Head:
Dezső Embey-Isztin M.D. Privat. Doz.
Languages:
hungarian, english (high level), french (high level),germain (basic level), italian (basic level).
E-mail:
embeyid@gmail.com
The Development of the Department
The up to date treatment of the chronic pain started in our Institute in 1981. november. Dr. Embey-Isztin board certified anaesthetist worked in the Department of Anaesthesiology of the Medical University Strasbourg during a period of one year (01. oct. 1980. – 01. november, 1981.) He worked six months in the Pain Clinic. Having returned from France he started to perform the sophisticated nerve blocks to releive drug resistent cancer pain, mainly afternoon or late evening besides working as anaesthetist in the operating theatre and intensive care unit.
Since october 1988. Dr. Embey has been working full time in the Pain Clinic of our Institute. It was the first officially recognised Pain Clinic in Hungary.
The infrastructure of our Pain Center the follows:
Two rooms for consultation
One operating theatre equipped the most sophisticated C arm image intensifier and radiofrequency generator.
One room with three bads to follow up the patients after nerve blockades.
Most of the blockades performed outpatient, except the celiac plexus block and longterm epidural catheter implantations, after that a short hospitalization is needed.
Successfully treated pain syndromes are the follows:
Cancer pain Low back pain
Radicular pain due to cervical, thoracic, and lumbar disk herniation.
Articular pain:shoulder, hip, knee
Neuropathic pain:shingles / herpes zoster/, polyneuropathy, central post-stroke pain, trigeminal pain, atypical facial pain ischemic pain /upper and lower limb/.
Sport injuries
Pain following trauma and surgical interventions
The first introduced therapeutic interventions in Hungary the follows
1. Neurolytic peripheral nerve blocks
2. Intrathecal neurolysis (chemical rhizotomy)
3. The implantation of a cervical epidural catheter
4. The single shot cortizon injection into the cervical epidurals space
5. Longterm epidural opiat analgesia with steril catheter implantation
6. Neurolytic ganglion stellate block
7. Neurolytic celiac plexus block
8. Neurolytic lumbar sympathetic block (percutaneous sympathectomy)
9. Epidural hypertonic saline, local anaesthetic and cortizon injection via segmental intraduced catheter to releive pain due to vertebral metastases
10. Continuous, subcutaneous morphin administration with seringe pump to releive cancer pain as home treatment
The number of patients treated in the last years
| Year | Number |
| 1996. | 1.938 patients |
| 1997. | 1.997 patients |
| 1998. | 2.254 patients |
| 1999. | 1.786 patients |
| 2000. | 1.679 patients |
| 2001. | 1.593 patients |
| 2002. | 1.831 patients |
| 2003. | 1.663 patients |
| 2004. | 1.513 patients |
| 2005. | 1.478 patients |
| 2006. | 1.637 patients |
| 2007. | 1.419 patients |
| 2008. | 1.538 patients |
| 2009. | 1.910 patients |
| 2010. | 1.993 patients |
| 2011. | 1.706 patients |
| 2012. | 1.799 patients |
| 2013. | 1.875 patients |
| 2014. – this year | under calculation |
Nerve Blockades (01.01.1984 – 31.12.2011.)
Ganglion stellate block 2.728
Celiac plexus block 799
Percutaneous lumbar sympathectomy 3.943
Superios hypogastric plexus block 6
Ganglion impar block 16
Epidural steroid injection 4.881
Root sleeve injection 980
Intrathecal neurolysis 290
Peripheral nerve block 16.092
Percutaneous epidural katheter with subcutaneous tunnelisation 725
Radiofrequency nerve block 146
Intraforaminalis neuromodulation 25
Summ: 30.631
Lectures, publications till 31. december 2008.
