References of "Fontaine, Robert"
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See detailAnalyse des caractéristiques biopsychosociales observées chez 1 832 patients consultant pour des douleurs chroniques dans le service d'algologie du CHU de Liège
Faymonville, Marie-Elisabeth ULg; Blavier, Adelaïde ULg; PALMARICCIOTTI, Valérie ULg et al

in Douleur et Analgésie (2014)

This article aims to establish a "profile" of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and ... [more ▼]

This article aims to establish a "profile" of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and modes of pain management. Between 2005 and 2010 we monitored 1832 individual chronic pain patients who attended our pain clinic at the University Hospital of Liège. This paper presents the characteristics of these patients and their test scores before the treatment to assess their health status in a biopsychosocial perspective. Demographic and lifestyle as well as occupational factors, pain disability index, pain belief assessment, hospital anxiety and depression scale, SF-36 (Short Form Health Survey) and pain visual analogue scale are presented. The results have clinical implication; they suggest an adaptation of our therapeutic interventions based on these observations. © 2014 Springer-Verlag France. [less ▲]

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See detailLong-term evaluation of spinal cord stimulation for neuropathic/vascular pain
WANET, Thomas; Kaschten, Bruno ULg; DUBUISSON, Annie ULg et al

Conference (2012, March 10)

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See detailCognitive modulation of pain
FAYMONVILLE, Marie-Elisabeth ULg; TEUWIS, Sandrine ULg; VERSCHEURE, Sara ULg et al

in Actes du 26th International Winter Symposium : Update in Cardiothoracic Anesthesia (2010, January)

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See detailQuoi de neuf dans le Syndrome Douleur Régional Complexe (SDRC) encore appelé algoneurodystrophie
Fontaine, Robert ULg; Teuwis, Sandrine ULg; Faymonville, Marie ULg

in Douleur et Analgésie (2009), 22

Complex regional pain syndrome (CRPS) remains difficult to understand and to treat. The definition criteria of the IASP (International Association for the Study of Pain) in 1994 showed an overestimation ... [more ▼]

Complex regional pain syndrome (CRPS) remains difficult to understand and to treat. The definition criteria of the IASP (International Association for the Study of Pain) in 1994 showed an overestimation of diagnosis. A revision of these criteria conducted in Budapest in 2003 permits to ameliorate the specificity of these criteria in clinical and research settings. Pathophysiology is poorly understood, only one mechanism can’t explain the observed manifestations in the CRPS: facilitated neurogenic inflammation, peripheral and central abnormalities of the central nervous system … Finally, the different laboratory tests are reviewed. Unfortunately, no laboratory test is the signature of CRPS. The diagnosis relies on history and rigorous clinical examination. Imagery method, neurophysiologic test and evaluation of inflammatory parameters help to the differential diagnosis. [less ▲]

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See detailApport de la neuro-imagerie fonctionnelle à l'étude de la douleur
Fontaine, Robert ULg; Vanhaudenhuyse, Audrey ULg; Demertzi, Athina ULg et al

in Revue du Rhumatisme (2009), 76

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See detailAnalgésie par blocs nerveux périphériques continus dans le cadre des soins de plaies cutanées
Lecoq, Jean-Pierre; Jacquemin, Denise ULg; Lamy, Maurice ULg et al

in Revue Médicale de Liège (2008), 63(1), 3-16

We present the case of a patient with a circumferential venous ulcer at the level of the calf. She is hospitalized for surgical treatment by continuous aspiration dressing and coverage with skin graft ... [more ▼]

We present the case of a patient with a circumferential venous ulcer at the level of the calf. She is hospitalized for surgical treatment by continuous aspiration dressing and coverage with skin graft. This patient presents a history of chronic pain, on which classical medications have few effects and are accompanied by side effects. After discussion with the patient, a double continuous peripheral nervous block (femoral and sciatic nerve) is set up to improve the tolerance to wound dressing. This technique presents favorable antalgic results. The indications and the different techniques of block performance (by electrostimulation or echo-guided) are described. The infectious risks related to the presence of catheter near cutaneous wounds are clarified according to recent data of literature. The relevance of these techniques in correlation with the development of chronic pain and on the trophicity of the wounds are also discussed. [less ▲]

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See detailOpen surgery for abdominal aortic aneurysm or aorto-iliac occlusive disease--clinical and ultrasonographic long-term results.
Fontaine, Robert ULg; Kolh, Philippe ULg; Creemers, Etienne ULg et al

in Acta Chirurgica Belgica (2008), 108(4), 393-9

OBJECTIVE: To determine postoperative and long-term outcome and assess the relevance of abdominal ultrasound (US) after surgery for abdominal aortic aneurysm (AAA) or aortoiliac occlusive disease (AIOD ... [more ▼]

