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33 results on '"Dongen, R. T. M."'

18. Evidence for central pain mechanisms in chronic post-stroke shoulder pain

Author

Roosink, M., Renzenbrink, G. J., Jan R. Buitenweg, Dongen, R. T. M., Maarten IJzerman, Geurts, A. C. H., and Faculty of Behavioural, Management and Social Sciences

Subjects
cardiovascular diseases, METIS-273840, IR-70556, EWI-17738
Abstract

Traditionally, post-stroke shoulder pain (PSSP) is regarded as a peripheral, nociceptive pain. However, treatment is often unsatisfactory and many stroke patients report persistent PSSP.

Published
2010

19. Diagnostic Uncertainties in Post-stroke Pain

Author

Roosink, M., Renzenbrink, G. J., Dongen, R. T. M., Jan R. Buitenweg, Geurts, A. C. H., Maarten IJzerman, and Faculty of Behavioural, Management and Social Sciences

Subjects
METIS-251164, EWI-13400, IR-62451
Abstract

Aim of Investigation Pain is a common complication after stroke. The etiology of post-stroke pain is largely unknown and classification of post-stroke pain subtypes is primarily based on neurological examination and pain assessment. Classification could probably be improved by a better understanding of the neurophysiological mechanisms underlying the pain complaints. We reviewed several neurological and neurophysiological correlates of post-stroke pain as reported in the literature from 1987 to 2007. Methods A total of twenty-one articles was reviewed on: 1) diagnostic criteria of central post-stroke (CPSP) and hemiplegic shoulder pain (HSP), 2) somatosensory and nociceptive dysfunction in pain-free (PF) patients and patients with CPSP or HSP, as determined with routine clinical examination, quantitative sensory testing and evoked potentials, and 3) the relationship between pain description and intensity as reported by the patients and somatosensory or nociceptive dysfunction. Results Several methods were reported for post-stroke pain classification, however, no gold standard could be found. No discriminating somatosensory or nociceptive profiles of post-stroke pain subtypes could be detected. Furthermore, the relation between the severity of dysfunction, pain severity and pain description remained unclear. Conclusions Currently, distinct neurological and neurophysiological features of post-stroke pain subtypes are lacking. Possibly, a more standardized description of neurological dysfunction and the use of more sophisticated techniques such as (laser) evoked potentials and functional magnetic resonance imaging, might contribute to an improved classification of post-stroke pain. Acknowledgments: We acknowledge the financial support of the St. Jorisstichting.

Published
2008

21. Pijnbehandeling bij kinderen.

Author

van Lingen, R. A. and van Dongen, R. T. M.

Abstract

Copyright of Het Pediatrisch Formularium is the property of Springer eBooks and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2010
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22. Minimally invasive placement of epidural plate electrodes under local anaesthesia in spinal cord stimulation.

Author

Steiger, H.-J., Sakas, Damianos E., Simpson, Brian A., Krames, Elliot S., Beems, Tjemme, and Dongen, R. T. M.

Abstract

In the treatment of pain syndromes of different aetiologies a change has occurred from destructive interventions to stimulation procedures. Spinal cord stimulation is the best known example of this treatment strategy. It is used often in patients with persistent neuropathic pain syndromes in an extremity, for instance following low back surgery. This treatment is most frequently performed by a percutaneous placement of a single electrode, with the aid of a specially designed Tuohy needle to reach the epidural space. In cases where, for different reasons, a larger, plate electrode is needed, this has to be placed surgically by a small laminectomy. The general anaesthesia mostly needed for this procedure prevents trial stimulation necessary to check the correct electrode position. Besides this, the laminectomy procedure can subsequently result in new pain complaints due to the invasiveness of the procedure. To solve both problems we have modified the implantation technique. By using a tubular retractor system (METRx® system, Medtronic Sofamor Danek®, Memphis, TN), originally developed for minimally invasive degenerative disc surgery, it is possible to reach the epidural spinal space and introduce the plate electrode with a small approach under local anaesthesia both allowing trial stimulation and avoiding severe postoperative backache related to the approach in these patients. [ABSTRACT FROM AUTHOR]

