Phantomschmerztherapie mit Lachscalcitonin und Einfluß auf die postoperative Patientenzufriedenheit
| Autor: | Edmund Neugebauer, G. Koch, T. Tiling, C Simanski, M. Lempa |
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| Rok vydání: | 1999 |
| Předmět: |
education.field_of_study
Visual analogue scale business.industry medicine.medical_treatment Population medicine.disease law.invention Patient satisfaction Amputation Randomized controlled trial law Anesthesia medicine Surgery Prospective cohort study business education Phantom pain Abdominal surgery |
| Zdroj: | Der Chirurg. 70:674-681 |
| ISSN: | 0009-4722 |
| DOI: | 10.1007/s001040050704 |
| Popis: | In this prospective clinical study we examined the intravenous application of salmon-calcitonin in eight patients with severe phantom limb pain (Visual Analogue Scale = 50-100). The patients presented at the Acute Pain Service (APS) section of the Second Department of Surgery, University of Cologne. Six of eight patients (75%) had no phantom limb pain after 10 days of intravenous treatment with salmon-calcitonin (maximum of five cycles of calcitonin infusion). Systematic follow-up examinations after 3, 6 and 12 months showed long-term success. Patient satisfaction was examined with a numeric rating scale (NRS 1-6) between the single infusion cycles. When patient satisfaction was low, the physician modified the time period or drug dosage between infusions. This study shows good or excellent results in patient satisfaction for six of eight patients (75%). A prospective randomized trial is required to verify the excellent results of intravenous salmon-calcitonin in a larger population. Alternative pharmacological and operative treatments of phantom limb pain are critically reviewed and assessed. |
| Databáze: | OpenAIRE |
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