PAIN UPDATE III

PAIN INTERVENTION SCIENTIFIC UPDATE 2019

Third Indonesia Interventional Pain
Physician Symposium (3rd ina-IPPS)

CANCER PAIN

" Better Life

For End Of Life”

August 01st–04th2019
Grand Mercure kemayoran &
Mayapada Hospital South Jakarta

PERKUMPULAN DOKTER INTERVENSI NYERI INDONESIA (PERDINI)

Indonesian Society of Interventional Pain Physician (ISIPP), Kesekretariatan
Poli Depok Orthopedic & Pain Intervention Center
Jl. Raya Bogor, Km. 33, Cisalak-Depok
Telepon: (021) 874 3790 Ext. 422 Email : painupdate.perdini@gmail.com
Table of
Content

Greetings........................................ 1
Committee ..................................... 3
General Information ..................... 4
Table Symposium .......................... 5
Table Workshop ............................ 6
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Greetings
Welcome Message

Dear Colleagues,

The worldwide burden of cancer is increasing at an alarming

pace. Pain is one the most burdensome symptoms of

cancer. More than half of all patients with cancer experience

pain. If cancer pain is not adequately treated, it can have

devastating consequences that affect the quality of life ofe

patient and their families.

To improve this problem, especially in Indonesia, a group of physicians who share the
same vision gathered to form Indonesian Society of Interventional Pain Physician (ISIPP).

We hope that we can bring together multidisciplinary experts in the field of pain medicine

for standardization and advancement of interventional pain service. ISIPP is formed last

year, and we are still growing to become Indonesian Chapter of WIP.

To improve standard of pain patient management, we conduct scientific meeting which

consists of symposium and workshop that will be held 04-06 August 2019 in Mercure,

Kemayoran, Jakarta. I am very honored to introduce you to our new organization.

We look forward for you to join us, to achieve one common goal in preventing and

overcoming pain.

Best regards,

Ketut Ngurah Gunapriya, MD. Sp.An, KIC, FIPM FIPP, CIPS

President of PERDINI
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Greetings
Assalamu’alaikum Wr. Wb.

Dear Colleagues,

Welcome to Indonesia Intervention Pain Physician Symposium (3rd

IIPPS). This is the only multidisciplinary conference in Indonesia

offering insight into the complex problem of cancer pain

management, with our theme this year “Better Life For End of Life”.

This event aiming to explore the diversifying science and

therapeutic application in cancer pain.

Pain is one of the most common, unattended and unsolved problem for the cancer patients.
Cancer pain, or cancer-related pain, is strongly associated with a poor quality of life and has

therefore been suggested as a substantial indicator for quality of life in cancer patients. The WHO

and the Worldwide Palliative Care Alliance estimate that 40-60% of all deaths require palliative

care, and that pain is one of the most frequent and serious symptoms. Its management is often
hindered by barriers created by patients and physicians alike.

To continuously improve the quality of cancer pain management in Indonesia, which consists of

symposium and workshop of cancer pain management with our theme “Better Life For End of Life”.

We believe that this meeting will brings you to valuable experiences, and will spur our spirit to
learn more about interventional pain management, since this relatively new technic on treating

cancer pain in Indonesia.

We look forward to see you in the beauty and hospitality of Jakarta Capital Indonesia.