Lectures in Hungary: 485
Lectures in foreign countries: 65
Publications: 38
Chapters in books: 24
Pain Management editor:D.Embey-Isztin White Golden Book Budapest 2009
D.Embey-Isztin:
Celiac plexus block for the relief of upper abdominal cancer pain. Magyar Onkológia: 27,33-37 1983 /in Hungarian/
D.Embey-Isztin:
Long-term epidural morphine for the relief of pain due to vertebral tumours. Proceedings of Joint meeting of the European Chapter of IASP. Piccin / Butterworths 453-454 1984
D.Embey-Isztin:
Continuous epidural morphine analgesia for the relief of cancer pain. Orvosi Hetilap 127, 2295-2298 1986 /in Hungarian/
D.Embey-Isztin:
The treatment of cancer pain . In: Besznyák I. /ed./: Surgical Oncology Medicina Budapest 1986 pp. 492-500 /in Hungarian/
D.Embey-Isztin:
Long-term epidural morphine in home treatment of cancer pain. Abstracts of the 14th International Cancer Congress Budapest 1986. vol. 3 p. 1119
D.Embey-Isztin:
The neurolytic stellate ganglion blockade. Abstracts of the 7th European Congress of Anaesthesiology Vienna 1986, vol. 3 p 17
D.Embey-Isztin:
I. Köves :
The treatment of pain due to colo-rectal cancer. Magyar Sebészet 41 170-174 1988 /in Hungarian/
D.Embey-Isztin:
Chemical lumbar sympathectomy. Orvosi Hetilap 129- 1969-1973 1988 /In Hungarian/
D.Embey-Isztin:
The role of the chemical lumbar sympathectomy for the treatment of ischemic rest pain. 3 rd. International Post-Graduate Course on Pain Therapy 1985 Vicenza Italy
D.Embey-Isztin:
Relief of chronic pain accompanying malignancies and other diseases. Gyógyszereink 40, 225-231 1990 /in Hungarian/
D.Embey-Isztin:
Pain treatment in 1990. Aneszteziologia és Intenzív Terápia XXI I 21-25 1991 /In Hungarian/
D.Embey-Isztin:
The use of the regional anaesthesia for the relief of chronic non-malignant pain. ESRA Athén The International Monitor 1191 June pp 30
D.Embey-Isztin:
B.Kepplinger:
Cancer pain relief with continuous subcutaneous administration morphine. in Pain / Clinical Aspect and Therapeutical Issues Part editors: B. Kepplinger, A.D.Ray, H.Schimdt Edition: Selva- Verlag Linz. 1992 67-70
D.Embey-Isztin:
B.Kepplinger:
Epidural injection of hyperbaric Saline , Local anaesthetics and Steroids. / Clinical Aspect and Therapeutical Issues Part I editors: B. Kepplinger, A.D.Ray, H.Schimdt Edition : Selva- Verlag Linz. 1992 70-72
D.Embey-Isztin:
Chronic Pain Treatment . In : Varga P. /ed. /: Booklet for Nurses in Intensive Care Unit ESZKTI, Budapest 1992 pp. 147-153 /in Hungarian/
D.Embey-Isztin:
Chronic Pain Treatment . in: Adorján. K. / ed. /: Booklet for Nurses in Anaesthesiology SZKTI Budapest 1992. vol. 3 pp. 207- 215 /in Hungarian/
D.Embey-Isztin:
The up-to-date Treatment of Chronic Pain Praxis 1993 2. 6 5-14 /in Hungarian/
D.Embey-Isztin:
The role of the stellate ganglion block in relieving of pain due to herpes zoster . Abstracts 7th World Congress on Pain 1993 Paris p.188
D.Embey-Isztin:
The Status of Cancer Pain and Palliative Care in Hungary.
Journal of Pain and Symptom Management vol. 8. No. 6 August 1993
D.Embey-Isztin:
Practical Informations About Morphine Praxis 1994.3.6 58-59 /in Hungarian/
D.Embey-Isztin:
The role of the Sympathetic Blockades for the Prevention of Postherpetic Neuralgia The Second International Conference on the Varicella Virus Paris July 7-8 1994 Poster
D.Embey-Isztin:
Cancer Pain Treatment Gyógyszereink 44. 105-109 1994 /in Hungarian/
D.Embey-Isztin:
Complication of Regional Anaesthesia I. European Congress: Recent Advances in Obstetric Analgesia and Anaesthesia Firenze September 8-10 /Lecture 1994/
D.Embey-Isztin:
The treatment of chronic pain in the general practice Medicus Universalis XXIII. /6 249-253 1995
D.Embey-Isztin:
The treatment of cancer pain Háziorvosi Szemle 1: 49-50 1996 /in Hungarian/
D.Embey-Isztin:
Up-to-date treatment of cancer pain Kórház IV 6. 22-25 1997 /in Hungarian/
D.Embey-Isztin:
