Effect of the frequency of transcutaneous electrical nerve stimulation on analgesia during extracorporeal shock wave lithotripsy

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dc.contributor.authorKararmaz, A
dc.contributor.authorKaya, S
dc.contributor.authorKaraman, H
dc.contributor.authorTurhanoglu, S
dc.date.accessioned2024-04-24T15:59:50Z
dc.date.available2024-04-24T15:59:50Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractIn this prospective, randomised, sham controlled study, we set out to determine which transcutaneous electrical nerve stimulation (TENS) therapy modality (conventional vs acupuncture-like) is more effective as a supplementary analgesic regimen during extracorporeal shock wave lithotripsy (ESWL). Patients were prospectively randomised to one of three groups. In Group I (n=22), conventional TENS (impulse pattern: continuous at 80 Hz; intensity: 10-30 mA) was applied. In Group II (n=22) acupuncture-like TENS (impulse pattern: burst at 2 Hz; intensity: 15-50 mA) was applied. In Group III (n=22) (control group), stimulation was started at 1 mA and the intensity increased to no more than 10 mA until it produced a tickling sensation. Alfentanil was administered through a patient controlled analgesic device. Alfentanil consumption, hemodynamics and respiratory parameters, a 10-cm visual analogue pain scale, patient satisfaction, recovery and discharge times were evaluated. The consumption of alfentanil was significantly lower in Group I than in Groups II and III (P<0.0001). Pain scores were lower in Group I than in the other two groups (P<0.05). Patients in Group I were more satisfied with their analgesic medication than those in the other two groups (P<0.05). Both the time to an Aldrete score >8 and a modified post-anaesthetic discharge score >8 were significantly shorter in Group I (2.3+/-1.8, 49.1+/-14.6) than those of Groups II (4.6+/-2.2, 60.2+/-18.1) and III (4.9+/-2.8, 58.4+/-16.5) (P<0.0001 and P<0.05, respectively). We conclude that the use of conventional TENS is effective in decreasing the analgesic requirements and the incidence of alfentanil-related side effects during ESWL.en_US
dc.identifier.doi10.1007/s00240-004-0438-2
dc.identifier.endpage415en_US
dc.identifier.issn0300-5623
dc.identifier.issn1434-0879
dc.identifier.issue6en_US
dc.identifier.pmid15243722
dc.identifier.scopus2-s2.0-12344249659
dc.identifier.scopusqualityN/A
dc.identifier.startpage411en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-004-0438-2
dc.identifier.urihttps://hdl.handle.net/11468/14277
dc.identifier.volume32en_US
dc.identifier.wosWOS:000225908400006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrological Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnalgesicsen_US
dc.subjectAlfentanilen_US
dc.subjectPain Transcutaneous Electrical Nerve Stimulationen_US
dc.subjectOperation Urologicalen_US
dc.subjectExtracorporeal Shock Wave Lithotripsyen_US
dc.titleEffect of the frequency of transcutaneous electrical nerve stimulation on analgesia during extracorporeal shock wave lithotripsyen_US
dc.titleEffect of the frequency of transcutaneous electrical nerve stimulation on analgesia during extracorporeal shock wave lithotripsy
dc.typeArticleen_US

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