Friday, April 11, 2014

Dr. Rowan Molnar – The relation between anaesthesia and states of consciousness

Dr. Rowan Molnar

General anaesthesia has evolved significantly over time and has transformed surgery into something of a gentle slumber from a patient’s point of view. There are several new techniques being developed for imaging the brain and recording its electrical impulses during anaesthesia. Several studies aim at understanding the relationship between anaesthetics and consciousness and how it might interrupt consciousness.  Altered consciousness is a condition that occurs during general anaesthesia and when anyone falls asleep. However, an anaesthetic does allow the specialist anaesthetist to safely manipulate consciousness safely. For the most part, an anaesthetist has one of the most critical tasks during and after surgery in keeping patients comfortable with the least amount of pain. Most patients experience a state of drowsiness similar to drunkenness prior to falling unconscious in the pre-surgery state.

Anaesthesia usually commences with an injection of drugs like propofol, which allows for a smooth and rapid transition to a state of unconsciousness. Following this, an inhaled anaesthetic is usually administered for better control of the depth of anaesthesia. Today, the list of anaesthetic agents range from complex steroids and other drugs to inert gases such as xenon. Brain imaging techniques are being used to track changes in blood flow to different areas of the brain to determine what areas of the brain are affected by anaesthetics. Dr. Rowan Molnar has decades of global experience as a specialist anaesthetist in critical care and trauma medicine and is at the forefront of many clinical studies. In addition to holding various positions at major medical institutions in the USA and Australia he was also an Editorial Reviewer at Journal Anaesthesia and Intensive Care.

Dr. Rowan Molnar on the Benefits of a Pain Management Training Program

Pain is something that every physician has to deal with on a regular basis, as this is something that many patients complain of. Lower back pain is common today and demands the need for better pain management techniques. Specialist training is available to physicians in order to assist patients cope with pain in a better way. On completion of the training program, a physician will be able to expand his or her practice to include the sub specialty services of pain management. A physician will also be able to perform all the injection procedures such as Facet injection, Trigger Point injections, Paravertebral Facet injection, and injection of Sacroiliac, Shoulder, Hip, and Knee. Dr. Rowan Molnar has always been an active advocate of pain management training programs.

Dr. Rowan Molnar

Participants will be able to evaluate and develop treatment by using injection techniques for patients with chronic lumbosacral pain. They will also be able to evaluate patients with large joint pain and develop an effective injection therapy treatment plan. By using image guidance, they will be able to use various needle placement techniques. Physicians will also learn appropriate dosages of supplies and solutions and learn how to order them. Dr. Rowan Molnar has specific expertise in anaesthesia and pain management. As a senior specialist anaesthetist he has over 25 years experience extensive clinical experience in anaesthesia at a tertiary referral hospital level, which includes various positions held at Massachusetts General Hospital Boston, Harvard University and associations and training with John Hopkins Medical Centre in Baltimore, and the University of California. He is currently working as a senior specialist anaesthetist and Director of Anaesthesia at a major Australian Government Project in Papua New Guinea.