Published
2006
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26. An international survey of cancer pain characteristics and syndromes | Encuesta internacional sobre las características y síndromes del dolor asociado a cáncer

Author

Caraceni, A., Portenoy, R. K., Ashby, M. A., Hawson, G., Jackson, K. A., Lickiss, N., Muirden, N., Pisasale, M., Moulin, D., Schulz, V. N., Pazo, M. A. R., Serrano, J. A., Andersen, H., Henriksen, H. T., Mejholm, I., Sjogren, P., Heiskanan, T., Kalso, E., Pere, P., Poyhia, R., Vuorinen, E., Tigerstedt, U., Ruismaki, P., Bertolino, M., Laure, F., Ranchere, J., Hege-Scheuing, G., Bowdler, I., Helbing, F., Kostner, E., Radbruch, L., Kastrinaki, K., Shah, S., Jain, P. N., Vijayaram, S., Sharma, K. S., Sarashawathi Devi, P., Ramamani, P. V., Beny, A., Brunelli, C., Maltoni, M., Mercadante, S., Plancarte, R., Stephan Schug, Engstrand, P., Ovalle, A. F., Wang, X., Ferraz Alves, M., Abrunhosa, M. R., Sun, W., Zhang, L., Gazizov, A., Vaisman, M., Rudoy, S., Gómez Sancho, M., Vila, P., Trelis, J., Chaudakshetrin, P., Koh, M. L. J., Dongen, R. T. M., Vielvoye-Kerkmeer, A., Boswell, M. V., Elliott, T., Hargus, E., and Lutz, L.

27. Cortical processing of electrocutaneous stimuli in chronic stroke patients: a relationship with post-stroke shoulder pain

Author

Roosink, M., Renzenbrink, G. J., Jan R. Buitenweg, Maarten IJzerman, Dongen, R. T. M., Geurts, A. C. H., and Faculty of Behavioural, Management and Social Sciences

Subjects
EWI-17739, METIS-262985, sense organs, cardiovascular diseases, skin and connective tissue diseases, METIS-273839, IR-70557
Abstract

Cerebral stroke is often associated with changes in cognitive-evaluative and somatosensory functions which may play a role in the development and maintenance of post-stroke pain.

31. Review on pharmacological pain management in trauma patients in (pre-hospital) emergency medicine in the Netherlands.

Author

Dijkstra BM, Berben SA, van Dongen RT, and Schoonhoven L

Subjects
Analgesics therapeutic use, Analgesics, Non-Narcotic therapeutic use, Anesthetics, Local therapeutic use, Anti-Inflammatory Agents, Non-Steroidal therapeutic use, Evidence-Based Medicine, Guidelines as Topic, Humans, Netherlands, Pain Measurement, Emergency Medical Services, Pain drug therapy, Pain etiology, Pain Management methods, Wounds and Injuries complications, Wounds and Injuries therapy
Abstract

Pain is one of the main complaints of trauma patients in (pre-hospital) emergency medicine. Significant deficiencies in pain management in emergency medicine have been identified. No evidence-based protocols or guidelines have been developed so far, addressing effectiveness and safety issues, taking the specific circumstances of pain management of trauma patients in the chain of emergency care into account. The aim of this systematic review was to identify effective and safe initial pharmacological pain interventions, available in the Netherlands, for trauma patients with acute pain in the chain of emergency care. Up to December 2011, a systematic search strategy was performed with MeSH terms and free text words, using the bibliographic databases CINAHL, PubMed and Embase. Methodological quality of the articles was assessed using standardized evaluation forms. Of a total of 2328 studies, 25 relevant studies were identified. Paracetamol (both orally and intravenously) and intravenous opioids (morphine and fentanyl) proved to be effective. Non-steroidal anti-inflammatory drugs (NSAIDs) showed mixed results and are not recommended for use in pre-hospital ambulance or (helicopter) emergency medical services [(H)EMS]. These results could be used for the development of recommendations on evidence-based pharmacological pain management and an algorithm to support the provision of adequate (pre-hospital) pain management. Future studies should address analgesic effectiveness and safety of various drugs in (pre-hospital) emergency care. Furthermore, potential innovative routes of administration (e.g., intranasal opioids in adults) need further exploration., (© 2013 European Pain Federation - EFIC®)

Published
2014
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32. [Ketamine as a party drug].