Best Regards,

Alif Noeriyanto Rahman, MD. FIPP

Chairman
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Committee
Presidium : dr. Ketut Ngurah Gunapriya, Sp.An, KIC, FIPM, FIPP,CIPS
(President of Perdini)
Steering Comitee : Prof. dr. Darto Satoto, Sp.An, KAR
Prof. Dr. dr. Hasan Sjahrir, Sp.S (K)
Prof. Dr. dr. Angela Tulaar, Sp.KFR (K)
Dr. dr. Edi Mustamsir, Sp.OT (K)
Dr. dr. Hari Bagianto, Sp.An, KIC, KMN
dr. Syafruddin H, Sp.OT, (K)Spine
Chairman Co : dr. Alif Noeriyanto Rahman, Sp.OT, FIPP
Chairman : dr. Zeldi Ichsan, Sp.An, FIPM
Secretary : Dr. dr. Rita Vivera Pane, Sp.KFR
dr. Petrasama, Sp.OT
Treasure : dr. Istiana Sari, Sp.S, FIPM, M.Med (Pain Management)
dr. Eka Candra Sasmita, Sp.S
Scientific : dr. Ketut Ngurah Gunapriya, Sp.An. KIC, FIPM, FIPP,CIPS
Prof. dr. Darto Satoto, Sp.An, KAR
dr. TCT Novy, Sp.KFR, MKes, FIPP,CIPS
dr. Isrun Masari, Sp.An, FIPM
dr. Adimas Nofrianto, Sp.OT
dr. Anggoro Jati, Sp.OT
dr. Aryo Nugroho, Sp.OT
dr. Fanny Aliwarga, Sp.KFR
dr. Gunawan Kurniadi, Sp.KFR
dr. Syafrizal Abubakar, Sp.BS
Fundraiser : dr. Poppy Chandradewi, Sp.S, M.Sc
dr. Iswandi Erwin, Sp.S
dr. Sholahuddin Rhatomy Sp.OT (K)
dr. Renaldi P.H.Nagar Rasyid, Sp.OT, M.Kes, AIFO
dr. Stephanus Gunawan, Sp.BS
dr. Adam Moelyono, Sp.OT, (K)Spine
Dr. dr. Made Agus Mahendra Inggas, Sp.BS
Program : dr. Ruth Evelin Margaretha, Sp.An
dr. Rizki Rahmadian, Sp.OT (K) MKes
dr. Sugeng, Sp.S
Publication : dr. Fajar Rudy Qimindra, Sp.S
dr. Musa Brahmana, Sp.An, FIPM

Organizer
Indonesian Society of Interventional Pain Physician (ISIPP) Kesekretariatan
Poli Depok Ortopedic & Pain Intervention Center, Jl. Raya Bogor, Km.33 Cisalak-Depok
Telepon: (021) 874 3790 Ext. 422 Email: painupdate.perdini@gmail.com
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General
Information
Program Name :

The 3rd Annual Scientific Meeting of Indonesian Society of Interventional Pain Physician (ISIPP)

Accreditation :

Ikatan Dokter Indonesia (IDI) & PPNI

Organizer :

Indonesian Society of Interventional Pain Physician (ISIPP)

Program Schedule :

Workshop: 1st – 2nd august 2019

1. Workshop USG MSK Basic
2. Workshop USG advance yang berkaitan dengan Cancer
3. Workshop C Arm Basic
4. Workshop Advance Pain Assesment Course General Practitioners (APAC GP)
5. Workshop Pain management Course for Nurses
Symposium and Exhibition : 3rd - 4th august 2019

Venue :

Grand Mercure Kemayoran

Superblok Mega Jl. Benyamin Sueb No.Kav B6, RW.10, Kemayoran,
Central Jakarta City, 10610

Mayapada Hospital, South Jakarta

Jl. Lebak bulus I Kav. 29, Cilandak, South Jakarta, 12440

Participant :

Anesthesiology Specialist, Orthopedic Specialist, Neuro Specialist, Neuro Surgery Specialist, Medical
Rehabilitation Specialist, Emergency Specialist, General Practitioner, Nurse.

