Effects of high-frequency, high-intensity transcutaneous electrical nerve stimulation versus intravenous opioids for pain relief after hysteroscopy: a randomized controlled study

Autor: Birgitta Platon, Sven-Egron Thörn, Clas Mannheimer, Paulin Andréll
Jazyk: English<br />Korean
Rok vydání: 2020
Předmět:
Zdroj: Obstetrics & Gynecology Science, Vol 63, Iss 5, Pp 660-669 (2020)
Druh dokumentu: article
ISSN: 2287-8572
2287-8580
DOI: 10.5468/ogs.20063
Popis: Objective To compare the time spent in the Post-Anesthesia Care Unit (PACU) and the pain-relieving effects of treatment with high-frequency, high-intensity transcutaneous electrical nerve stimulation (TENS) or intravenous (IV) opioids after hysteroscopy. Methods All patients who postoperatively reported a visual analogue scale (VAS) pain score of ≥3 were included in the study. TENS treatment was given with a stimulus intensity between 40 and 60 mA for 1 minute and repeated once if there was insufficient pain relief. In the opioid group, a fractionated dose of 5 mg morphine was administered. If the patient reported insufficient pain relief after the assigned treatment, the patient was reassigned to the other treatment group. Results Seventy-four women were randomized to TENS (n=38) or IV opioids (n=36) for treatment. Both groups reported significant pain relief after discharge from the PACU, with a decrease of VAS scores from 5.6 to 1.4 in the TENS group (P
Databáze: Directory of Open Access Journals