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 › peer-review

7 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 48 h. 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 24 h. A decreased use of OMEs between the first and second 24 h 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)
Pages (from-to)	141-148
Number of pages	8
Journal	Complementary Therapies in Clinical Practice
Volume	23
DOIs	https://doi.org/10.1016/j.ctcp.2015.04.002
State	Published - May 1 2016

Keywords

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

ASJC Scopus subject areas

Complementary and alternative medicine

Access to Document

10.1016/j.ctcp.2015.04.002

Cite this

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. (2016). 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, 23, 141-148. 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. et al.

In: Complementary Therapies in Clinical Practice, Vol. 23, 01.05.2016, p. 141-148.

Research output: Contribution to journal › Article › peer-review

Engen, DJ, Carns, PE, Allen, MS, Bauer, BA, Loehrer, LL, Cha, SS, Chartrand, CM, Eggler, EJ, Cutshall, SM & Wahner-Roedler, DL 2016, '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, vol. 23, pp. 141-148. https://doi.org/10.1016/j.ctcp.2015.04.002

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

keywords = "Postoperative pain, TENS, Transcutaneous electrical nerve stimulation, VATS, Video-assisted thoracoscopic surgery",

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AU - Loehrer, Laura L.

AU - Cha, Stephen S.

AU - Chartrand, Christine M.

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AU - Cutshall, Susanne M.

AU - Wahner-Roedler, Dietlind L.

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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 48 h. 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 24 h. A decreased use of OMEs between the first and second 24 h 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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Evaluating efficacy and feasibility of transcutaneous electrical nerve stimulation for postoperative pain after video-assisted thoracoscopic surgery: A randomized pilot trial

Abstract

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