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 |
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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 |
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