2016
DOI: 10.1155/2016/4261949
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Abstract: Background. Parasternal block and transcutaneous electrical nerve stimulation (TENS) have been demonstrated to produce effective analgesia and reduce postoperative opioid requirements in patients undergoing cardiac surgery. Objectives. To compare the effectiveness of TENS and parasternal block on early postoperative pain after cardiac surgery. Methods. One hundred twenty patients undergoing cardiac surgery were enrolled in the present randomized, controlled prospective study. Patients were assigned to three tr… Show more

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Cited by 29 publications
(21 citation statements)
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“…The procedure of this block involves injection of local anesthetic solution bilaterally on the 2 nd to 6 th intercostal spaces just before placement of sternal wires. [ 16 17 18 19 ] This is usually supplemented with infiltration of local anesthetic solution over the periosteum and infiltration around the chest tubes [ Figure 2 ]. The intercostal injection blocks the anterior cutaneous branch which is the terminal portion of the main trunk of intercostal nerve.…”
Section: Discussionmentioning
confidence: 99%
“…The procedure of this block involves injection of local anesthetic solution bilaterally on the 2 nd to 6 th intercostal spaces just before placement of sternal wires. [ 16 17 18 19 ] This is usually supplemented with infiltration of local anesthetic solution over the periosteum and infiltration around the chest tubes [ Figure 2 ]. The intercostal injection blocks the anterior cutaneous branch which is the terminal portion of the main trunk of intercostal nerve.…”
Section: Discussionmentioning
confidence: 99%
“…TENS also reduced pain and improved patient satisfaction during minor office procedures 28 . However, in a comparison of TENS and parasternal local anesthetic blocks for pain management after cardiac surgery 29 , the local anesthetic-based technique was found to be significantly more efficacious. TENS produced modest short-term reductions in pain and improvements in physical activity in patients experiencing a variety of chronic pain syndromes (for example, low back pain 30 35 , neck pain 36 , osteoarthritis/gonarthritis 37 , 38 , abdominal/pelvic pain 39 , myofascial pain syndrome 40 , and temporal-mandibular disorders 41 ).…”
Section: Electroanalgesiamentioning
confidence: 92%
“…Transcutaneous electrical nerve stimulation is also used in postoperative analgesia in light of its high effectiveness, reduction in demand for analgesic drugs, lower incidence of complications in the postoperative period, and the possibility of earlier ambulation, rehabilitation, and reduction in hospitalization time in patients undergoing cardiac surgery. 129 It is a comfortable, noninvasive, and nonpharmacological method that can be applied easily.…”
Section: Other Regional Anesthesia Techniquesmentioning
confidence: 99%