Neuromodulation: Transcutaneous electrical nerve stimulation can improve postoperative pain and lung function after cardiothoracic surgery

Postoperative pain is an important consideration and can complicate the patient's recovery
.

In addition, poor postoperative pain control can lead to multiple complications in recovering patients, including impaired breathing and movement

This approach utilizes a combination of interventions, each targeting a different pain mechanism, to maximize pain relief using the lowest effective dose of medication

The article was published in Neuromodulation: Technology at the Neural Interface

A comprehensive search of CINAHL, CINAHL Complete, Medline with Full Text and Cochrane Central Register of Controlled Trials was performed using EBSCO Information Services
.

PubMed and ClinicalTrials.

Intervention characteristics included dose, duration, frequency, and settings of the TENS device compared to placebo, standard postoperative pain management treatments, and how the sham/inactive device was used

Research Process

The search yielded 38 articles
.

Eight randomized controlled trials met the inclusion criteria for the literature review

FEV1 improved after 72 hours (1.

Pain at rest 24, 48 and 72 hours postoperatively

The results of this systematic review and meta-analysis suggest that postoperative TENS treatment can significantly improve pain control in patients
.

Ease of use, affordability, low risk of adverse effects, and few contraindications support the use of TENS therapy as an adjunct to multimodal analgesia

Thereby improving respiratory function and consumption of opioid and non-opioid analgesics
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Patients should be trained to properly use the device during inpatient rehabilitation, discharge home, or use the device for rehabilitation to continue to reap pain control benefits and prevent the onset of chronic pain syndromes
.
Thereby improving respiratory function and consumption of opioid and non-opioid analgesics
.
Patients should be trained to properly use the device during inpatient rehabilitation, discharge home, or use the device for rehabilitation to continue to reap pain control benefits and prevent the onset of chronic pain syndromes
.
Efficacy of Transcutaneous Electrical Nerve Stimulation for Postoperative Pain, Pulmonary Function, and Opioid Consumption Following Cardiothoracic Procedures: A Systematic Review.
https://doi.
org/10.
1111/ner.
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