Abstract:
: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. Objectives. To compare the effectiveness of TENS and parasternal block on early postoperative pain after cardiac surgery. Methods. 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. Results. 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. Conclusions. 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. This trial is registered with Clinicaltrials.gov number NCT02725229.
journal_name
Pain Res Managjournal_title
Pain research & managementauthors
Ozturk NK,Baki ED,Kavakli AS,Sahin AS,Ayoglu RU,Karaveli A,Emmiler M,Inanoglu K,Karsli Bdoi
10.1155/2016/4261949subject
Has Abstractpub_date
2016-01-01 00:00:00pages
4261949eissn
1203-6765issn
1918-1523journal_volume
2016pub_type
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journal_title:Pain research & management
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journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
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journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
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journal_title:Pain research & management
pub_type: 杂志文章,随机对照试验
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journal_title:Pain research & management
pub_type: 杂志文章,评审
doi:10.1155/2016/3652726
更新日期:2016-01-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2020-07-30 00:00:00