[Structure and activities in the paintherapy unit of the A.Z. Sint-Raphael-Leuven (author's transl)].
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Biomedical subjects
Publications and source records attributed to H Adriaensen.
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The safety of the patient under anesthesia is directly correlated to the quality of the service delivered by the anesthetic department. A good organised work, supposes a staff, which accords to numerical and qualitative requirements. The number of personal required is a function of working conditions. The quality required for the persons who administer anesthesia, depends upon the intrinsic danger of the procedure. As the nature of anesthesia is still linked with the acute control of vital functions of the patient, the qualifications of the person who administer the narcosis should be of the highest level.
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Forty-five patients suffering from intermittent claudication were admitted to a double-blind non-crossover study. Three groups were constituted at random and treated for 2 months with either 100 mg suloctidil t.i.d. or 1.5 mg dihydroergotoxine methylate t.i.d. or placebo. From the results of measurements of pain-free walking distance and venous occlusion plethysmography recordings, suloctidil was shown to be active and significantly superior to dehydroergotoxine and placebo: in the two latter groups a decrease in calf blood perfusion after 2 months was also noted. The physician's overall assessment of response to treatment showed that suloctidil and dihydroergotoxine were significantly superior to placebo, and that suloctidil was significantly better than dihydroergotoxine.
In a double-blind experiment fentanyl and sulfentanil were compared using three different anesthesia schedules. Only interventions of long duration were selected. In all three systems induction was carried out with 0.5 mg fentanyl or 0.05 mg sulfentanil, followed by etomidate and a muscle relaxant. Anesthesia was maintained with nitrous oxide and with repeated standard injection of the narcotic. In a first group reinjections always consisted of 0.1 mg of fentanyl or 0.01 mg of sulfentanil. In a second series reinjections were done with 0.5 mg of fentanyl or 0.05 mg of sulfentanil. In the third group the same reinjection schedule as in the first group was followed, but immediately after induction an injection of 1.25 mg of droperidol was administered. Both substances were compared as to their analgesic potency and their potential influences on hemodynamics. Special attention was also paid to postoperative ventilation and vigilance.
Buprenorphine was used as an analgesic medication for patients at the pain clinic. Clinical observations on its long term administration for intractable pain are reported. A good analgesic activity was noted in most of the patients. Nausea and vomiting was the mean reason for cancellation of the therapy.