Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery
Background. Parasternal block and transcutaneous electrical nerve stimulation (TENS) have been demonstrated to produce effective analgesia and reduce postoperative opioid requirements in patients undergoing cardiac surgery. Objectives. To compare the effectiveness of TENS and parasternal block on ea...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2016/4261949 |
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| author | Nilgun Kavrut Ozturk Elif Dogan Baki Ali Sait Kavakli Ayca Sultan Sahin Raif Umut Ayoglu Arzu Karaveli Mustafa Emmiler Kerem Inanoglu Bilge Karsli |
| author_facet | Nilgun Kavrut Ozturk Elif Dogan Baki Ali Sait Kavakli Ayca Sultan Sahin Raif Umut Ayoglu Arzu Karaveli Mustafa Emmiler Kerem Inanoglu Bilge Karsli |
| author_sort | Nilgun Kavrut Ozturk |
| collection | DOAJ |
| description | Background. Parasternal block and transcutaneous electrical nerve stimulation (TENS) have been demonstrated to produce effective analgesia and reduce postoperative opioid requirements in patients undergoing cardiac surgery. Objectives. To compare the effectiveness of TENS and parasternal block on early postoperative pain after cardiac surgery. Methods. One hundred twenty patients undergoing cardiac surgery were enrolled in the present randomized, controlled prospective study. Patients were assigned to three treatment groups: parasternal block, intermittent TENS application, or a control group. Results. Pain scores recorded 4 h, 5 h, 6 h, 7 h, and 8 h postoperatively were lower in the parasternal block group than in the TENS and control groups. Total morphine consumption was also lower in the parasternal block group than in the TENS and control groups. It was also significantly lower in the TENS group than in the control group. There were no statistical differences among the groups regarding the extubation time, rescue analgesic medication, length of intensive care unit stay, or length of hospital stay. Conclusions. Parasternal block was more effective than TENS in the management of early postoperative pain and the reduction of opioid requirements in patients who underwent cardiac surgery through median sternotomy. This trial is registered with Clinicaltrials.gov number NCT02725229. |
| format | Article |
| id | doaj-art-117472195814403db00180ced0688f2e |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-117472195814403db00180ced0688f2e2025-02-03T01:07:14ZengWileyPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/42619494261949Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac SurgeryNilgun Kavrut Ozturk0Elif Dogan Baki1Ali Sait Kavakli2Ayca Sultan Sahin3Raif Umut Ayoglu4Arzu Karaveli5Mustafa Emmiler6Kerem Inanoglu7Bilge Karsli8Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlık Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, TurkeyDepartment of Anesthesiology and Reanimation, Afyon Kocatepe University, Faculty of Medicine, Afyon, TurkeyDepartment of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlık Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, TurkeyDepartment of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlık Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, TurkeyDepartment of Cardiovascular Surgery, Antalya Education and Research Hospital, 07100 Antalya, TurkeyDepartment of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlık Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, TurkeyDepartment of Cardiovascular Surgery, Antalya Education and Research Hospital, 07100 Antalya, TurkeyDepartment of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlık Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, TurkeyDepartment of Algology, Akdeniz University, Faculty of Medicine, 07100 Antalya, TurkeyBackground. Parasternal block and transcutaneous electrical nerve stimulation (TENS) have been demonstrated to produce effective analgesia and reduce postoperative opioid requirements in patients undergoing cardiac surgery. Objectives. To compare the effectiveness of TENS and parasternal block on early postoperative pain after cardiac surgery. Methods. One hundred twenty patients undergoing cardiac surgery were enrolled in the present randomized, controlled prospective study. Patients were assigned to three treatment groups: parasternal block, intermittent TENS application, or a control group. Results. Pain scores recorded 4 h, 5 h, 6 h, 7 h, and 8 h postoperatively were lower in the parasternal block group than in the TENS and control groups. Total morphine consumption was also lower in the parasternal block group than in the TENS and control groups. It was also significantly lower in the TENS group than in the control group. There were no statistical differences among the groups regarding the extubation time, rescue analgesic medication, length of intensive care unit stay, or length of hospital stay. Conclusions. Parasternal block was more effective than TENS in the management of early postoperative pain and the reduction of opioid requirements in patients who underwent cardiac surgery through median sternotomy. This trial is registered with Clinicaltrials.gov number NCT02725229.http://dx.doi.org/10.1155/2016/4261949 |
| spellingShingle | Nilgun Kavrut Ozturk Elif Dogan Baki Ali Sait Kavakli Ayca Sultan Sahin Raif Umut Ayoglu Arzu Karaveli Mustafa Emmiler Kerem Inanoglu Bilge Karsli Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery Pain Research and Management |
| title | Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery |
| title_full | Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery |
| title_fullStr | Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery |
| title_full_unstemmed | Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery |
| title_short | Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery |
| title_sort | comparison of transcutaneous electrical nerve stimulation and parasternal block for postoperative pain management after cardiac surgery |
| url | http://dx.doi.org/10.1155/2016/4261949 |
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