Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery: A randomized pilot trial

Engen, Deborah J.; Carns, Paul E.; Allen, Mark S.; Bauer, Brent A.; Loehrer, Laura L.; Stephen, S.; Chartrand, Christine M.; Eggler, Eric J.; Cutshall, Susanne M.; Wahner‐Roedler, Dietlind L.

doi:10.1016/j.ctcp.2015.04.002

Cited by 18 publications

(29 citation statements)

References 31 publications

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“…Yet, TENS is a safe and effective technique and could reduce postoperative analgesic consumption [ 9 , 20 , 21 ]. Although a few studies are available on the benefits of TENS in relieving postoperative pain [ 22 – 24 ], at present we could not identify any studies on the benefits of TENS in relieving shoulder tip pain during laparoscopy. Therefore, we decided to evaluate the effectiveness of TENS on shoulder pain relief during gynecologic laparoscopy as compared to a narcotic therapy using fentanyl.…”

Section: Introductionmentioning

confidence: 88%

A Comparative Study between Transcutaneous Electrical Nerve Stimulation and Fentanyl to Relieve Shoulder Pain during Laparoscopic Gynecologic Surgery under Spinal Anesthesia: A Randomized Clinical Trail

Asgari

Tavoli

Hosseini

et al. 2018

Pain Research and Management

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Background Traditionally, laparoscopic procedures have been performed under general anesthesia. Spinal anesthesia is an effective alternative to general anesthesia. However, one of the intraoperative complications of performing laparoscopic surgery under spinal anesthesia is shoulder pain. This study aimed to compare the effect of transcutaneous electrical nerve stimulation (TENS) with fentanyl on pain relief in patients who underwent gynecologic laparoscopy under spinal anesthesia. Methods We conducted a prospective randomized clinical trial from May 2016 to March 2017. A sample of patients who underwent gynecological laparoscopy under spinal anesthesia was recruited. If they had shoulder pain, they randomly received either transcutaneous electrical nerve stimulation (TENS) or 50 mg of fentanyl. Pain intensity was measured using the single item visual analogue scale (VAS-10 cm) immediately before and 5, 10, 20, and 30 minutes after treatment. Also, the effect of higher doses of analgesia on pain relief was analyzed. Results In all, 80 patients (40 patients in each group) were entered into the study. The mean pain intensity score was 9.02 ± 1.32 in the TENS group and 8.95 ± 1.33 in the fentanyl group at baseline (P = 0.80). Repeated measures analysis of variance indicated that there was no significant difference on overall pain scores between the two treatment groups adjusted for age, BMI, total analgesia used, and baseline pain score (F (1, 74) = 1.44, P = 0.23). The use of analgesic drugs in the TENS group was significantly higher than the fentanyl group (P = 0.01). In addition, we found that nine patients (22.5%) complained of nausea/vomiting in the TENS group compared to thirteen patients (32.5%) in the fentanyl group (P = 0.31). Conclusions The findings indicated that TENS was not superior to fentanyl for pain relief in laparoscopic surgery. It seems that the correct use of TENS parameters might merit further investigation. This trial is registered with: IRCT2016031216765N3.

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Section: Introductionmentioning

confidence: 88%

A Comparative Study between Transcutaneous Electrical Nerve Stimulation and Fentanyl to Relieve Shoulder Pain during Laparoscopic Gynecologic Surgery under Spinal Anesthesia: A Randomized Clinical Trail

Asgari

Tavoli

Hosseini

et al. 2018

Pain Research and Management

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“…Both are superior to intravenous morphine and can significantly improve postoperative lung function (86) without central nervous depression. Analgesia by means of other techniques such as transcutaneous electrical nerve stimulation (TENS) or serratus anterior plane (SAP) block may be used as a technical adjunct to control severe pain (87)(88)(89)(90). Furthermore, pain can be alleviated by early removal of chest drain (91).…”

Section: Rational Use Of Analgesicsmentioning

confidence: 99%

Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery

Gao

Barello

Chen

et al. 2019

Transl Lung Cancer Res

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“…Transcutaneous electrical nerve stimulation (TENS) is a noninvasive form of neuromodulation that has demonstrated effectiveness in numerous pain conditions (13)(14)(15)(16). Specifically, peripheral stimulation including TENS has established utility in alleviating multiple oral and facial pain conditions (17)(18)(19)(20)(21).…”

Section: Introductionmentioning

confidence: 99%

Noninvasive Electrical Stimulation for the Treatment of Chronic Ocular Pain and Photophobia

Sivanesan

Levitt

Sarantopoulos

et al. 2018

Neuromodulation: Technology at the Neural Interface

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Our data indicate that TENS may similarly provide analgesia in patients with dry eye symptoms as it does for many other chronic pain conditions. Furthermore, the noted effect on symptoms of photophobia and dryness suggest that all may be linked by similar trigeminal-thalamic-cortical pathways. Prospective studies with electrical stimulation of dry eye are needed to further elucidate its benefit and mechanism of action.

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Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery: A randomized pilot trial

Cited by 18 publications

References 31 publications

A Comparative Study between Transcutaneous Electrical Nerve Stimulation and Fentanyl to Relieve Shoulder Pain during Laparoscopic Gynecologic Surgery under Spinal Anesthesia: A Randomized Clinical Trail

A Comparative Study between Transcutaneous Electrical Nerve Stimulation and Fentanyl to Relieve Shoulder Pain during Laparoscopic Gynecologic Surgery under Spinal Anesthesia: A Randomized Clinical Trail

Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery

Noninvasive Electrical Stimulation for the Treatment of Chronic Ocular Pain and Photophobia

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