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Transcutaneous Nerve Stimulation for Post-operative Acute and Chronic Pain

Not Applicable
Completed
Conditions
Postoperative Pain
Hip 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
Inclusion Criteria

Adult patients will be scheduled for surgery due to hip fracture in Mustafa Kemal University Hospital will be included in the study.

Exclusion Criteria

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
GroupInterventionDescription
group IItranscutaneous electric nerve stimulationPCA plus lumbar plexus \& sciatic nerve transcutaneous electric nerve stimulation (LS-TENS)
group IIItranscutaneous electric nerve stimulationPCA plus surgical wound transcutaneous electric nerve stimulation ( SW-TENS)
Primary Outcome Measures
NameTimeMethod
Visual analog scale for pain48 h postoperatively

Postoperative pain intensity is assessed using VAS for pain postoperatively.

Secondary Outcome Measures
NameTimeMethod
Frequencies of PCA demand48 h postoperatively

Patient demand will be assessed by PCA demand

Ramsey sedation scores48 h postoperatively

Sedation score is assessed for safety of epidural analgesic use.

Total fentanyl consumption48 h postoperatively

Total analgesic use during the study period

PCA delivery counts48 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

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