The treatment of chronic pain in: Bálint G. /ed./: Nonsteroidal antiinflammatory drugs in the clinical practice Golden Book, Budapest 1997 pp. 90-94 /in Hungarian/
D.Embey-Isztin:
Pain relief. In: Köves I. /ed./: The treatment of colorectal cancer
Medicina Budapest 1997 pp. 184-192 / in Hungarian/
D.Embey-Isztin:
Cancer pain . In: Besznyák I. /ed./: Surgical Oncology Medicina Budapest 1997 pp. 571-578 /in Hungarian/
D.Embey-Isztin:
The treatment of chronic pain In. Vizi E. Sz. /ed./: Textbook of Pharmacology Medicina Budapest 1997 pp. 398-405 /in Hungarian/
D.Embey-Isztin:
Pain Relief in Genaral Practice
Háziorvosi Szemle:3:99-1O1. 1998 /in Hungarian/
D.Embey-Isztin:
The Role of Suprascapular Nerve Block in Chronid Shoulder
Pain. Clinical Aspects and Therapeutical Issuses. Part:III, editors: B.Kepplinger,,R.Likar,H.Schmid.Singer Edition: Selva Verlag Amstetten-Linz-Mauer 1998
D.Embey-Isztin:
Percutaneous Lumbar Sympathectomy in: Angiology, /editors: É.Meskó, Cs.Farsang, Zs.Pécsvárady/ Edition: Medintel 1999,pp:493-496 /in Hungarian/
D.Embey-Isztin:
Some Aspects of Chronic Pain
Hippocrates 2000 II/5.315-318 /in Hungarian/
D.Embey-Isztin:
Cancer Pain Relief. Medicus Anonymus, 20001/1. IX.21-23
D.Embey-Isztin:
Drug Treatment of Pain Medicus Anonymus, 2002/2. 29-31
D.Embey-Isztin:
The Treatment of Chronic Pain.In:Vizi E.Sz./ed/:Textbook of Pharmacology,Medicina Budapest 2002.pp.367-374 /in Hungarian/
D.Embey-Isztin:
Cancer Pain Treatment
Háziorvosi Továbbképző Szemle.2004:9:43-46 /in Hungarian/
D.Embey-Isztin:
Percutaneous Sympathectomy In: Meskó É./ed/:Textbook of Vascular Medicine,Therapia, Budapest 2004 pp.265-269 /in Hungarian/
D.Embey-Isztin:
Rehabilitation in Oncology In: Katona F., Siegler J. /eds/: The Practice of Rehabilitation, Medicina Budapest 2004 pp. 425-453 /in Hungarian/
D.Embey-Isztin:
About Pain: the news, Rehabilitáció: 2006:16/4/:3-5 /in Hungarian/
D.Embey-Isztin:
Narcotic analgesics in every-day practice
Rehabilitáció 2006:16/4/:14-16 /in Hungarian/
D.Embey-Isztin:
The role of nerve blockades in the treatment of pain
Rehabilitáció 2006:16/4/:21-23 /in Hungarian/
D.Embey-Isztin:
Complex Regional Pain Syndrome
Ideggyogy Sz 2008 :61/1-2/:49-53 /in Hungarian/
D.Embey-Isztin:
The Strategy of opioid treatment.
Háziorvosi Továbbképző Szemle 2008 13:363-367 /in Hungarian/
D.Embey-Isztin:
The Strategy of opioid treatment.
Gyógyszerész Továbbképzés 2008:2 /4/:185-188
D.Embey-Isztin:
New option to treat constipation due to opioid administration:methylnaltrexone
Háziorvos Továbbképző Szemle 2008:13: 512-513 /in Hungarian/
D.Embey-Isztin:
Pain Treatment in Oncology
Magyar Belorvosi Archivum Supplementum 2008/2 161-163
D. Embey-Isztin
Breakthrough Pain
Praxis 2009:18/10 63-66 (in Hungarian)
D.Embey-Isztin:
The role of neurolytic obturator nerve block to relieve pain due to cancer and osteoarthritis Ideggyógy.sz. 2009:62(7-8):262-264 (in English)
D.Embey-Isztin:
Breakthrough Pain
Praxis 2009. 18/10 63-66
D.Embey-Isztin:
Chronic Pain In: Vekerdy-Nagy Zsuzsa (ed):Medical Rehabilitation
Medicina Budapest 2010 pp. 390-396(in:Hungarian)
D.Embey-Isztin:
Cancer Pain Treatment
Háziorvos Továbbképző Szemle
2012:17: 115-118 (in:Hungarian)
D.Embey-Isztin:
Cancer Pain Treatment
Onkológia
2012: 2. évf. 2.sz. 107-109
Postgraduate Courses
60 board certified doctors from Hungary spent between two weeks – six months in our Pain Clinic. 10 board certified doctors from foreign countries: Russia, Romania, Bulgaria, Austria, Germany, Slovakia, Norvege
Memberships:
Hungarian Society of Anaesthesiology and Intensive Care
Hungarian Oncological Society
Founding Member and first President of the Hungarian Pain Society.
Honorary President of the Hungarian Pain Society.
Member of the IASP (International Association for the Study of Pain).
Member of EFIC (European Federation of Chapters of the IASP).
Honorary Member of the Romanian Pain Society.