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Quantitative Sensory Testing and Human Surgery: Effects of Analgesic Management on Postoperative Neuroplasticity
Background Altered central nervous system sensory processing (neuroplasticity) is a basic mechanism underlying postoperative pain that can be made visible using quantitative sensory testing. Using… Expand
Technical Complications during Long-term Subarachnoid or Epidural Administration of Morphine in Terminally Ill Cancer Patients: A Review of 140 Cases
The type and incidence of technical complications (e.g., obstruction and dislocation of the catheter and infection) in long-term (ten to 366 days) spinal morphine administration in terminally ill… Expand
Changed patterns in Dutch palliative sedation practices after the introduction of a national guideline.
- J. Hasselaar, S. Verhagen, A. Wolff, Y. Engels, B. Crul, K. Vissers
- Archives of internal medicine
- 9 March 2009
BACKGROUND Continuous sedation, contrary to euthanasia, has been increasingly accepted among medical professionals worldwide. In the Netherlands, a national guideline for continuous palliative… Expand
Diagnostic Lumbosacral Segmental Nerve Blocks With Local Anesthetics: A Prospective Double-Blind Study on the Variability and Interpretation of Segmental Effects
Background and Objectives Selective spinal nerve infiltration blocks are used diagnostically in patients with chronic low back pain radiating into the leg. Generally, a segmental nerve block is… Expand
The efficacy of radiofrequency lesioning of the cervical spinal dorsal root ganglion in a double blinded randomized study: no difference between 40°C and 67°C treatments
&NA; The efficacy of radiofrequency lesion treatment of the cervical dorsal root ganglion (RF‐DRG) in cervicobrachialgia was investigated in 61 patients by a randomized prospective double blinded… Expand
General practitioners (GPs) and palliative care: perceived tasks and barriers in daily practice
Background: General practitioners (GPs) play a crucial part in palliative care. The quality of care can be improved by investigating and addressing barriers perceived by GPs in daily practice. The… Expand
Dealing with delicate issues in continuous deep sedation. Varying practices among Dutch medical specialists, general practitioners, and nursing home physicians.
BACKGROUND This article examines delicate issues in continuous deep sedation (CDS) from the perspectives of different types of physicians. The following sensitive issues involved in CDS were… Expand
The Role of Helplessness, Fear of Pain, and Passive Pain-Coping in Chronic Pain Patients
ObjectivesThe goal of this study was to examine the relative contribution of helplessness, fear of pain, and passive pain-coping to pain level, disability, and depression in chronic pain patients… Expand
Epidural fibrin glue injection stops persistent cerebrospinal fluid leak during long-term intrathecal catheterization.
T he leakage of cerebrospinal fluid (CSF) during the initial phase of long-term intrathecal (IT) infusion of analgesics can be a bothersome complaint. A series of 98 cancer patients was treated with… Expand
Normal values for sensory thresholds in the cervical dermatomes: a critical note on the use of Semmes-Weinstein monofilaments.
In many healthy subjects, sensory thresholds for touch using Semmes-Weinstein monofilaments appear to be higher than the 2.83 filament, which some authors have suggested as a screening instrument.… Expand