Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery: A randomized pilot trial

Deborah J. Engen; Paul E. Carns; Mark S. Allen; Brent A Bauer; Laura L. Loehrer; Stephen S. Cha; Christine M. Chartrand; Eric J. Eggler; Susanne M. Cutshall; Dietlind L. Wahner-Roedler

doi:10.1016/j.ctcp.2015.04.002

Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery: A randomized pilot trial

Deborah J. Engen, Paul E. Carns, Mark S. Allen, Brent A Bauer, Laura L. Loehrer, Stephen S. Cha, Christine M. Chartrand, Eric J. Eggler, Susanne M. Cutshall, Dietlind L. Wahner-Roedler

General Internal Medicine

Research output: Contribution to journal › Article

5 Scopus citations

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 48h. 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 24h. A decreased use of OMEs between the first and second 24h 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.

Original language	English (US)
Journal	Complementary Therapies in Clinical Practice
DOIs	https://doi.org/10.1016/j.ctcp.2015.04.002
State	Accepted/In press - 2015

Keywords

Postoperative pain
TENS
Transcutaneous electrical nerve stimulation
VATS
Video-assisted thoracoscopic surgery

ASJC Scopus subject areas

Complementary and alternative medicine

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10.1016/j.ctcp.2015.04.002

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Engen, D. J., Carns, P. E., Allen, M. S., Bauer, B. A., Loehrer, L. L., Cha, S. S., Chartrand, C. M., Eggler, E. J., Cutshall, S. M., & Wahner-Roedler, D. L. (Accepted/In press). Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery: A randomized pilot trial. Complementary Therapies in Clinical Practice. https://doi.org/10.1016/j.ctcp.2015.04.002

Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery : A randomized pilot trial. / Engen, Deborah J.; Carns, Paul E.; Allen, Mark S.; Bauer, Brent A; Loehrer, Laura L.; Cha, Stephen S.; Chartrand, Christine M.; Eggler, Eric J.; Cutshall, Susanne M.; Wahner-Roedler, Dietlind L.

In: Complementary Therapies in Clinical Practice, 2015.

Research output: Contribution to journal › Article

Engen, DJ, Carns, PE, Allen, MS, Bauer, BA, Loehrer, LL, Cha, SS, Chartrand, CM, Eggler, EJ, Cutshall, SM & Wahner-Roedler, DL 2015, 'Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery: A randomized pilot trial', Complementary Therapies in Clinical Practice. https://doi.org/10.1016/j.ctcp.2015.04.002

Engen, Deborah J. ; Carns, Paul E. ; Allen, Mark S. ; Bauer, Brent A ; Loehrer, Laura L. ; Cha, Stephen S. ; Chartrand, Christine M. ; Eggler, Eric J. ; Cutshall, Susanne M. ; Wahner-Roedler, Dietlind L. / Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery : A randomized pilot trial. In: Complementary Therapies in Clinical Practice. 2015.

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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 48h. 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 24h. A decreased use of OMEs between the first and second 24h 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.",

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AB - 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 48h. 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 24h. A decreased use of OMEs between the first and second 24h 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.

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