Wilfried IliasWiener Privatklinik · Anaesthesiology and Pain Therapy
Wilfried Ilias
MD. Msc. Prof.
About
322
Publications
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1,497
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Introduction
Additional affiliations
January 2012 - October 2015
Independent Researcher
Position
- Consultant
Publications
Publications (322)
Radiofrequency denervation has been established for many years as an important minimally invasive procedure for the treatment of chronic pain conditions. Positive experiences of many users for various indications are contrasted by a nonuniform evidence. With meticulous patient selection and correct assessment of the indications a longer term reduct...
The perception of harmful or near harmful threats is expressed and recognized by a feeling of extreme discomfort that is pain. Starting with simple reflex circuits such as contraction or flight to avoid further harm in primitive organisms, evolution provided higher organisms with a complex structure of receptors, transmitters, hormones and nervous...
Schmerztherapie für ältere Menschen unterliegt bestimmten Gesetzen. Die Wirkintensität der Medikamente, aber auch deren Wirkdauer sind schwer einzuschätzen. Zudem nimmt die Inzidenz der Komorbiditäten im Alter stark zu. In diesem Kapitel wird u.a. die Komplexität pharmakodynamischer Pharmakodynamik und pharmakokinetischer Pharmakokinetik Prozesse b...
Next-generation sequencing (NGS) provides unrestricted access to the genome, but it produces 'big data' exceeding in amount and complexity the classical analytical approaches. We introduce a bioinformatics-based classifying biomarker that uses emergent properties in genetics to separate pain patients requiring extremely high opioid doses from contr...
The goal of this study was to evaluate the long-term efficacy and safety of peripheral nerve field stimulation (PNFS) for chronic low back pain (cLBP).
In this prospective, multicenter observational study, 118 patients were admitted to 11 centers throughout Austria and Switzerland. After a screening visit, all patients underwent a trial stimulation...
The use of opioid analgesics in the treatment of chronic pain conditions has long been controversial. They have been reported to be relatively safe when prescribed with caution, but a brief and valid instrument to estimate a person's risk of addiction is still missing.
The aim of this study was to investigate a self-rating questionnaire allowing an...
FORTBILDUNG 4/2012 apo punkte 3
Hintergrund
Kopfschmerzen sind eine relativ häufige
Erkrankung, wobei in Österreich
laut Statistik Austria etwa 6% der Bevölkerung
von dieser unangenehmen
Schmerzentität geplagt werden. Die
Schmerzen gehen dabei entweder von
den Blutgefäßen, den Hirnhäuten oder
dem Periost (Beinhaut, die den knöchernen
Schädel überzi...
Opioide bei Nichttumoschmerz: hohe analgetische Potenz bei fehlender Organtoxizität
Hintergrund:
Opioide sind ohne Zweifel die potentesten Analgetika. Sie binden an Rezeptoren, welche über körpereigene Liganden (Endorphine) sowohl die Schmerzleitung als auch -Wahrnehmung kontrollieren. Aufgrund dieser Rezeptorspezifität haben Opipoide im Gegensatz...
In acute pain ascending mechanisms such as peripheral nociceptors, the glutamatergic system, opioid receptors and arachidonic acid metabolites such as prostaglandins and thromboxanes (1)may be successfully targeted by pharmacological treatment, with substances like NSAIDS such as nonselective COX-1/2 , selective COX-2, selective Cox-2/5LOX, Bradyki...
Background
The Austrian Patient Report illustrates the preferences of Austrian chronic disease patients for the first time.
Materiel and Methods
A standardised, self-administered questionnaire was used with items in the fields of general information, information flow, medicine and health, social and societal aspects and statistics.
Results
The most...
The Austrian Patient Report illustrates the preferences of Austrian chronic disease patients for the first time. MATERIEL AND METHODS: A standardised, self-administered questionnaire was used with items in the fields of general information, information flow, medicine and health, social and societal aspects and statistics.
The most important item fo...
Stimulation of primary afferent neurons offers a new approach for the control of localized chronic pain. We describe the results with a new neurostimulation technique, subcutaneous target stimulation (STS), for the treatment of chronic focal noncancer pain. STS applies permanent electrical stimulation directly at the painful area via a percutaneous...
Cancer disease is associated with a lot of very burdening symptoms. Pain is with dyspnea and emesis in the first time in a rate of about 50%, in the terminal stage up to 90% the most tormenting symptom. For more than 90% of patients the 3-step-WHO-regimen for cancer pain is able to relieve pain successfully. But a little group of cancer patients ne...
ÄRZTE KRONE | Schmerz 10 31
THEMENHEFT SCHMERZ
DAS „POSTLAMINEKTOMIE-SYNDROM“
– eigentlich besser als FBSS
(failed back surgery syndrome) bezeichnet
– hat vielfältige Ursachen
und stellt ein dementsprechend
komplexes Krankheitsbild
dar. Die Bezeichnung
„Postlaminektomie-Syndrom“
ist dahingehend nicht immer
zutreffend, als einerseits mik -
rochirurg...
Die Schmerzforschung klärt immer mehr Details der Schmerzchronifizierung auf, was die Entwicklung neuer Medikamente und Metho- den ermöglicht, die dann in der Therapie chronischer und akuter Schmerzen ein- gesetzt werden können.
Schmerz als Beeinträchtigung der Lebensqualität, der Leis- tungsfähigkeit und im Falle chronischer Schmerzen auch der Ges...
