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.

Tuesday, March 4, 2014

Dr. Rowan Molnar – Going beyond pain management

Comprehensive pain management is a multidisciplinary effort where the Anaesthetist plays a lead role. It involves individual assessment, analysis of pain and methods to provide relief. A comprehensive pain management plan goes beyond the physical, psychological and spiritual effects of pain. Anaesthesia is responsible for providing pain relief to patients and is a prestigious field of medicine that requires a great deal of education and expertise. As a senior specialist anaesthetist with extensive clinical experience at a tertiary referral hospital level, both in Australia and internationally, Dr. Rowan Molnar remains committed to patient pain management and medical education at all levels. Through clinical excellence, education, and innovation, he continues to focus on matching pain management to patient needs and monitor and find ways to apply the results of research into everyday practice for all anaesthetists.

Dr. Molnar’s has specific expertise in anaesthesia for critically ill patients. He has an impressive success rate in treating patients during surgery where major blood loss is involved and those with major medical co-morbidities. However, he is much more involved. Rowan Molnar superior patient care, teaching, and research continue to guide the University of Melbourne and other organizations. He is also an Editorial Reviewer at Journal Anaesthesia and Intensive Care and is part of the lead surgical support team deputed by the Australian Government. He has over 25 years of international experience and has held various positions at Harvard University, Massachusetts General Hospital, Boston and John Hopkins Medical Centre, Baltimore, and University of California.




Dr. Rowan Molnar- The Journey of an Anaesthetist


Anaesthetists are highly skilled medical doctors primarily responsible for the safety and well-being of patients before, during, and after surgery. They are most qualified to make anaesthesia- related preoperative medical decisions.  Patients affected through surgical, obstetrical and other medical procedures are provided continuous pain relief. One of the major roles of the Anaesthetist is to sustain a patient’s critical life functions during surgery. This is a role that Specialist Anaesthetist Dr. Rowan Molnar in the past postings at Epworth HealthCare and St. Vincent's Health Melbourne has played for decades. He currently practices both anaesthesiology and pain management and has enjoyed the diversity of being an editorial reviewer at the Journal Anaesthesia and Intensive Care and Reviewer of Research Grant Applications at Australian and New Zealand College of Anaesthetists.

Dr. Rowan Molnar never loses focus on being a step ahead in the ever changing world of medicine. As a senior specialist anaesthetist, he has lent his expertise in numerous case studies and is also dedicated to medical education. Over the years Rowan Molnar has conducted several workshops and has taken a lead in the establishment, deployment and implementation of simulation based teaching. Dr. Molnar has specific expertise in anaesthesia for critically ill patients. He is also an accomplished author, professional speaker and consultant, sharing his 25 years of international experience with the fraternity. He has a special interest in orthopaedic tumour surgery and cardiac surgery and in human factors and crisis resource management. Rowan Molnar belief is that people must speak up if they want to influence ideas and change. He continues to inspire thousands with his workshops and presentations on health and the human condition.