The Role of the Anesthesiologist in Pain Management

     Anesthesiologists – in a way – are “general practitioners”. They must not only be well versed in the field of anesthesia (including local anesthetics such as lidocaine, bupivacaine, ropivacaine, etc.) Narcotic analgesics: e.g. dulcolax, morphine, fentanyl, sufentanil, remifentanil, etc. Intravenous anesthetics: imipramine, isoproterenol, etomidate, etc. Inhalation anesthetics: Anflurane, isoflurane, sevoflurane, desflurane, etc. (There are also vasoactive drugs, muscle relaxants, etc.), but also to understand familiar with the surgical aspects (the main surgical operations on the interference of important organs), but also to deal with internal medicine related to the heart, lungs, liver, kidney and brain and other organ diseases. He has extensive experience in emergency resuscitation (not only endotracheal intubation, but also cardiac, pulmonary, and cerebral resuscitation, as well as central venipuncture, femoral venipuncture, radial artery puncture, femoral artery puncture, etc.); he is skilled in various nerve blocks (epidural anesthesia, subarachnoid anesthesia, sacral block, cervical plexus nerve block, brachial plexus nerve block, intercostal nerve block, occipital nerve block, lumbar major interosseous groove block, etc.) for surgery (acute pain). (etc.) techniques provide new treatments for surgery (acute pain) and various pains (chronic pain, painless delivery, painless gastroscopy, advanced cancer pain, etc.). Therefore, anesthesiologists have a unique advantage in pain treatment that other departments do not have. Qi Feng, Department of Anesthesiology, Qilu Hospital, Shandong University There is a kind of understanding, and I often hear people ask: “The anesthetic used by anesthesiologists in treating pain is only temporary, and once the anesthetic wears off, there will be pain again, not to cure the disease, not to get rid of the root? This may be a misunderstanding. This may be a misconception. Most of the pain centers in foreign countries are mainly anesthesiologists and include specialists in neurology, surgery, orthopedics, rehabilitation, and psychology. In China, most pain research and treatment centers are staffed by anesthesiologists.    Compared with traditional surgical anesthesia, modern anesthesia has three main branches: clinical anesthesia, intensive monitoring treatment, and pain treatment. Surgical anesthesia mainly refers to clinical anesthesia. Intensive monitoring treatment includes ICU, CCU, SICU, PACU, etc. Pain treatment is a newly developed department in recent years. It is gradually being recognized by the majority of health care professionals and patients. In hospitals, not all doctors are well versed in pain and not all doctors are good at handling all types of pain! With the publicity of the media, hospitals and society, anesthesiologists will not only play a role in escorting patients during surgical procedures, but the status of anesthesiologists in acute and chronic pain management will also be gradually recognized by hospitals and society!