Transcutaneous Nerve Stimulation for Post-operative Acute and Chronic Pain
- Conditions
- Postoperative PainHip Fracture
- Interventions
- Device: transcutaneous electric nerve stimulation
- Registration Number
- NCT02642796
- Lead Sponsor
- Mustafa Kemal University
- Brief Summary
Aim of the study to assess the efficacy of two modes of transcutaneous electrical nerve stimulation (TENS) on relief of postoperative acute pain after hip fracture surgery.
- Detailed Description
The patients underwent undergo fractured hip surgery will be distributed into three groups with respect to the mode of postoperative analgesia applied: Group I (control): PCA only; group II: PCA plus lumbar plexus \& sciatic nerve TENS (LS-TENS); group III: PCA plus surgical wound TENS (SW-TENS). TENS will be applied every 2 hours for 30-40 minutes during 48 hours postoperatively. Visual analogue score (VAS), Ramsey sedation scores, frequencies of PCA demand and counts of PCA delivery, as well as total analgesic consumption will be noted and compared between groups at various time intervals.
Visual analog scale (VAS) will be applied at 2 months postoperatively VAS and Mcgill pain questionnaire will be applied at the 6th and 24th months of the surgery to assess acute and chronic pain in the study population and the differences among groups.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 120
Adult patients will be scheduled for surgery due to hip fracture in Mustafa Kemal University Hospital will be included in the study.
Patients with a history of opioid analgesic abuse, or sensitivity to opioids, and those with clinically significant systemic (cardiovascular, pulmonary, hepatic, renal, neurologic etc.) diseases, will be excluded.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description group II transcutaneous electric nerve stimulation PCA plus lumbar plexus \& sciatic nerve transcutaneous electric nerve stimulation (LS-TENS) group III transcutaneous electric nerve stimulation PCA plus surgical wound transcutaneous electric nerve stimulation ( SW-TENS)
- Primary Outcome Measures
Name Time Method Visual analog scale for pain 48 h postoperatively Postoperative pain intensity is assessed using VAS for pain postoperatively.
- Secondary Outcome Measures
Name Time Method Frequencies of PCA demand 48 h postoperatively Patient demand will be assessed by PCA demand
Ramsey sedation scores 48 h postoperatively Sedation score is assessed for safety of epidural analgesic use.
Total fentanyl consumption 48 h postoperatively Total analgesic use during the study period
PCA delivery counts 48 h postoperatively Delivery count shows the actual PCA delivery. It is different from the demand.
Trial Locations
- Locations (1)
Mustafa Kemal University Hospital
🇹🇷Hatay, Turkey