Publications by authors named "Nagels W"

Article Synopsis
  • There is increasing interest in neuromodulation techniques, like spinal cord and peripheral nerve stimulation, as alternatives for managing chronic pain, focusing on their effects on the autonomic nervous system (ANS).
  • A systematic review analyzed 43 studies from various databases, assessing how neuromodulation impacts the ANS in chronic pain patients, with cardiovascular parameters being the most common outcome measured.
  • Results showed a variety of ANS function indicators, emphasizing the need for better understanding of neuromodulation's role in chronic pain treatment and its interaction with the ANS.
View Article and Find Full Text PDF

Objective: Evaluation of the efficacy of a wireless high-frequency stimulator placed over selected DRG of exiting nerve roots for the treatment of chronic low back pain.

Design: Feasibility.

Subjects: Six subjects with chronic, intractable back pain refractory to standard medical treatment.

View Article and Find Full Text PDF

It has been shown that gait speed and transfer times are good measures of functional ability in elderly. However, data currently acquired by systems that measure either gait speed or transfer times in the homes of elderly people require manual reviewing by healthcare workers. This reviewing process is time-consuming.

View Article and Find Full Text PDF

Objective: This systematic review assesses the effectiveness and side effects of celiac plexus neurolysis (CPN) in the treatment of upper abdominal cancer pain, and evaluates whether there are any differences between the percutaneous and endoscopic ultrasound-guided (EUS) denervation techniques.

Methods: Five databases were searched, expanded by assessing the reference lists of all retrieved papers. Sixty-six publications fulfilled the inclusion/exclusion criteria and were included in the systematic review.

View Article and Find Full Text PDF

Two decades ago, Evidence-Based Medicine (EBM) was introduced to improve the quality of medical care. Using EBM in practice can be seen as a cyclic process consisting of 5 steps. This paper explains how to apply these steps in anesthesiology.

View Article and Find Full Text PDF

Unlabelled: We compared the effect of S(+)-ketamine to remifentanil, both in combination with propofol, on the neurocognitive outcome after open-heart surgery in 106 patients. A battery of neurocognitive tests was administered before surgery and 1 and 10 wk after surgery. Fourteen patients (25%) in the control group and 10 patients (20%) in the S(+)-ketamine group had 2 or more tests with a cognitive deficit (decline by at least one preoperative SD of that test in all patients) 10 wk after surgery (P = 0.

View Article and Find Full Text PDF

We performed an open, prospective, randomized, controlled study of the incidence of major organ complications in 420 patients undergoing routine coronary artery bypass graft surgery with or without thoracic epidural anesthesia and analgesia (TEA). All patients received a standardized general anesthetic. Group TEA received TEA for 96 h.

View Article and Find Full Text PDF