References of "Libbrecht, Dominique"
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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 detailEffect of celecoxib combined with thoracic epidural analgesia on pain after thoracotomy
Senard, Marc ULg; Deflandre, Eric; Ledoux, Didier ULg et al

in British Journal of Anaesthesia (2010), 105(2), 196-200

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See detailComplications neurologiques des anesthésies locorégionales
KURTH, Isabelle ULg; LIBBRECHT, Dominique ULg; WANG, François-Charles ULg

in Péréon, Yann (Ed.) ENMG 2008 (2008)

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See detailLa buprénorphine transdermique. L'état actuel dans les domaines clinique et pharmacologique.
Faymonville, Marie-Elisabeth ULg; Libbrecht, Dominique ULg

in Revue Médicale de Liège (2008), 63(11), 671-6

Our understanding of the pathophysiologic mechanisms of chronic pain progresses; the complexity of the problem justifies our need for new molecules and new ways of administration that will help to further ... [more ▼]

Our understanding of the pathophysiologic mechanisms of chronic pain progresses; the complexity of the problem justifies our need for new molecules and new ways of administration that will help to further optimise and better individualize our pharmacologic therapies. Whereas acute pain can be considered an alarm signal, chronic pain constitutes, per se, a syndrome that requires a meticulous selection of the analgesic drug(s). Since pain is permanent, the continuous administration of the analgesic is recommended rather than an on demand administration. Transdermic modes of administration are of value for the treatment of chronic pain because they allow a progressive delivery of the active compound together with the maintenance of stable plasma levels of the drug. Buprenorphine is a semi-synthetic opioid that is available in the sublingual, injectable, or transdermic forms. The matrix patch of buprenorphine represents a major asset for the treatment of chronic pain, whether it be cancerous in origin, or not. Its efficacy and safety have been clearly demonstrated in randomised double blind trials as well as in post-marketing surveillance observations. Buprenorphine, administered as a transdermal therapeutic system, induces a dose-related pain relief, whatever the nature of the pain and the age of the patient. Buprenorphine also exerts an analgesic action on neuropathic pain. It differs from other opioids by its affinity as a partial agonist on mu and kappa receptors, and as a complete agonist of ORL-1 receptors. Therefore, transdermal buprenorphine will be useful to all physicians having to control severe pain by powerful opioids. [less ▲]

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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 detailChoc anaphylactique peri-anesthesique: mythe et realites
Van Den Bosch, Sabine ULg; Libbrecht, Dominique ULg; Lamy, Maurice ULg

in Revue Médicale de Liège (2004), 59(5), 336-44

Peri-anaesthetic anaphylactic shock is a fortunately rare event, which nevertheless often turns out to be life-threatening. Only fast recognition and reaction can permit to avoid its sometimes dramatic ... [more ▼]

Peri-anaesthetic anaphylactic shock is a fortunately rare event, which nevertheless often turns out to be life-threatening. Only fast recognition and reaction can permit to avoid its sometimes dramatic consequences. This implies, from the anaesthetist, good knowledge of the mechanisms, of the events'sequence, of the usual triggering drugs and, of course, of the anaphylactic shock's treatment. After such an accident has occured the patient should be referred to an allergy specialist in order to perform a thorough exploration, thus pointing out which drug is responsible for the reaction, and by which mechanism. Drugs to be banished in the future would so be identified and should be taken to the patient's as well as his general practician's knowledge. [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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