scholarly journals Randomization is important in studies with pain outcomes: systematic review of transcutaneous electrical nerve stimulation in acute postoperative pain

1996 ◽  
Vol 77 (6) ◽  
pp. 798-803 ◽  
Author(s):  
D Carroll ◽  
M Tramèr ◽  
H McQuay ◽  
B Nye ◽  
A Moore
Keyword(s):  
Systematic Review ◽  
Postoperative Pain ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Acute Postoperative Pain ◽  
Electrical Nerve Stimulation ◽  
Pain Outcomes

scholarly journals Transcutaneous electrical nerve stimulation (TENS) in the management of post-thoracotomy pain: A systematic review

2021 ◽  
Author(s):  
Caio de Almeida Lellis ◽  
Kamylla Lohannye Fonseca e Silva ◽  
Weldes Francisco da Silva Junior
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Postoperative Pain ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Case Reports ◽  
Lung Resection ◽  
Pharmacological Therapy ◽  
Transcutaneous Electric Nerve Stimulation ◽  
Electrical Nerve Stimulation

Introduction: Thoracotomy is considered one of the most painful operative procedures in surgical practice, and postoperative pain control is a challenge. Objectives: To evaluate transcutaneous electrical nerve stimulation (TENS) as a form of treatment for post-thoracotomy pain. Design and setting: A systematic review conducted at the Pontifical Catholic University of Goiás. Methods: A systematic literature review was performed in the PubMed and Lilacs databases with the terms: “Post-thoracotomy pain AND (Transcutaneous Electric Nerve Stimulation OR TENS)”, being selected randomized controlled trials, clinical trials and case reports. Studies that did not fit the objectives were excluded. Results: TENS was shown to be a safe and effective therapy in the management of acute post-thoracotomy pain in the emergency department; however, the technique did not decrease the length of hospital stay or early pulmonary complications. One such study pointed to decreased shoulder flexion pain in patients undergoing axillary thoracotomy for lung resection, with pain sensation significantly decreased in the experimental group. In consonance, other trials emphasized the importance of the association of TENS with pharmacological therapy already employed in the emergency department, because patients who received fentanyl and bupivacaine associated with TENS perceived an immediate reduction in pain intensity at rest. Conclusion: TENS has proven to be a very effective and safe therapy in the treatment of postoperative pain in patients undergoing thoracotomy, improving their quality of life and reducing the consumption of analgesics.

Postoperative Pain Relief by Transcutaneous Electrical Nerve Stimulation (TENS)

1980 ◽  
Vol 08 (01n02) ◽  
pp. 190-194 ◽  
Author(s):  
Joseph O. A. Sodipo ◽  
S. A. Adedeji ◽  
O. Olumide
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Hospital Stay ◽  
Clinical Evaluation ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Postoperative Pain Relief ◽  
Patient Acceptance ◽  
Random Assignment ◽  
Electrical Nerve Stimulation

In prospective, random assignment of 2 groups of 15 patients, relief of postoperative pain with narcotic medications was evaluated and compared with transcutaneous electrical nerve stimulation (TENS) for 2 days immediately following surgery. Presence of ileus and hospital stay were identifical in both groups. Patients on TENS demonstrated a marked significant decrease in the amount of narcotics administered. There was favorable nursing, physician and patient acceptance to these devices. Further clinical evaluation is, therefore, in progress.

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