Target of Participant Number :

1000 - 1500 participant

Table
Symposium
DAY 1 August 3th 2019
TOPIC

PLENARY SYMPO I

Mechanisme Of Cancer Pain : Relief Is Possible

Strategy Multidisiplinary Cancer Pain : From Evidence To Practice

Operative Breast Cancer : The Timing

Introduduction : Role Of Neuromodulation In Cancer Pain

LUNCH SYMPOSIUM I

The Role Of Oxycodone For Cancer Pain

Adjuvant Nsaid For Cancer Pain

SATELITE SYMPO I SATELITE SYMPO II
HEAD AND NECK THORACIC
Cordotomi For Intractable Cancer
Algortithms For Post Mastectomy Pain
Pain
Spheno Palatine, Or Combine Erector Spine Block Or Inter Contalis
Ganglion Gasserian Nerve Abilation For
Abilation For Facial Cancer Pain ? Chest Wall Cancer Pain Is Effective ?
Which One Better For Cancer Mamae
Current Therapy For Eagle
Para Vetebrtal Or Epidural Cather
Syndrome
Thoracic Block ?
Pectorialis And Serratus Plane Blocks For
Perifer Nerve Block For Facial And
Breast Cancer
Neck Pain
Pain
SATELITE SYMPO III SATELITE SYMPO IV
TRUNK LIMB
Treatment Options For Visceral CRPS Treatment
Tumor Pain From Guidence To Evidance
Perifer Nerve Block For Abdomunal
Joint Ablative Techniques In Oncology
Wall Pain
Intrathecal Dosing And Timing The Role Of Infusion Therapies
Strategies For Visceral (Ketamine and Lidocaine) For Cancer
Pain Pain
Botox Treatment For Cancer With
Bisphoshonates For Cancer Patients
Peripheral Neuropathy
WHY, HOW, And WHEN ?
Pain Myth Or Fact ?
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Table
Symposium
DAY 2 August 4th 2019
TOPIC

PLENARY SYMPO 2

Principle of Pain Management and Palliative Care

Considerations for Regenarative Medicine In Onkology

Kyphoplasty for Metastatic Cancer Pain

Cancer Rehabilitation in a Multidiciplanary Team

LUNCH SYMPOSIUM 2

Cryo Ablation in Cancer Pain Management

Interventional Pain Cancer Ultrasound Guided

SATELITE SYMPO V SATELITE SYMPO VI
OPIOD REHABILITATION

Appropriate Adjuvant and Rehabilitation in Terminal State Cancer,

Morphine Titration for Cancer Pain and Increasing Functional Outcame

Exploring the Myths and Fact of

Rehabilitationof Cancer in Lung Cancer
Morphinein Cancer Pain
Mirror Theraphy : A Potential
Titration Morphine Intra Techal,
Inteventional for pain Cancer
How Low Can You Go
Management
Strategy Using Morphine Cognitive Behavioral Therapy for Cancer
Transdermal Patch Related Cognitive Dysfunction
SATELITE SYMPO VII SATELITE SYMPO VIII
LIVE MODEL STATIONS 1 TRACKING LIVE MODEL STATIONS 2 TRACKING
WITH USG WITH USG
Ganglion Stelate and Nervus Glosso- Posterior Neck, Ton, Gon Nerve
Pharyngeal Nerve Tracking USG Tracking Ultrasound
Dynamic Cervical Nerve Root, Spinal
Celiac SympatheticTrunk Dinamic
Accessory, Dorso Scapula, Supra
Nerve Tracking USG
Scapula Nerve Tracking
Dynamic Pecs 1 and 2, Dorso Scapular
Superior Hypogastric and Ganglion
and Long Rhoracic Nerve Tracking Ultra
Impar Sympatic Nerve Tracking USG
Sound
Quadratus Lomborum and Lower Extremity (Knee and Hip
Abdominal Nerve Wall Tracking Denervation) Dynamic Nerve Tracking
USG USG
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Table
Workshop
(Ultrasound Basic)
Course Director : dr. Isrun Masari, Sp.An, FIPM
Participant : Limited 40 participant
Venue : Mayapada Hospital, South Jakarta

