Dr. Carmen Julia Guerra Medina

DOCTOR SPECIALIZED IN CLINICAL PAIN MANAGEMENT.
SPECIALIST IN CLINICAL PAIN MANAGEMENT: DIAGNOSIS, PREVENTION AND TREATMENT OF ACUTE AND CHRONIC PAIN.
INTERVENTION. PALLIATIVE CARE. ANESTHESIOLOGIST.

Dr. Carmen Julia Guerra Medina

I am a medical specialist in anesthesiology and reanimation with a Master’s degree in clinical pain management. Within the Instituto Clavel team of professionals, I am in charge of managing cases of spine pain, using medical treatments ranging from conservative (analgesics) to interventionist (minimally invasive procedures, radiofrequency, epidural infiltrations), as well as the management of pain that persists after spinal surgery.

Experience

Specialist in Anesthesiology and Pain Management Clinic, Instituto Clavel, España (2020-present)

Attending physician, Anesthesiology and Reanimation, Fundació Salut Empordà, Spain (2017-2020)

Attending physician, Anesthesiology and Reanimation, Instituto Ecuatoriano de Seguridad Social, Ecuador (2016-2017)

Attending physician, Anesthesiology and Reanimation, Hospital Universitario Dr Luis Razetti, Venezuela (2014-2015)

Education

Masters in Pain Management, Sociedad Española del Dolor [Spanish Pain Society] (2019)

Clinical training - Masters in Pain Management, Hospital Universitario Germans Trias i Pujol, Spain (2018-2019)

Medical specialization in pain, Universidad de Cádiz, Spain (2018-2019)

Masters degree in pain treatment, Universidad Europea Miguel de Cervantes, Spain (2017-2019)

Residency in Anesthesiology and Reanimation,  Universidad de Oriente, Venezuela (2011-2014)

Degree in Medicine – Surgery, Universidad de Oriente, Venezuela (2002-2009)

Languages

Spanish

English

Pathologies treated

COMPREHENSIVE EVALUATION OF PATIENT PAIN 

DIAGNOSIS AND MANAGEMENT OF CHRONIC PAIN 

MANAGEMENT OF LONG-TERM CLINICAL CONDITIONS THAT PRODUCE PAIN 

TEAM COLLABORATION FOR MULTIDISCIPLINARY REHABILITATION 

MANAGEMENT OF PHARMACOLOGICAL TREATMENTS 

KNOWLEDGE OF PSYCHOPATHOLOGY

COMPLEMENTARY SKILLS: MANAGEMENT OF POST-TRAUMATIC PAIN.
APPLICATION OF NON-PHARMACOLOGICAL ANALGESIC TECHNIQUES

ADMINISTRATION OF DEEP SEDATION OR MONITORED CARE.

ADMINISTRATION OF UNCONVENTIONAL ANALGESIC AGENTS
(ANTIDEPRESSANTS, LOCAL ANESTHETICS, CORTICOSTEROIDS, ANTIARRHYTHMICS)

ADMINISTRATION OF CONVENTIONAL ANALGESIC AGENTS THROUGH
VARIOUS ROUTES USING SPECIFIC DEVICES FOR PATIENT CONTROLLED ANALGESIA (PCA PUMP)

ISOLATED TEMPORARY REGIONAL BLOCK TECHNIQUES:
PERIPHERAL BLOCKS, TRUNK BLOCKS, PARAVERTEBRAL BLOCKS, SPINAL BLOCKS

PERMANENT REGIONAL BLOCK TECHNIQUES:
PERIPHERAL BLOCKS, TRUNK BLOCKS, PARAVERTEBRAL BLOCKS,
SPINAL BLOCKS. WITH THE USE OF RADIOFREQUENCY OR NEUROLYTIC AGENTS

COORDINATION OF MULTIDISCIPLINARY CARE WITH:
PSYCHIATRY, REHABILITATION-PHYSIOTHERAPY, NEUROSURGERY

Other Academic, Scientific, and Professional activity

Course in Radiofrequency.

Ultrasound technology.

Epiduroscopy: clinical challenges in spinal canal stenosis and postlaminectomy syndrome.

Refresher course on pain management.

Refresher course in managing pain with opioids.

Refresher course in lumbar stenosis.

Workshop in neuromodulation: intrathecal therapy.

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