Comparison of Transcutaneous Electrical Nerve Stimulation and Parasternal Block for Postoperative Pain Management after Cardiac Surgery. Ozturk, N. K., Baki, E. D., Kavakli, A. S., Sahin, A. S., Ayoglu, R. U., Karaveli, A., Emmiler, M., Inanoglu, K., & Karsli, B. Pain research & management, 2016(9612504):4261949, 2016. Ozturk, Nilgun Kavrut. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey. Baki, Elif Dogan. Department of Anesthesiology and Reanimation, Afyon Kocatepe University, Faculty of Medicine, Afyon, Turkey. Kavakli, Ali Sait. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey. Sahin, Ayca Sultan. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey. Ayoglu, Raif Umut. Department of Cardiovascular Surgery, Antalya Education and Research Hospital, 07100 Antalya, Turkey. Karaveli, Arzu. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey. Emmiler, Mustafa. Department of Cardiovascular Surgery, Antalya Education and Research Hospital, 07100 Antalya, Turkey. Inanoglu, Kerem. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey. Karsli, Bilge. Department of Algology, Akdeniz University, Faculty of Medicine, 07100 Antalya, Turkey.
abstract   bibtex   
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 4h, 5h, 6h, 7h, and 8h 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.
@article{ozturk_comparison_2016,
	title = {Comparison of {Transcutaneous} {Electrical} {Nerve} {Stimulation} and {Parasternal} {Block} for {Postoperative} {Pain} {Management} after {Cardiac} {Surgery}.},
	volume = {2016},
	issn = {1918-1523},
	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 4h, 5h, 6h, 7h, and 8h 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.},
	number = {9612504},
	journal = {Pain research \& management},
	author = {Ozturk, Nilgun Kavrut and Baki, Elif Dogan and Kavakli, Ali Sait and Sahin, Ayca Sultan and Ayoglu, Raif Umut and Karaveli, Arzu and Emmiler, Mustafa and Inanoglu, Kerem and Karsli, Bilge},
	year = {2016},
	note = {Ozturk, Nilgun Kavrut. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey.
Baki, Elif Dogan. Department of Anesthesiology and Reanimation, Afyon Kocatepe University, Faculty of Medicine, Afyon, Turkey.
Kavakli, Ali Sait. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey.
Sahin, Ayca Sultan. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey.
Ayoglu, Raif Umut. Department of Cardiovascular Surgery, Antalya Education and Research Hospital, 07100 Antalya, Turkey.
Karaveli, Arzu. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey.
Emmiler, Mustafa. Department of Cardiovascular Surgery, Antalya Education and Research Hospital, 07100 Antalya, Turkey.
Inanoglu, Kerem. Department of Anesthesiology and Reanimation, Antalya Education and Research Hospital, Varlik Mahallesi, Kazim Karabekir Cadde, 07100 Antalya, Turkey.
Karsli, Bilge. Department of Algology, Akdeniz University, Faculty of Medicine, 07100 Antalya, Turkey.},
	keywords = {*Cardiac Surgical Procedures/ae [Adverse Effects], *Nerve Block/mt [Methods], *Pain, Postoperative/et [Etiology], *Pain, Postoperative/th [Therapy], *Transcutaneous Electric Nerve Stimulation/mt [Methods], Adjuvants, Anesthesia/tu [Therapeutic Use], Diazepam/tu [Therapeutic Use], Heart Diseases/su [Surgery], Humans, Prospective Studies, Time Factors, adolescent, adult, aged, female, male, middle aged, treatment outcome, visual analog scale, young adult},
	pages = {4261949}
}

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