And when they feel pain, they
can administer the anaesthetic in the wound
or near a nerve”. This is an effective
method which avoids drowsiness and other
problems of usual pain medication.