Transcutaneous Nerve Stimulation for Post-operative Acute and Chronic Pain

Mustafa Kemal University

Status: Completed

Conditions: Postoperative Pain; Hip Fracture

Treatments: Device: transcutaneous electric nerve stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT02642796

2013/34

Details and patient eligibility

About

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.

Full 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.

Enrollment: 120 patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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120 participants in 3 patient groups

Group I (control)

No Intervention group

Description:

Patient controlled analgesia (epidural fentanyl): PCA only

group II

Experimental group

Description:

PCA plus lumbar plexus \& sciatic nerve transcutaneous electric nerve stimulation (LS-TENS)

Treatment:

Device: transcutaneous electric nerve stimulation

group III

Experimental group

Description:

PCA plus surgical wound transcutaneous electric nerve stimulation ( SW-TENS)

Treatment:

Device: transcutaneous electric nerve stimulation