ÄRZTE KRONE | Schmerz 10 35
AUSLÖSENDER FAKTOR somatischer Schmerzzustände ist üblicherweise
eine Noxe. Durch diese mechanischen, chemischen
oder thermischen integritätsbedrohenden Reize werden spezifische
Rezeptoren stimuliert, welche eine nozizeptive Kettenreaktion
auslösen, die schließlich eine reflektorische und kognitive
Reizverarbeitung zur F...
Die medikamenöse Palette zur Therapie akuter und chronischer Schmerzzustände wurde nicht zuletzt aufgrund der Auffindung neuer Rezeptoren bzw. der Analyse der Struktur ihrer Liganden immer reichhaltiger und spezifischer. Dies trifft auf herkömmliche, nicht-steroidale Antirheumatika ebenso zu, wie auf starke und schwache Opioide, schließlich aber au...
Nichtsteroidale Antirheumatika (NSAR) haben heute aufgrund ihrer analgetischen und antiphlogistischen Wirksamkeit in der Behandlung
von zahlreichen akuten und chronischen Schmerzformen einen zentralen Stellenwert. In der Akutschmerztherapie, zum Beispiel
peri- und postoperativ, ist der i.v.-Einsatz von NSAR bedeutsam. Hier spielen insbesondere NSAR...
Immer mehr Patienten vertrauen in der Schmerztherapie neben der Schulmedizin auch auf komplementäre Methoden. Beide Richtungen können zum Wohl des Patienten in vielen Therapieverfahren eingesetzt werden.
Dieses von Experten aus Pflege und Medizin geschriebene Buch bietet einen guten Überblick zu den häufigsten Methoden. Neben den Grundlagen über Sc...
Intrathecal therapy represents an effective and well established treatment of nonmalignant as well as malignant pain. Devices available include mechanical constant flow pumps as well as electronic variable flow pumps with patient-controlled bolus release. The latter provide faster dose finding, individual pain control, and good acceptance by patien...
Oxygen-ozone nucleolysis (ONL) is a new, minimally invasive procedure for the treatment of discogenic low back pain with or without radicular symptoms. The aim of the present study was to determine associations between the morphology of the basic disease, patient-specific factors and the outcome of the treatment.
Six hundred and twelve patients not...
Intrathecal drug delivery using implantable pumps is an effective method to control stable chronic pain. However, the appropriate alleviation of unpredictable pain fluctuations remains challenging. A possible solution is the use of patient-controlled analgesia (PCA) by means of a specific device--the personal therapy manager (PTM)--designed to be u...
This case report of a 54-year-old patient, with a metastasized non-small cell bronchial carcinoma, shows us the different ways in pain therapy alternatives. We report the possibility of using spinal delivery systems (especially epidural/intrathecal) in palliative therapy, if like in this case oral applicated opioids were not very successful. We dis...
Die Ursache von Nackenschmerzen ist vielfältig und umfasst muskuläre, neuropathische, osteogene degenerative und tumorbezogene Pathologien. Zusätzlich treten die beschriebenen Pathologien selten einzeln, sondern zumeist in Kombination auf. Daher gibt es keinen typischen Nackenschmerz, sondern vielmehr eine Vielfalt von Nackenschmerzen, welche in Ab...
The origin of neck pain is multivariate and includes muscular, neuropathic, osteogenic degenerative and tumour related pathologies as well. In addition, the pathologies stated rarely appear isolated but mainly in combination. Hence, there is no typical neck pain but a variety of neck pains, which according to their origin will need individual treat...
The Section and Board of Anaesthesiology of the European Union of Medical Specialists aims (EUMS/UEMS) at harmonization of training of anaesthesiologists and at improvement of patient care throughout Europe. Pain medicine is considered to be an area of expertise in anaesthesiology although exclusivity is not claimed. The Section and Board has appro...
The Section and Board of Anaesthesiology of the European Union of Medical Specialists aims (EUMS/UEMS) at harmonization of training of anaesthesiologists and at improvement of patient care throughout Europe. Pain medicine is considered to be an area of expertise in anaesthesiology although exclusivity is not claimed. The Section and Board has appro...
To obtain data on the care received by individuals counselled during a public health awareness campaign on painful musculoskeletal conditions (MSC).
Easy non-formal access to rheumatologists/pain specialists was offered using a mobile unit (Rheuma-Bus) at widely accessible sites. Clients were asked to assess their severity of pain using a 100 mm vi...
Intraspinal drug infusion using implantable pumps and catheter systems is a safe and effective therapy for selected pain patients with severe chronic pain. It improves pain relief, reduces drug-related side effects, decreases the need for oral analgesia and enhances quality of life in a segment of chronic pain patients whose pain has not been contr...
Intraspinal drug infusion using implantable pumps and catheter systems is a safe and effective therapy for selected pain patients with severe chronic pain. It improves pain relief, reduces drug-related side effects, decreases the need for oral analgesia and enhances quality of life in a segment of chronic pain patients whose pain has not been contr...
Die hier angesprochene „invasive“ Schmerztherapie diskutiert ausschließlich Methoden, welche die Zerstörung von einzelnen Nerven oder Nervenplexus bezwecken. Nach rezenter Terminologie, sollte diese Art der Schmerztherapie jedoch eher als „minimal invasiv“ bezeichnet werden. Die angesprochenen Methoden umfassen die Chemoneurolyse durch die Injektio...
