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Transcutaneous electrical nerve stimulation (TENS) after open heart surgery
The Journal of Cardiovascular Surgery
|September 1, 1984
Summary
Transcutaneous electrical nerve stimulation (TENS) effectively manages postoperative sternal pain following open heart surgery. This method improves patient recovery and physical activity, particularly for elderly individuals and those with chronic lung conditions.
Area of Science:
- Cardiovascular Surgery
- Pain Management
- Neuromodulation
Background:
- Postoperative sternal pain is a common complication after open heart surgery.
- Pain limits patient mobility, deep breathing, and overall recovery.
- Current pain management strategies may be insufficient for some patients.
Purpose of the Study:
- To evaluate the efficacy of transcutaneous electrical nerve stimulation (TENS) for managing persistent chest pain after open heart surgery.
- To assess TENS's impact on pain reduction, analgesic use, and respiratory function.
Main Methods:
- TENS was applied to 50 patients experiencing chest pain post-open heart surgery (40 immediately, 10 later).
- Efficacy was measured through subjective pain reports, analgesic drug consumption, and incentive deep breathing tests.
- Chest X-rays were used for repeated examinations.
Main Results:
- TENS demonstrated effectiveness in controlling postoperative sternal pain.
- Patients receiving TENS showed improved ability to perform deep inspirations.
- Reduced need for analgesic medication was observed in patients treated with TENS.
Conclusions:
- Transcutaneous electrical nerve stimulation (TENS) is a valuable tool for postoperative pain control in open heart surgery patients.
- TENS is particularly beneficial for older patients and those with pre-existing chronic lung disease.
- Increased utilization of TENS in postoperative care is recommended.