Hip Fracture, Postoperative Pain
Conditions
Keywords
Percutaneous Electric Nerve Stimulation, Lumbosacral plexus, surgical wound, postoperative analgesia, transcutaneous electrical stimulation
Brief summary
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.
Detailed description
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.
Interventions
DEVICEtranscutaneous electric nerve stimulation
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.
Sponsors
Mustafa Kemal University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Adult patients will be scheduled for surgery due to hip fracture in Mustafa Kemal University Hospital will be included in the study.
Exclusion criteria
Patients with a history of opioid analgesic abuse, or sensitivity to opioids, and those with clinically significant systemic (cardiovascular, pulmonary, hepatic, renal, neurologic etc.) diseases, will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale for pain | 48 h postoperatively | Postoperative pain intensity is assessed using VAS for pain postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ramsey sedation scores | 48 h postoperatively | Sedation score is assessed for safety of epidural analgesic use. |
| Frequencies of PCA demand | 48 h postoperatively | Patient demand will be assessed by PCA demand |
| PCA delivery counts | 48 h postoperatively | Delivery count shows the actual PCA delivery. It is different from the demand. |
| Total fentanyl consumption | 48 h postoperatively | Total analgesic use during the study period |
Countries
Turkey (Türkiye)
Outcome results
None listed