Day 1
Interactive lecture and hands on volunteer
August 1st 2019 Workshop

TIME TOPIC

08.30-08.45 Registration
08.45-09.00 Opening
09.00-09.30 Ultrasound Guided Pain Management Procedure
09.30-10.00 Drug used in Interventional Pain Management
10.00-10.30 Patologi in Nerve and Musculosceletal Ultrasound
10.30-10.45 Coffe break
10.45-11.30 Shoulder Pain: Supraspinatus tendinosis, Bursitis SASD,
AC joint arthritis, Subscapularis, Infraspinatus,
Glenohumeral joint, Bicep tendinosis, Suprascapular
Nerve
11.30-12.15 Nerve entrapment: n. medianus, n. ulnaris, n. radialis
12.15-13.00 Elbow, wrist and digiti pain : Epicondilitis lateral and
medialis, CTS, de Quervain, Trigger Finger and Guyon
Canal
13.00-14.00 Lunch
Hands on sonoanatomy
Stasion A : (40 minute)
Nerve tracking : medianus, ulnaris and radialis
Stasion B : (40 minute)
14.00-15.40 Shoulder problem: Supraspinatus tendinosis, Bursitis
SASD, AC joint arthritis, Subscapularis, Infraspinatus,
Glenohumeral joint, Bicep tendinosis
Stasion C : (40 minute)
Epicondilitis lateral and medialis, Suprascapular nerve
Stasion D : (40 minute)
Elbow, wrist and digiti pain : CTS, de Quervain, Trigger
Finger and Guyon Canal
15.40-16.00 Question and Answer
Table
Workshop
(Ultrasound Basic)
Course Director : dr. Isrun Masari, Sp.An, FIPM
Participant : Limited 40 participant
Venue : Mayapada Hospital, South Jakarta

Day 2
Interactive lecture and hands on volunteer
August 2nd 2019 Workshop
TIME TOPIC
09.00-09.30 Problem of piriformis, SI joint, Achilles tendinosis
09.30-10.00 Knee and Ankle joint pain :intra articular knee, pes anserinus,
tibiotalar joint arthritis
10.00-10.30 Nerve block for knee pain : Genicular block and Adductor Canal
Block
10.30-10.45 Coffe Break
10.45-12.00 Hip Problem : Ilioinguinal and iliohypogastric nerve, LFCN,hip
joint arthritis, Great trochanter bursitis

12.00- 13.00 Lunch

Stasion A : (40 minutes)

Problem of piriformis, SI joint, Achilles tendinosis
Stasion B : (40 minutes)
13.00-15.20 Knee and Ankle joint pain :intra articular knee, pes anserinus,
tibiotalar joint arthritis
Stasion C : ( 40 minutes)
Nerve block for knee pain : Genicular block and Adductor Canal
Block
Stasion D : (40 minutes)
Hip Problem : Ilioinguinal and iliohypogastric nerve, LFCN,hip
joint arthritis, Great trochanter bursitis
15.20-16.00 Question and Answer – Closing
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Table
Workshop
(Ultrasound Advance)
Course Director : dr. TCT Novy, Sp.KFR, MKes, FIPP, CIPS
Participant : Limited 40 participant
Venue : Mayapada Hospital, South Jakarta

Day 1
Interactive lecture
August 1st 2019 Workshop
TIME TOPIC
08.30-08.45 Registration
08.45-09.00 Opening
09.00- 09.45 Head problem : GON, supra and infra orbita nerve block,
mental nerve and mandibular nerve block
09.45-10.30 Cervical Pain : Cervical medial branch block, TON, Selective
nerve root block
10.30-10.45 Coffe Break
10.45-11.45 Ultrasound guided Stellate Ganglion Block
11.45-12.30 Coeliac Ganglion Block with ultrasound guided
12.30-13.30 Lunch
13.30-14.15 Ultrasound procedure Lumbal simpatic Block
14.15-15.00 Lumbar median Branch Block and Transforaminal lumbal
Block
15.00-15.45 SI joint and Quadratus lumborum
15.45- 16.00 Question and Answer
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Table
0
Workshop
(Ultrasound Advance)
Course Director : dr. TCT Novy, Sp.KFR, MKes, FIPP, CIPS
Participant : Limited 40 participant
Venue : Mayapada Hospital, South Jakarta

