Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery

Öztürk, Nilgün; Bakı, Elif Doğan; Kavakli, Ali Sait; Şahin, Ayça Sultan; Ayoglu, Raif Umut; Karaveli, Arzu; Emmıler, Mustafa; İnanoğlu, Kerem; Karslı, Bilge

doi:10.1155/2016/4261949

Cited by 37 publications

(22 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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%

Pain relief following sternotomy in conventional cardiac surgery: A review of non neuraxial regional nerve blocks

Kar

Ramachandran

2020

Ann Card Anaesth

View full text Add to dashboard Cite

Acute post-operative pain following sternotomy in cardiac surgery should be adequately managed so as to avoid adverse hemodynamic consequences and pulmonary complications. In the era of fast tracking, adequate and efficient technique of post-operative analgesia enables early extubation, mobilization and discharge from intensive care unit. Due to increasing expertise in ultrasound guided blocks there is a recent surge in trial of bilateral nerve blocks for pain relief following sternotomy. The aim of this article was to review non-neuraxial regional blocks for analgesia following sternotomy in cardiac surgery. Due to the paucity of similar studies and heterogeneity, the assessment of bias, systematic review or pooled analysis/meta-analysis was not feasible. A total of 17 articles were found to be directly related to the performance of non-neuraxial regional nerve blocks across all study designs. Due to scarcity of literature, comments cannot be made on the superiority of these blocks over each other. However, most of the reviewed techniques were found to be equally efficacious or better than conventional and established techniques.

show abstract

Section: Discussionmentioning

confidence: 99%

Pain relief following sternotomy in conventional cardiac surgery: A review of non neuraxial regional nerve blocks

Kar

Ramachandran

2020

Ann Card Anaesth

View full text Add to dashboard Cite

show abstract

“…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%

Assessment and pathophysiology of pain in cardiac surgery

Zubrzycki¹,

Liebold²,

Skrabal³

et al. 2018

JPR

139

106

View full text Add to dashboard Cite

Analysis of the problem of surgical pain is important in view of the fact that the success of surgical treatment depends largely on proper pain management during the first few days after a cardiosurgical procedure. Postoperative pain is due to intraoperative damage to tissue. It is acute pain of high intensity proportional to the type of procedure. The pain is most intense during the first 24 hours following the surgery and decreases on subsequent days. Its intensity is higher in younger subjects than elderly and obese patients, and preoperative anxiety is also a factor that increases postoperative pain. Ineffective postoperative analgesic therapy may cause several complications that are dangerous to a patient. Inappropriate postoperative pain management may result in chronic pain, immunosuppression, infections, and less effective wound healing. Understanding and better knowledge of physiological disorders and adverse effects resulting from surgical trauma, anesthesia, and extracorporeal circulation, as well as the development of standards for intensive postoperative care units are critical to the improvement of early treatment outcomes and patient comfort.

show abstract

“…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%

Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management

White

Elvir-Lazo

Galeas³

et al. 2017

F1000Res

View full text Add to dashboard Cite

The use of opioid analgesics for postoperative pain management has contributed to the global opioid epidemic. It was recently reported that prescription opioid analgesic use often continued after major joint replacement surgery even though patients were no longer experiencing joint pain. The use of epidural local analgesia for perioperative pain management was not found to be protective against persistent opioid use in a large cohort of opioid-naïve patients undergoing abdominal surgery. In a retrospective study involving over 390,000 outpatients more than 66 years of age who underwent minor ambulatory surgery procedures, patients receiving a prescription opioid analgesic within 7 days of discharge were 44% more likely to continue using opioids 1 year after surgery. In a review of 11 million patients undergoing elective surgery from 2002 to 2011, both opioid overdoses and opioid dependence were found to be increasing over time. Opioid-dependent surgical patients were more likely to experience postoperative pulmonary complications, require longer hospital stays, and increase costs to the health-care system. The Centers for Disease Control and Prevention emphasized the importance of finding alternatives to opioid medication for treating pain. In the new clinical practice guidelines for back pain, the authors endorsed the use of non-pharmacologic therapies. However, one of the more widely used non-pharmacologic treatments for chronic pain (namely radiofrequency ablation therapy) was recently reported to have no clinical benefit. Therefore, this clinical commentary will review evidence in the peer-reviewed literature supporting the use of electroanalgesia and laser therapies for treating acute pain, cervical (neck) pain, low back pain, persistent post-surgical pain after spine surgery (“failed back syndrome”), major joint replacements, and abdominal surgery as well as other common chronic pain syndromes (for example, myofascial pain, peripheral neuropathic pain, fibromyalgia, degenerative joint disease/osteoarthritis, and migraine headaches).

show abstract

Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery

Cited by 37 publications

References 18 publications

Pain relief following sternotomy in conventional cardiac surgery: A review of non neuraxial regional nerve blocks

Pain relief following sternotomy in conventional cardiac surgery: A review of non neuraxial regional nerve blocks

Assessment and pathophysiology of pain in cardiac surgery

Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management

Contact Info

Product

Resources

About