Postoperative Pain Relief by Transcutaneous Electrical Nerve Stimulation (TENS)

Sodipo, Joseph O. A.; Adedeji, S. A.; Olumide, O.

doi:10.1142/s0192415x80000153

Cited by 11 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two out of 17 studies compared different frequencies of stimulation [45, 47], and 1/17 compared EA with manual acupuncture [21]. In the 17 peri-incisional stimulation studies, 11 compared with sham [24, 30, 32, 33, 36–38, 43, 50, 51, 54], three compared with non-active stimulation [23, 25, 52], and three compared with both [31, 39, 53]. In addition, one study compared different intensities of stimulation [30], and one compared different frequencies of stimulation [32].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Distal acupoint stimulation versus peri-incisional stimulation for postoperative pain in open abdominal surgery: a systematic review and implications for clinical practice

Zhu

Zou

et al. 2019

BMC Complement Altern Med

View full text Add to dashboard Cite

Background Acute postoperative pain remains a major clinical problem that affects patient recovery. Distal acupoint and peri-incisional stimulation are both used for relieving acute postoperative pain in hospital. Our objective was to assess and compare the effects of distal and peri-incisional stimulation on postoperative pain in open abdominal surgery. Methods MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and Chinese databases CNKI and Wanfangdata were searched to identify eligible randomized controlled trials. Intensity of postoperative pain, opioid consumption and related data were extracted and analyzed using a random effects model. Risk of bias was assessed. Subgroup analyses were conducted when data were enough. Results Thirty-five trials were included, in which 17 trials studied distal stimulation, another 17 trials studied peri-incisional stimulation and one studied the combination of the two approaches. No studies that directly compared the two approaches were identified. Subgroup analysis showed that both distal and peri-incisional stimulation significantly alleviated postoperative resting and movement pain from 4 h to 48 h after surgery by 6 to 25 mm on a 100 mm visual analogue scale. Peri-incisional stimulation showed a better reduction in postoperative opioid consumption. No studies compared the effects of the combined peri-incisional and distal stimulation with either mode alone. Overall the quality of evidence was moderate due to a lack of blinding in some studies, and unclear risk of allocation concealment. Conclusion Both distal and peri-incisional modes of stimulation were effective in reducing postoperative pain. Whether a combined peri-incisional stimulation and distal acupuncture has superior results requires further studies.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Three studies in distal group and one study in peri-incisional group reported side effects associated with the treatment [32, 35, 50, 52]. Side effects included erythema due to Capsicum plaster, a tingling and transient warm sensation, restricting activities and discomfort influencing sleep quality due to electrodes and wires.…”

Section: Resultsmentioning

confidence: 99%

Distal acupoint stimulation versus peri-incisional stimulation for postoperative pain in open abdominal surgery: a systematic review and implications for clinical practice

Zhu

Zou

et al. 2019

BMC Complement Altern Med

View full text Add to dashboard Cite

show abstract

“…Of the seven studies, GI recovery following stimulation was a primary outcome in four studies . The remaining three studies primarily focused on the use of TENS for controlling postoperative pain and reported secondary effects on the GI system . Pain scores were reported in all studies as a primary or secondary outcome.…”

Section: Resultsmentioning

confidence: 99%

“…Pain scores were reported in all studies as a primary or secondary outcome. Quantitative analysis of opiate reduction was only reported in two studies , which demonstrated a 3× reduction , and 30× reduction , in total opiates used.…”

Section: Resultsmentioning

confidence: 99%

Electrical Stimulation and Recovery of Gastrointestinal Function Following Surgery: A Systematic Review

Penfold

Wells

et al. 2019

Neuromodulation: Technology at the Neural Interface

View full text Add to dashboard Cite

“…[12] Sodipo et al . [13] proved that for patients given TENS along with narcotics immediately after surgery, there is a marked significant decrease in the amount of narcotics administered. There was favorable nursing, physician and patient acceptance to these devices.…”

Section: Discussionmentioning

confidence: 99%

Use of transcutaneous electrical nerve stimulation as an adjunctive to epidural analgesia in the management of acute thoracotomy pain

Chandra¹,

Banavaliker²,

Das³

et al. 2010

Indian J Anaesth

View full text Add to dashboard Cite

The present randomized study was conducted in our institute of pulmonary medicine and tuberculosis over a period of 1 year. This study aimed to evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) as an adjunctive to thoracic epidural analgesia for the treatment of postoperative pain in patients who underwent posterolateral thoracotomy for decortication of lung. Sixty patients in the age group 15–40 years scheduled to undergo elective posterolateral thoracotomy were divided into two groups of 30 each. Patients were alternatively assigned to one of the groups. In group I, only thoracic epidural analgesia with local anaesthetics was given at regular intervals; however, an identical apparatus which did not deliver an electric current was applied to the control (i.e. group I) patients. While in group II, TENS was started immediately in the recovery period in addition to the epidural analgesia. A 0–10 visual analog scale (VAS) was used to assess pain at regular intervals. The haemodynamics were also studied at regular intervals of 2 h for the first 10 h after the surgery. When the VAS score was more than three, intramuscular analgesia with diclofenac sodium was given. The VAS score and the systolic blood pressure were comparable in the immediate postoperative period (P = NS) but the VAS score was significantly less in group II at 2, 4, 6, 8 h (P < 0.01, P < 0.05, P < 0.05, P < 0.05, respectively), and at 10 h the P value was not significant. Similarly, the systolic blood pressure was significantly less in group II at 2, 4, 6 h after surgery, that is P < 0.02, P < 0.01, P < 0.01, respectively, but at 8 and 10 h the pressures were comparable in both the groups. Adding TENS to epidural analgesia led to a significant reduction in pain with no sequelae. The haemodynamics were significantly stable in group II compared to group I. TENS is a valuable strategy to alleviate postoperative pain following thoracic surgery with no side effects and with a good haemodynamic stability; however, the effects are short lasting.

show abstract

Postoperative Pain Relief by Transcutaneous Electrical Nerve Stimulation (TENS)

Cited by 11 publications

References 0 publications

Distal acupoint stimulation versus peri-incisional stimulation for postoperative pain in open abdominal surgery: a systematic review and implications for clinical practice

Distal acupoint stimulation versus peri-incisional stimulation for postoperative pain in open abdominal surgery: a systematic review and implications for clinical practice

Electrical Stimulation and Recovery of Gastrointestinal Function Following Surgery: A Systematic Review

Use of transcutaneous electrical nerve stimulation as an adjunctive to epidural analgesia in the management of acute thoracotomy pain

Contact Info

Product

Resources

About