MARAA FALL 2008 Meeting Orlando, FL

Where do we stand on the debate? Old Business Ambit v. Gemstar Where do we stand on the debate?

Old Business Joint Regional Anesthesia & Analgesia Tracking System JRAATS Capture data regarding the mechanism of injury Capture data needed to create Pain Procedure Notes General Pain IV PCA Pain Epidural Catheter Peripheral Nerve Block Continual Peripheral Nerve Block Single Injection Peripheral Nerve Block Capture the data needed for Clinical Pain Notes Capture the data needed for Transfer Pain Notes Provide the same level of capability as currently provided by RATS via existing enterprise systems Serve as the primary tool for integration, tracking, and research into pain care improvements throughout the evacuation chain

Old Business Joint Regional Anesthesia & Analgesia Tracking System JRAATS MARAA Committee Coordination (includes anesthesia consultants for Air Force, Army, Navy) -Project approved by MARAA 25 April 2008 TFWG Coordination Dec 2007 – Concept accepted by TFWG Jul 2008 – Requirements and CONOPS Formal Staffing Complete Two comments, both incorporated All Other Respondents Concurred September 2008 – TFWG has approved ConOps and forwarded the package for funding and implementation.

Old Business Should other drugs or medications be recommended as part of PCA infusions or given prior to air evacuation? Hydromorphone PCA discussion Ketamine PCA infusions (Ultra-low Dose) PCA opioid dosing recommendations

Old Business MARAA Book

MARAA Landstuhl Pain Survey Old Business MARAA Landstuhl Pain Survey

Old Business MARAA representative (or one from each service) on the monthly continuum of care VTCs.

Old Business James Ray – Ortho-McNeil Janssen Scientific Affairs IONSYS – Iontophoresis Patch Update

New Business DVPMI Anesthesia Acute Pain Service Chronic Pain Therapies PM&R Physical Rehabilitation Behavioral Health Co-existing Psychiatric Diseases Cognitive Therapy Substance Abuse and Addiction Medicine Pediatric Pain Clinic Cancer Pain & Palliative Care Pain Treatment Quality of Life Hospice Complementary and Alternative Medicine Techniques Acupuncture Biofeedback Guided Imagery Family Education and Support Pain Rehabilitation Center Focus on patients with refractory maladaptive pain coping behavior Inpatient Hospitalization Intensive Outpatient Outpatient Program

Pain Management Missions Acute Chronic Optimum pain care for our warriors requires both Acute and Chronic pain management specialists

USA Today – The world presented at an 8th grade reading level

New Business Ceramatec Inc. Low Rate, Volume Efficient Implantable Drug Delivery with On/Off Capability John Gordon

New Business Towards Development of an Electrochemical Propofol Biosensor for Closed-Loop TCIA Edward Chaum, MD, PhD

New Business www.arapmi.org