%0 Journal Article
%T Transcutaneous Electric Nerve Stimulation (TENS) for pain relief during Extracorporeal Shock-Wave Lithotripsy (ESWL)
%A Amin Mohamed Al-Ansary
%A R
%A a Ali Shoukry
%J Egyptian Journal of Anaesthesia
%D 2019
%R https://doi.org/10.1080/11101849.2019.1655202
%X ABSTRACT Background: Anesthesia for ESWL must provide good analgesia, rapid recovery with least side effects. Opioids are commonly used analgesics during ESWL, but are not devoid of side effects. TENS is a non-pharmacological, non-invasive analgesic technique, which has been recommended for pain control in many clinical settings. Methods: Sixty patients scheduled for ESWL were randomly assigned to group-A (30 patients): received IV fentanyl 1¦Ìg/Kg with the application of conventional TENS. Group-B (30 patients) received IV fentanyl 1¦Ìg/Kg. IV increments of 20 ¦Ìg of fentanyl were given if VAS was¡Ý3 in both groups. Fentanyl consumption, discharge time, adverse effects, and satisfaction score for patients were compared. Results: VAS was lower among group-A than group-B throughout the procedure but that was statistically non-significant. There was significantly lower fentanyl consumption in group-A compared to group-B (P-value < 0.001). Discharge time was significantly shorter among group-A (36.2 ¡À 0.6 min) than group-B (47.2 ¡À 0.8 min). Adverse effects were significantly less frequent in group-A compared to group-B. Incidences of O2 desaturation, nausea and vomiting were higher in group-B compared to group-A. Patients¡¯ satisfaction was significantly higher among group-A than among group-B. Conclusion: TENS is an effective and safe practice in controlling pain during ESWL, it decreases fentanyl consumption and its side effects, with greater patients¡¯ satisfaction. It decreases discharged time compared to fentanyl so it is ideal for outpatient procedures
%U https://www.tandfonline.com/doi/full/10.1080/11101849.2019.1655202