Deborah J Engen1, Paul E Carns2, Mark S Allen3, Brent A Bauer4, Laura L Loehrer5, Stephen S Cha6, Christine M Chartrand7, Eric J Eggler8, Susanne M Cutshall9, Dietlind L Wahner-Roedler10. 1. Department of Physical Medicine & Rehabilitation, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: engen.deborah@mayo.edu. 2. Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: carns.paul@mayo.edu. 3. Division of General Thoracic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: allen.mark@mayo.edu. 4. Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: bauer.brent@mayo.edu. 5. Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: loehrer.laura@mayo.edu. 6. Division of Biomedical Statistics and Informatics, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: cha@mayo.edu. 7. Division of General Thoracic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: chartrand.christine@mayo.edu. 8. Division of Cardiovascular Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: eggler.eric@mayo.edu. 9. Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: cutshall.susanne@mayo.edu. 10. Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: wahnerroedler.dietlind@mayo.edu.
Abstract
BACKGROUND:Transcutaneous electrical nerve stimulation (TENS) has been applied for pain relief after surgical procedures. This study evaluated whether TENS after video-assisted thoracoscopic surgery (VATS), in addition to opioid administration, decreased postoperative pain and pain medication use. METHODS: In a controlled trial, 56 patients scheduled to undergo VATS were randomly assigned to TENS plus opioids (Group 1) or opioids alone (Group 2) for 48 h. RESULTS:Forty patients completed the study. Pain scores and use of oral morphine equivalents (OMEs) were not significantly different between the groups during the first and second 24 h. A decreased use of OMEs between the first and second 24 h was significant for Group 1 (P = .005) but not for Group 2 (P = .11); a decreased use of OMEs between groups was not significant (P = .35). CONCLUSIONS: A larger, well-powered clinical trial is indicated to evaluate the effects of TENS for pain control after a VATS procedure. Clinical Trial No.: NCT01046695. Crown
RCT Entities:
BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) has been applied for pain relief after surgical procedures. This study evaluated whether TENS after video-assisted thoracoscopic surgery (VATS), in addition to opioid administration, decreased postoperative pain and pain medication use. METHODS: In a controlled trial, 56 patients scheduled to undergo VATS were randomly assigned to TENS plus opioids (Group 1) or opioids alone (Group 2) for 48 h. RESULTS: Forty patients completed the study. Pain scores and use of oral morphine equivalents (OMEs) were not significantly different between the groups during the first and second 24 h. A decreased use of OMEs between the first and second 24 h was significant for Group 1 (P = .005) but not for Group 2 (P = .11); a decreased use of OMEs between groups was not significant (P = .35). CONCLUSIONS: A larger, well-powered clinical trial is indicated to evaluate the effects of TENS for pain control after a VATS procedure. Clinical Trial No.: NCT01046695. Crown
Authors: Mark I Johnson; Carole A Paley; Priscilla G Wittkopf; Matthew R Mulvey; Gareth Jones Journal: Medicina (Kaunas) Date: 2022-06-14 Impact factor: 2.948