Author

Vroegop MP, van Dongen RT, Vantroyen B, and Kramers C

Subjects
Excitatory Amino Acid Antagonists adverse effects, Humans, Illicit Drugs, Ketamine adverse effects, Excitatory Amino Acid Antagonists administration & dosage, Ketamine administration & dosage, Substance-Related Disorders diagnosis
Abstract

Ketamine is a new party drug, which is easy to obtain. For this reason, it is possible that physicians will be increasingly confronted with users that have medical problems. Relatively few cases of ketamine intoxication with a fatal outcome have been reported thus far. Ketamine is very hallucinogenic; people can experience unpleasant flashbacks even weeks after the drug has been eliminated from the body. Ketamine has a short half-life; the elimination half-life is about 2.5 h. A serious intoxication can lead to aspiration, acidosis, rhabdomyolysis, epileptic seizures, respiratory depression, and cardiac arrest. Ketamine is frequently used as a party drug in combination with other substances. As a result, the chance of untoward effects is increased. Anaesthetists use ketamine for short surgical procedures, sedation and analgesia. It is also used more and more often as an analgesic in patients who do not respond well to opioids.

Published
2007

33. Breakthrough pain characteristics and syndromes in patients with cancer pain. An international survey.

Author

Caraceni A, Martini C, Zecca E, Portenoy RK, Ashby MA, Hawson G, Jackson KA, Lickiss N, Muirden N, Pisasale M, Moulin D, Schulz VN, Rico Pazo MA, Serrano JA, Andersen H, Henriksen HT, Mejholm I, Sjogren P, Heiskanen T, Kalso E, Pere P, Poyhia R, Vuorinen E, Tigerstedt I, Ruismaki P, Bertolino M, Larue F, Ranchere JY, Hege-Scheuing G, Bowdler I, Helbing F, Kostner E, Radbruch L, Kastrinaki K, Shah S, Vijayaram S, Sharma KS, Devi PS, Jain PN, Ramamani PV, Beny A, Brunelli C, Maltoni M, Mercadante S, Plancarte R, Schug S, Engstrand P, Ovalle AF, Wang X, Alves MF, Abrunhosa MR, Sun WZ, Zhang L, Gazizov A, Vaisman M, Rudoy S, Gomez Sancho M, Vila P, Trelis J, Chaudakshetrin P, Koh ML, Van Dongen RT, Vielvoye-Kerkmeer A, Boswell MV, Elliott T, Hargus E, and Lutz L

Subjects
Analysis of Variance, Female, Humans, Male, Middle Aged, Pain classification, Pain epidemiology, Pain Measurement, Prevalence, Syndrome, Neoplasms, Pain prevention & control
Abstract

Breakthrough pain (BKP) is a transitory flare of pain that occurs on a background of relatively well controlled baseline pain. Previous surveys have found that BKP is highly prevalent among patients with cancer pain and predicts more severe pain, pain-related distress and functional impairment, and relatively poor quality of life. An international group of investigators assembled by a task force of the International Association for the Study of Pain (IASP) evaluated the prevalence and characteristics of BKP as part of a prospective, cross-sectional survey of cancer pain. Fifty-eight clinicians in 24 countries evaluated a total of 1095 patients with cancer pain using patient-rated items from the Brief Pain Inventory (BPI) and observer-rated measures. The observer-rated information included demographic and tumor-related data, the occurrence of BKP, and responses on checklists of pain syndromes and pathophysiologies. The clinicians reported BKP in 64.8% of patients. Physicians from English-speaking countries were significantly more likely to report BKP than other physicians. BKP was associated with higher pain scores and functional interference on the BPI. Multivariate analysis showed an independent association of BKP with the presence of more than one pain, a vertebral pain syndrome, pain due to plexopathy, and English-speaking country. These data confirm the high prevalence of BKP, its association with more severe pain and functional impairment, and its relationship to specific cancer pain syndromes. Further studies are needed to characterize subtypes of BKP. The uneven distribution of BKP reporting across pain specialists from different countries suggests that more standardized methods for diagnosing BKP are needed.

Published
2004
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