OBJECTIVE: To determine postoperative and long-term outcome and assess the relevance of abdominal ultrasound (US) after surgery for abdominal aortic aneurysm (AAA) or aortoiliac occlusive disease (AIOD). METHODS: Records of 1704 consecutive patients having graft implantation from 1988 to 2000, either for AAA (n = 1144) or for AIOD (n = 560), were reviewed. In 2006, follow-up was 9180 patients-years for the AAA group and 5450 patients-years for the AIOD group. Among 1006 alive patients, 377 were invited randomly for US and clinical examination. RESULTS: Hospital death occurred in 99 patients (8.6%) of the AAA group (53% in ruptured and 2% in elective AAA), and in 18 patients of the AIOD group (3.2%). There were 581 late deaths, including eight due to prosthesis infection, one to pseudo-aneurysm rupture, and one to graft thrombosis (0.6% graft-related mortality). Prosthesis thrombosis occurred in 32 patients (26 in AIOD group, p < 0.001), and graft infection in 26 (17 in AAA group, p < 0.01). Pseudoaneurysms developed in 90 patients (68 in AIOD group, p < 0.001), including eight at the proximal aortic, one at the distal aortic, two at the iliac and 79 at the femoral anastomosis. In the AAA group only, surgery was required for a new thoraco-abdominal and pararenal aneurysm in eight and four patients, respectively, while US evidenced a 26-35 and a 36-50 mm supraanastomotic aortic dilatation in 65 (32%) and in 14 (7%) patients, at a mean follow-up of 10.5 and 9.3 years, respectively. CONCLUSION: Long-term results are good after open surgery for AAA or AIOD. Prosthesis infection and anastomotic pseudo-aneurysm are the main causes of graft-related mortality and morbidity, respectively. Because of high incidence of asymptomatic supraanastomotic aortic dilatation, all patients with a history of AAA repair should have regular abdominal US. [less ▲]

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See detailThe effect of anaesthetic technique on the incidence of Complex Regional Pain Syndrome after surgical hand fracture: Retrospective approach
Lejeune, Bertrand; Teuwis, Sandrine ULg; Lecoq, Jean-Pierre ULg et al

in Acta Anaesthesiologica Belgica (2008), 59(3), 209

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See detailIndications des corticoides par voie peridurale dans les douleurs rachidiennes et radiculaires
Fontaine, Robert ULg; Tomasella, Marco ULg; Martin, Didier ULg et al

in Revue Médicale de Liège (2004), 59(10), 557-64

Back pain is very frequent in western countries and it represents a very high social cost. The treatment is based on five modalities: medication, physiotherapy, invasive technics, rehabilitation programs ... [more ▼]

Back pain is very frequent in western countries and it represents a very high social cost. The treatment is based on five modalities: medication, physiotherapy, invasive technics, rehabilitation programs and psycho-social approaches. Several treatments may be proposed simultaneously and introduced gradually. Steroid administration by epidural injection is frequently used in Belgium, even though no prospective randomised studies have shown a real benefit over the long term. The indications for epidural injection must be carefully chosen. These include subacute pain (less than six months) in the lower limbs despite a well observed medical treatment. Patients are invited to give informed consent; the technic must be performed in an appropriate environment by an experienced physician. The initial treatment of back pain is medical. This pathology is multifactorial and the relief of symptoms is often incomplete. The patient should be urged to feel responsible for and involved in his treatment. [less ▲]

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See detailPrise en charge de la douleur chronique en équipe pluridisciplinaire
Fontaine, Robert ULg; Fuchs, Sonia; Hardy, Régine ULg et al

in Revue Médicale de Liège (2004), 59(2), 81-88

Assessment of chronic pain is one of medicine's most difficult challenges. A structured and flexible multidisciplinary approach allows full characterisation of the various components of the pain syndrome ... [more ▼]

Assessment of chronic pain is one of medicine's most difficult challenges. A structured and flexible multidisciplinary approach allows full characterisation of the various components of the pain syndrome. This then allows the use of a rational combination of pharmacologic, physical, psychological, and surgical techniques. It is essential to gain the patient's confidence, collaboration, and compliance. Patients can better manage their situation when their needs are clarified and when care is oriented toward concrete therapeutic objectives. [less ▲]

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