Hospital Departments

Introduction to Anesthesia, the ICU, and Pain Management

The department of anaesthesia, intensive care and pain management provides services within KCCC to all buildings and clinics around anaesthesia, sedation, intensive care and pain management. The goal of the department is to provide safe quality anaesthetic intensive therapy and pain management to all patients.

The department was established in 1982 in order to provide safe and efficient administration of anaesthesia and perioperative care for surgical patients and intensive therapy for critically ill medical patients who require continuous monitoring and support of vital functions.

The Anaesthesia department also assumed the administrative and leadership position in the work of Pain Management with the aim to provide comprehensive management of acute and chronic pain syndrome in cancer patients. In addition, medical staff of the department provide sedation and general anaesthesia outside the Operating Theatre, for the purposes of computerized tomography and radiotherapy.

The focus of the department is to safely and efficiently administering local and general anaesthesia, perioperative care of surgical patients, and intensive therapy for critically ill medical patients, who require continuous monitoring and support of vital functions. We endeavor to provide comprehensive management of acute and chronic pay syndrome in cancer patients. Intensive care for cancer and surgical patient according to the most updated evidence based management is provided to our beloved patient. ICU admission may be required by patients with organ failure due to a newly diagnoses cancer or by cancer patients suffering a complication of chemotherapy or bone marrow transplantation.

We value an atmosphere of equality and mutual respect to provide high quality service to all patients. We strive for continuous medical education for all senior and junior staff.

General Anesthesia

General AnesthesiaGeneral Anesthesia material

Intensive Care Unit

ICU ICU information

Acute Pain Management

ICU

Introduction

Analgesia is now recognized as a significant contributor to clinical outcomes. The goal for pain management is to provide the best analgesia with the least amount of side effects. 
Epidural analgesia is a desirable method of pain relief because it provides true regional analgesia with little or no contribution from systemic levels of opioids. All of which may lead to excellent analgesia with minimal side effects. 
Caring for patients who receive epidural analgesia requires specialized knowledge regarding the placement of the epidural catheter, management of the therapy, and monitoring for potential side effects/complications. 
Intravenous PCA is another method of pain relief, medicine is given into the veins through a small plastic tube. Narcotics are the most common analgesics administered through PCA’s. It is most important for care givers to monitor patient for potential side effects. 

A Welcome Message from Dr. Fawzy Nourelhoda MD.  

Management of pain around the time of surgery is one of our top priorities. At Kuwait Cancer Control Center we take an intensive approach to identifying and treating pain, often times even before it arises. Our acute perioperative pain team includes physician specialists and a specialist nurse practitioner working together with the ultimate goals of minimizing pain, minimizing medication side effects, and creating the most comfortable experience for surgical patients. We accomplish this with a state-of-the-art approach, often utilizing procedures such as epidural catheters and peripheral nerve blocks along with a combination of medications and close patient interaction. 

Acute Pain Service

The Acute Pain Service, under the direction of Dr. Ahmed Abotaiban( MD.), provides a multimodal approach for the prevention and treatment of acute pain with the goal of improving patient comfort and satisfaction in the perioperative as well as postoperative hospital settings. The management of pain in the hospital setting could be a difficult task to accomplish especially after a pain signal has already been established. For this reason, the Acute Pain Service at Kuwait Cancer Controlled Center takes a proactive approach in improving the hospital experience of our patients. Our acute pain team is facilitated by highly trained physicians who specialize in a holistic pain management approach using a combination of anatomical landmarks and advanced ultrasound technology for direct visualization of targeted therapeutic sites as well as adjuvant medications (both narcotic and non-narcotic formularies). 
The acute pain service team in Kuwait Cancer Control Center responsible about all parenteral and regional analgesia . 

Aims of the Acute Pain Team 

  • The acute pain team acknowledge their commitment to continuously educate, update and support both patient and staff to facilitate safe and effective pain management. 
  • Effectively managed pain serves to maintain the well-being, integrity and dignity of the individual person and effective pain relief is an essential element of good quality care. 
  • All patients undergoing elective surgery will receive verbal and written information regarding their postoperative pain management, including PCA and epidural analgesia, from the pre-assessment nurses. Patients undergoing emergency surgery can discuss their postoperative pain management plan with their anesthetist.


History of Acute Pain Service at KCCC 

First Acute pain service protocol put in 2010 by Dr. Fawzy Nourelhoda (anesthesia senior registrar) under supervision of Dr. Mohamed Al-Khashty with recommendation of UHN team. Service run by help of anesthesia technicians and surgical ward nurses. Multiple educational lectures and workshops done for anesthesia technicians and staff nurses about PCA pump programing, troubleshooting, patient’s pain evaluation and monitoring. Second edition of acute pain service protocol done 2012 with more involvement of surgical ward’s nurses and limitation of anesthesia technician’s roles to OT only. Third edition of acute pain service protocol put in 2014 under supervision of Dr. Ahmed Abotaiban with initiation of acute pain service nurses team and publishment of new forms of service order and patient education and registry. 

The Acute Pain Team


The acute pain team consists of anesthetists and acute pain nurses. 
  • Dr. Ahmed Abotaiban(Head of Anesthesia & ICU) 
  • Dr. Fawzy Nourelhoda(Anesthesia Senior Registrar) 
  • S/N Lini Thomas 
  • S/N Eman Waheed 


Acute Pain Service Activities

  

Nurses

  1. APS Nurse educate the staffs in ward to assess the patient’s pain and maintain PCA/PCEA nursing flow sheet. 
  2. APS Nurse educate the patients who are for post –surgery use of PCA/PCEA in the anesthesia clinic prior to surgery and obtains the consent. 
  3. APS Nurse make morning rounds for patients with PCA/PCEA in the wards, assess the pain score and maintain the record. 
  4. APS Nurse monitors the patient with Nerve Block. 

Patients

  1. Patients are educated about pain score. 
  2. Patients are closely monitored for any side effects /complications. 
  3. Patients with PCEA are ambulated with assistance of APS Nurse for first time. 
  4. Patients are also educated about deep breathing exercise, splinting of surgical side by hands while coughing. 

Anesthetists 

  1. Anesthetist makes morning rounds for PCA/PCEA cases in ward and ICU. 
  2. Anesthetist participates in insertion of Epidural catheters, removal of Epidural catheters and administering of nerve block medicine to patients. 

Surgeons

  1. Anesthetist collaborates with surgeons to provide best service for postoperative pain management. 
  2. Multiple educational courses for surgeons about pharmacological properties of analgesics. 
  3. Anesthetist initiates oral postoperative pain management in association with surgeons. 


Gallery 

Pain Scale



PCA Pump




Dermatome Chart 



Video Epidural Catheter Insertion and Nerve Block 

Education Program

  • Nurses educate the patient on numerical pain score. 0 means no pain, 10 means worst pain. 
  • Nurses educate patient for deep breathing exercise, spirometry exercise and early ambulation. 
  • Nurses explain patient about PCA/PCEA. 
  • Nurses educate patient about side effects and complication of PCA/PCEA. 
  • Nurses educate patient about how to use PCA/PCEA PUMP.   

For Further Contacts

If you have any complaints or comments to improve the quality of service you can contact the anesthetist at extension 5700 or 5711.

 

 

 

Chronic Pain Management

ICU Chronic pain management

Outpatient Clinic

ICU Outpatient Clinic

Other Information

ICU Other Information