The Effect of Transcutaneous Electrical Nerve Stimulation on Pain after Thoracotomy

Warfield, Carol A.; Stein, Jonathan; Frank, Howard A.

doi:10.1016/s0003-4975(10)61957-1

Cited by 71 publications

(28 citation statements)

References 3 publications

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“…It may be that electrical stimulation has an inherent antiemetic effect. Warfield 43 undertook a randomized trial to examine the effects of TENS on pain, duration of stay, tolerance of physical therapy, nausea, and other outcomes in 24 patients undergoing thoracotomy. Electrical stimulation was provided at the site of incision.…”

Section: Discussionmentioning

confidence: 99%

Can Acupuncture have Specific Effects on Health? A Systematic Review of Acupuncture Antiemesis Trials

1996

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SUMMARYThe effects of acupuncture on health are generally hard to assess. Stimulation of the P6 acupuncture point is used to obtain an antiemetic effect and this provides an excellent model to study the efficacy of acupuncture. Thirty-three controlled trials have been published worldwide in which the P6 acupuncture point was stimulated for treatment of nausea and/or vomiting associated with chemotherapy, pregnancy, or surgery.

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Section: Discussionmentioning

confidence: 99%

Can Acupuncture have Specific Effects on Health? A Systematic Review of Acupuncture Antiemesis Trials

1996

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“…Electrodes: placed 2-2.5 cm above and below the incision line. Stimulation was initiated in the recovery room and given continuously for 24 h. Pulse rate of 120 bpm, pulse width of 0.2 ms and current output of 14-20 mA Warfield et al, (1985) Liu et al, (1985), Assessment of TENS on Pain score Group 1: significant A 'low current' as J Formosan Med Assoc, post-thoracotomy pain alleviation after TENS opposed to a 'no current' Taiwan w6x…”

Section: Search Strategymentioning

confidence: 99%

Is transcutaneous electrical nerve stimulation effective in relieving postoperative pain after thoracotomy?

Freynet

Falcoz

2010

Interactive CardioVascular and Thoracic Surgery

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A best evidence topic was constructed according to a structured protocol. The question addressed was whether the use of transcutaneous electrical nerve stimulation (TENS) is effective in reducing post-thoracotomy pain. Of the 74 papers found with a report search, nine prospective randomized controlled trials (RCT), among which three were double-blind, presented the best evidence to answer the clinical question. All investigated the effect of TENS as an adjunct therapy for relieving acute post-thoracotomy pain in patients undergoing thoracic surgery. The authors, journal, date and country of publication, study type, group studied, relevant outcomes and results of these papers are given. We conclude that a vast majority - seven of the nine retrieved studies - were in favor of TENS as an adjuvant to narcotic analgesics for improving outcome after thoracic surgery. Indeed, the interest and benefit has been shown not only in the treatment of acute post-thoracotomy pain (pain scores and narcotic requirements were consistently lower in the TENS group as opposed to the Placebo-TENS group), but also when used together with narcotic analgesics to reduce the duration of recovery room stay and to increase chest physical tolerance (better coughing attempts during chest physiotherapy) with positive effects on pulmonary ventilator function [forced expiratory volume in 1 s (FEV(1)) and/or forced vital capacity (FVC)]. Specifically, the TENS treatment was shown to be ineffective when used alone in severe post-thoracotomy pain (i.e. posterolateral thoracotomy incision), but useful as an adjunct to other medications in moderate post-thoracotomy pain (i.e. muscle sparing thoracotomy incision) and very effective as the sole pain-control treatment in patients experiencing mild post-thoracotomy pain (i.e. video-assisted thoracoscopy incision). Hence, current evidence shows TENS associated with postoperative medications to be safe and effective in alleviating postoperative pain and in improving patient recovery, thus enhancing the choice of available medical care and bettering outcome after thoracic surgery.

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“…Incluyeron 38 trabajos con un total de 1.227 pacientes y demostraron una disminución del dolor muy importante (p < 0,0005) en los individuos que habían recibido tratamiento con TENS frente al grupo placebo. Si nos referimos al dolor agudo postoracotomía, también encontramos estudios [16][17][18][19][20] que avalan la eficacia del TENS en la disminución del dolor en el hemitórax intervenido, así como la disminución de la necesidad de analgesia y la mejora de otros parámetros, como los de la función respiratoria. Aunque la mayoría de los estudios demuestran beneficios, otros encuentran pocos efectos o resultados iguales con otras terapias.…”

Section: Discussionunclassified

La estimulación nerviosa transcutánea disminuye el dolor del hombro ipsilateral postoracotomía. Estudio prospectivo aleatorizado

Novoa

Varela

2015

Archivos de Bronconeumología

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The Effect of Transcutaneous Electrical Nerve Stimulation on Pain after Thoracotomy

Cited by 71 publications

References 3 publications

Can Acupuncture have Specific Effects on Health? A Systematic Review of Acupuncture Antiemesis Trials

Can Acupuncture have Specific Effects on Health? A Systematic Review of Acupuncture Antiemesis Trials

Is transcutaneous electrical nerve stimulation effective in relieving postoperative pain after thoracotomy?

La estimulación nerviosa transcutánea disminuye el dolor del hombro ipsilateral postoracotomía. Estudio prospectivo aleatorizado

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