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High-frequency, high-intensity transcutaneous electrical nerve stimulation as treatment of pain after surgical abortion
- Platon, B. (författare)
-
- Andréll, Paulin, 1978 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för akut och kardiovaskulär medicin,Institute of Medicine, Department of Emergeny and Cardiovascular Medicine
- Raner, C. (författare)
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- Rudolph, M. (författare)
- Dvoretsky, A. (författare)
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- (creator_code:org_t)
- 2010
- 2010
- Engelska.
- Ingår i: Pain. - 0304-3959. ; 148:1, s. 114-119
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- 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
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Raner, C.
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