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High-frequency, high-intensity transcutaneous electrical nerve stimulation as treatment of pain after surgical abortion

Författare och institution:
B. Platon (-); Paulin Andréll (Institutionen för medicin, avdelningen för akut och kardiovaskulär medicin); C. Raner (-); M. Rudolph (-); A. Dvoretsky (-); Clas Mannheimer (Institutionen för medicin, avdelningen för akut och kardiovaskulär medicin)
Publicerad i:
Pain, 148 ( 1 ) s. 114-119
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
The aim of the study was to compare the pain-relieving effect and the time spent in the recovery ward after treatment with high-frequency, high-intensity transcutaneous electrical nerve stimulation (TENS) or intravenous (IV) conventional pharmacological treatment after surgical abortion. Two-hundred women who underwent surgical abortion and postoperatively reported a visual analogue scale (VAS) pain score3 were included. The patients were randomised to TENS or conventional pharmacological treatment for their postoperative pain. The TENS treatment was given with a stimulus intensity between 20 and 60 mA during 1 min and repeated once if insufficient pain relief (VAS3). In the conventional pharmacological treatment group, a maximum dose of 100 microg fentanyl was given IV. There was no difference between the groups with regard to pain relief according to the VAS pain score (TENS=VAS 1.3 vs. IV opioids=VAS 1.6; p=0.09) upon discharge from the recovery ward. However, the patients in the TENS group spent shorter time (44 min) in the recovery ward than the conventional pharmacological treatment group (62 min; p<0.0001). The number of patients who needed additional analgesics in the recovery ward was comparable in both groups, as was the reported VAS pain score upon leaving the hospital (TENS=2.0 vs. conventional pharmacological treatment=1.8, NS). These results suggest that the pain-relieving effect of TENS seems to be comparable to conventional pharmacological treatment with IV opioids. Hence, TENS may be a suitable alternative to conventional pain management with IV opioids after surgical abortion.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
Abortion, Induced/adverse effects, Adolescent, Adult, Analgesia, Obstetrical/methods, Biophysics/methods, Case-Control Studies, Female, Humans, Pain Measurement/methods, Pain, Postoperative/*etiology/*therapy, Transcutaneous Electric Nerve Stimulation/*methods, Young Adult
Postens nummer:
Posten skapad:
2011-01-03 15:48
Posten ändrad:
2011-12-20 12:50

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