Study seeks answers to phantom pain

FREDERICTON (CP) — Up to 70 per cent of amputees suffer chronic, phantom pain after losing a limb, but researchers at the University of New Brunswick are trying to do something about it.

At the Institute of Biomedical Engineering, they are studying whether virtual reality can help patients reduce the signals that cause phantom pain.

Jon Sensinger, the institute’s associate director, says the research uses sensors, a computer screen and an avatar image of the missing limb.

He says it’s similar to conventional treat- ments for phantom pain but a limited trial had positive results in helping the brain sort out the scattered signals.

The new study is being conducted in eight locations around the world, but the UNB portion is the only one in Canada. Sensinger says there’s a lot to learn about why some people experience phantom pain and others don’t, and how different treatments can make a difference.

UNB is looking for more test patients. They need to be at least 18, an amputee for at least six months and suffering chronic phantom pain.

What’s in the IV bag?

(AP) — New research calls into question what’s in those IV bags that nearly every hospitalized patient gets. Using a different intravenous fluid instead of the usual saline greatly reduced the risk of death or kidney damage, two large studies found.

The difference could mean 50,000 to 70,000 fewer deaths and 100,000 fewer cases of kidney failure each year in the U.S., researchers estimate. Some doctors are hoping the results will persuade more hospitals to switch.

“We’ve been sounding the alarm for 20 years” about possible harms from saline, said Dr. John Kellum, a critical care specialist at the University of Pittsburgh. “It’s purely inertia” that prevents a change, he said.

Kellum had no role in the studies, which were discussed this week at a critical care conference in San Antonio and published by the New England Journal of Medicine. IVs are one of the most common things in health care. They are used to prevent dehydration, maintain blood pressure or give patients medicines or nutrients if they can’t eat.

Saline – salt dissolved in water – has been the most widely used fluid in the U.S. for more than a century even as evidence has emerged that it can harm kidneys, especially when used a lot.

Other IV solutions called balanced fluids include saline but also contain potassium and other things that make them more like plasma, the clear part of blood. They’re widely used in Europe and Australia. The studies involved 28,000 patients at Vanderbilt University who were given IVs of saline or a balanced fluid.

For every 100 people on balanced fluids, there was one fewer death or severe kidney problem.