Day 2
Interactive lecture and hands on cadaver
August 2nd 2019 Workshop
TIME TOPIC
09.00-10.40 Stasion A (50 minutes)
Supra and infra orbita nerve block, mental nerve and mandibular
nerve block, stellate ganglion block
Stasion B (50 minutes)
Cervical medial branch block, TON, Selective nerve root block,
GON, Quadratus lumborum
10.40-11.00 Coffe break
11.00-12.40 Stasion C (50 minutes)
Ultrasound procedure Lumbal simpatico, intercostalis block
Lumbar median Branch Block and Transforaminal lumbal Block
Stasion D (50 minutes)
Ultrasound guided Stellate Ganglion Block
Coeliac Ganglion Block with ultrasound guided
12.40-14.00 Lunch
14.00-14.45 Thoracic facet block, intercostal block
14.45-15.30 Caudal and sacral nerve root
15.30-16.00 Q-A - Closing
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Table
Workshop
(C Arm guided Interventional Procedure)
Course Director : dr. Adimas Nofrianto, Sp.OT
Participant : Limited 30 participant
Venue : Mayapada Hospital, South Jakarta

Day 1
Interactive lecture and hands on at cadaver
August 1st 2019 Workshop
TIME TOPIC
08.30-08.45 Registration
08.45-09.00 Opening
09.00-09.30 Introduction : IPM benefit and Risk
09.30-10.00 Basic fluoroscopy
10.00-10.20 Coffe Break
10.20-11.10 Low Back Pain and Lumbar Radicular Pain
11.10-12.00 Lumbal facet block and Medial Branch Block
Fluoroscopy Guide
12.00-12.30 Lumbal simpatektomi
12.30-13.30 Lunch
Stasion A (50 minutes)
Lumbal facet Block
13.30- 16.00 Stasion B (50 minutes)
Lumbal Medial Branch Block
Stasion C (50 minutes)
Lumbal simpatis Block
16.00-16.30 Q&A
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Table
Workshop
(C Arm guided Interventional Procedure)
Course Director : dr. Adimas Nofrianto, Sp.OT
Participant : Limited 30 participant
Venue : Mayapada Hospital, South Jakarta

Day 2
Interactive lecture and hands on at cadaver
August 2nd 2019 Workshop
TIME TOPIC

09.00-09.45 Lumbar Dorsal Root Ganglion Fluoroscopy Guide

09.45- 10.30 Caudal epidural nerve Block
10.30- 11.00 Coffe Break
11.00-11.45 Sacro Iliaca Joint Fluoroscopy Guide

11.45-13.00 Lunch

Stasion A (50 minutes)

Physical Examination
13.00-15.30 Stasion B (50 minutes)
Lumbar Dorsal Root Ganglion
Stasion C (50 minutes)
Sacro Iliac and Caudal epidural
15.30-16.00 Q&A - Closing
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Table
Workshop
(Advance Pain Assesment Course For General Practiticioner)
No Time Topic Content
 Pain pathway
 Type of pain
General Consideration of
1 08.00-08.30  Pharmacotherapy of pain
Pain
 Psycological aspect of pain
 Myths in pain management
 Pain history
 Type of pain intensity
assessment
 Verbal rating scale (VRS)
 The binary scale
 The numerical rating scale
(NRS)
History Taking in Pain  The face rating scale
2 08.30-09.00
Medicine  The visual analog scale
(VAS)
 Assessment of quality or nature
of pain
 Screening tool of neuropathic
pain
 Understanding of red flag

