Aim of the study to assess the efficacy of two modes of transcutaneous electrical nerve stimulation (TENS) on relief of postoperative acute pain after hip fracture surgery.
The patients underwent undergo fractured hip surgery will be distributed into three groups with respect to the mode of postoperative analgesia applied: Group I (control): PCA only; group II: PCA plus lumbar plexus \& sciatic nerve TENS (LS-TENS); group III: PCA plus surgical wound TENS (SW-TENS). TENS will be applied every 2 hours for 30-40 minutes during 48 hours postoperatively. Visual analogue score (VAS), Ramsey sedation scores, frequencies of PCA demand and counts of PCA delivery, as well as total analgesic consumption will be noted and compared between groups at various time intervals. Visual analog scale (VAS) will be applied at 2 months postoperatively VAS and Mcgill pain questionnaire will be applied at the 6th and 24th months of the surgery to assess acute and chronic pain in the study population and the differences among groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
120
The TENS device will be applied for treatment periods of 30-40 minutes. The electrodes will be connected to the TENS device are stimulated in modulation mode and the parameters will be adjusted as pulse width of 60 μs,frequency of 120 Hz and the stimulation intensity as high as the subject could tolerate. Electrodes will be placed on either lumbar and sciatic nerve tracing unilaterally or on either side or parallel to the surgical wound.
Mustafa Kemal University Hospital
Hatay, Turkey (Türkiye)
Visual analog scale for pain
Postoperative pain intensity is assessed using VAS for pain postoperatively.
Time frame: 48 h postoperatively
Ramsey sedation scores
Sedation score is assessed for safety of epidural analgesic use.
Time frame: 48 h postoperatively
Frequencies of PCA demand
Patient demand will be assessed by PCA demand
Time frame: 48 h postoperatively
PCA delivery counts
Delivery count shows the actual PCA delivery. It is different from the demand.
Time frame: 48 h postoperatively
Total fentanyl consumption
Total analgesic use during the study period
Time frame: 48 h postoperatively
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