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Comparison of transcutaneous electrical nerve stimulation and parasternal block for postoperative pain management after cardiac surgery

Comparison of transcutaneous electrical nerve stimulation and parasternal block for postoperative pain management after cardiac surgery Comparison of transcutaneous electrical nerve stimulation and parasternal block for postoperative pain management after cardiac surgery
Comparison of transcutaneous electrical nerve stimulation and parasternal block for postoperative pain management after cardiac surgery Comparison of transcutaneous electrical nerve stimulation and parasternal block for postoperative pain management after cardiac surgery

Parasternal block and transcutaneous electrical nerve stimulation (TENS) have been demonstrated to produce effective analgesia and reduce postoperative opioid requirements in patients undergoing cardiac surgery.

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Key take away

The efficacy comparison of transcutaneous electrical nerve stimulation and parasternal block has been studied in this study and parasternal block was found to be more effective than TENS in early postoperative pain and the reduction of opioid requirements in patients who had cardiac surgery.

Background

Parasternal block and transcutaneous electrical nerve stimulation (TENS) have been demonstrated to produce effective analgesia and reduce postoperative opioid requirements in patients undergoing cardiac surgery. To compare the effectiveness of TENS and parasternal block on early postoperative pain after cardiac surgery.

Method

One hundred twenty patients undergoing cardiac surgery were enrolled in the present randomized, controlled prospective study. Patients were assigned to three treatment groups: parasternal block, intermittent TENS application, or a control group.

Result

Pain scores recorded 4 h, 5 h, 6 h, 7 h, and 8 h postoperatively were lower in the parasternal block group than in the TENS and control groups. Total morphine consumption was also lower in the parasternal block group than in the TENS and control groups. It was also significantly lower in the TENS group than in the control group. There were no statistical differences among the groups regarding the extubation time, rescue analgesic medication, length of intensive care unit stay, or length of hospital stay.

Conclusion

Parasternal block was more effective than TENS in the management of early postoperative pain and the reduction of opioid requirements in patients who underwent cardiac surgery through median sternotomy.

Source:

Pain Research and Management

Article:

Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery

Authors:

Nilgun Kavrut Ozturk et al.

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