Transcutaneous electrical nerve stimulation for pain management in patients with uncomplicated minor rib fractures

Öncel, Mustafa; Sencan, Sureyya; Yıldız, Hakan; Kurt, Necmi

doi:10.1016/s1010-7940(02)00206-3

Cited by 40 publications

(17 citation statements)

References 13 publications

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“…In a study by Wishner,14 however, epidural analgesia reduced the morbidity and mortality rates in patients with costal fractures. Oncel et al obtained successful results using transcutaneous electrical nerve stimulation to treat patients with costal fractures 15. …”

Section: Discussionmentioning

confidence: 99%

An analysis of 214 cases of rib fractures

Karadayı

Nadir

Şahin

et al. 2011

Clinics

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INTRODUCTION:Rib fractures are the most common type of injury associated with trauma to the thorax. In this study, we investigated whether morbidity and mortality rates increased in correlation with the number of fractured ribs.MATERIALS AND METHODS:Data from 214 patients with rib fractures who applied or were referred to our clinic between January 2007 and December 2008 were retrospectively evaluated. The patients were allocated into three groups according to the number of fractures: 1) patients with an isolated rib fracture (RF1) (n = 50, 23.4%), 2) patients with two rib fractures (RF2) (n = 53, 24.8%), and 3) patients with more than two rib fractures (RF3) (n = 111, 51.9%). The patients were evaluated and compared according to the number of rib fractures, mean age, associated chest injuries (hemothorax, pneumothorax, and/or pulmonary contusion), and co-existing injuries to other systems.FINDINGS:The mean age of the patients was 51.5 years. The distribution of associated chest injuries was 30% in group RF1, 24.6% in group RF2, and 75.6% in group RF3 (p<0.05). Co-existing injuries to other systems were 24% in group RF1, 23.2% in group RF2, and 52.6% in group RF3 (p<0.05). Two patients (4%) in group RF1, 2 patients (3.8%) in group RF2, and 5 patients (4.5%) in group RF3 (total n = 9; 4.2%) died.CONCLUSION:Patients with any number of rib fractures should be carefully screened for co-existing injuries in other body systems and hospitalized to receive proper treatment.

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Section: Discussionmentioning

confidence: 99%

An analysis of 214 cases of rib fractures

Karadayı

Nadir

Şahin

et al. 2011

Clinics

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“…Lidocaine patches over the fracture sites is ineffective [1]. For minor rib fractures transcutaneous nerve stimulation is superior to NSAID [2].…”

Section: Recent Findingsmentioning

confidence: 99%

Acute pain management of patients with multiple fractured ribs

Karmakar

Critchley

2011

Current Opinion in Critical Care

128

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“…Accordingly, further steps are now being taken from the conventional pain control medication and techniques by the introduction of more aggressive pain control measures such as the intercostal nerve block (ICNB) (Moore and Bridenbaugh, 1962; Wurnig et al, 2002), transcutaneous electrical nerve stimulation (TENS) (Oncel et al, 2002), and intravenous patient-controlled analgesia (IV PCA). Used early on, these aggressive measures increase patient satisfaction and prevent secondary complications.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of intercostal nerve block for management of pain in rib fracture patients

Hwang¹,

Lee²

2014

J Exerc Rehabil

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Controlling pain in patients with fractured ribs is essential for preventing secondary complications. Conventional medications that are administered orally or by using injections are sufficient for the treatment of most patients. However, additional aggressive pain control measures are needed for patients whose pain cannot be controlled effectively as well as for those in whom complications or a transition to chronic pain needs to be prevented. In this study, we retrospectively analyzed the medical records of patients in our hospital to identify the efficacy and characteristics of intercostal nerve block (ICNB), as a pain control method for rib fractures. Although ICNB, compared to conventional methods, showed dramatic pain reduction immediately after the procedure, the pain control effects decreased over time. These findings suggest that the use of additional pain control methods (e.g. intravenous patient-controlled analgesia and/or a fentanyl patch) is recommended for patients in who the pain level increases as the ICNB efficacy decreases.

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Transcutaneous electrical nerve stimulation for pain management in patients with uncomplicated minor rib fractures

Abstract: We conclude that TENS was more effective than NSAID or placebo in patients with uncomplicated minor rib fractures, because of its prominent and admirable efficacy in reduction of pain.

Cited by 40 publications

References 13 publications

An analysis of 214 cases of rib fractures

An analysis of 214 cases of rib fractures

Acute pain management of patients with multiple fractured ribs

Effectiveness of intercostal nerve block for management of pain in rib fracture patients

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