3 09.00-09.45 Case Discussion

4 09.45-10.00 Coffee Break
 Headache classification
 Headache history
5 10.00-10.30 Evaluation of Headache  Physical examination
 Investigation
 Diagnostic algorithm
6 10.30-11.00 Non Pharmacological, Pharmacological Treatment of Headage
7 11.00-11.30 Introduction interventional Pain Management of Headache
8 11.30-12.15 Case Discussion
9 12.15-13.00 Lunch & Pray Break
1  Etiology
0  Red flag
 History of Patient
13.00-13.30 Evaluation of Neck Pain
 Examination
 Other investigation
 Algoritm
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1


Classification
History
4
 Physical examination
13.30-14.00 Evaluation of Shoulder Pain
 Special test
 Other investigation
 Algoritm
1
14.00-14.45 Case Discussion
2
1
14.45-15.00 Coffee Break
3
1  Red Flags
4  Pain history
 Physical examination
15.00-15.30 Evaluation of Low Back Pain
 Special test
 Other investigation
 Diagnostic Injection
1  Cause of leg pain
5  Red flags
 Leg pain history
15.30-16.00 Evaluation of Leg Pain
 Physical examination
 Other investigation
 Algorithm
1  Red flags
6  Possible referred knee pain
 History
16.00-16.30 Evaluation of Knee Pain
 Physical examination
 Special test
 Other investigation
1
16.30-17.15 Case Dicussion
7
1
17.15-17.30 Course Wrap up
8
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Table
Workshop
(Radiofrequency for nurse assisting interventional pain procedures)
(half / aday WS)

No Time Topic Content

 Inform consent for IPM
procedures (nurse help
reminding operator)
Documentation and
1 08.00-09.00  Protocol IPM procedures
Protocol of IPM procedures
 Medicine used in IPM
procedures : dyes, steroid,
anesthesia local
2 09.00-09.45 Case Discussion
3 09.45-10.00 Coffee Break
 Basic RF for medicine
4 10.00-10.30 Radiofrequency  How to use RF medicine
 Various usage of RF neddless
5 10.30-11.00 Hands on session
6 11.00-11.30 Evaluation of participants / hands – on examination
7 11.30-12.15 Case Discussion
8 12.15-13.00 Lunch & Pray Break
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Registration 6
All scientific registrants, including those presenting free paper, must register as full members and pay the
relevant registration fees. Registration will not be confirmed until the committee has received the respective
registration fee. To register, complete and mail or fax the registration form together with your payment to the
congress secretariat. Payment method can be thourgh bank transfer or cash.
Registration

Category Specialist General Practitioner Nurse

Workshop USG MSK Basic & Symposium IDR 5.500.000

Workshop USG Advance & Symposium IDR 7.500.000

Workshop C Arm Basic & Symposium IDR 5.500.000

Workshop Advance Pain Assesment Course

IDR 1.500.000
General Practitioners (APAC GP) & Symposium
Workshop Pain Management Course for
IDR 750.000
Nurses & Symposium
Symposium and Exhibition IDR 1.000.000 IDR 500.000 IDR 300.000

Payment Method
□ Transfer □ Cash
Bank Transfer
Payment
Bank Account : CIMB NIAGA Branch Darmo Surabaya
Account Number : 8022 4224 2300
Account name : PERHIMPUNAN DOKTER INTERVENSI
NYERI INDONESIA (PERDINI)

Cancellation Policy
The registration can’t refundable
Letter of invitation
Upon request, The organizing committee will issue a letter of invitation. The sole purpose of the
letter is to facilitate the delegate’s travel and visa arrangement. The invitation does not imply
provison of financial or other support.
Certificate of Attendance
A certificate of attendance will be issued to all delegates. CPD points will be awarded.
Liability
The Organizing Committee will not be liable for personal accidents, loss or damage to private
property of the participants during duration of the conference. Participants should make their own
personal arrangements.

Indonesian Society of Interventional Pain Physician (ISIP)

Poli Depok Orthopedic & Pain Intervention Center
Jl. Raya Bogor, Km. 33, Cisalak-Depok
Telepon: (021) 874 3790 Ext. 422 Email : painupdate.perdini@gmail.com