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The effect of intra-operative transcutaneous electrical nerve stimulation on posterior neck pain following thyroidectomy

Authors
 C. Park  ;  J. B. Choi  ;  Y.-S. Lee  ;  H.-S. Chang  ;  C. S. Shin  ;  S. Kim  ;  D. W. Han 
Citation
 ANAESTHESIA, Vol.70(4) : 434-439, 2015 
Journal Title
 ANAESTHESIA 
ISSN
 0003-2409 
Issue Date
2015
MeSH
Adult ; Anesthesia, General ; Female ; Follow-Up Studies ; Head Movements ; Humans ; Intraoperative Care/methods* ; Middle Aged ; Neck Pain/etiology ; Neck Pain/physiopathology ; Neck Pain/prevention & control* ; Pain Measurement/methods ; Pain, Postoperative/physiopathology ; Pain, Postoperative/prevention & control* ; Superficial Back Muscles/physiopathology ; Thyroidectomy/adverse effects* ; Thyroidectomy/methods ; Transcutaneous Electric Nerve Stimulation/methods* ; Young Adult
Abstract
Posterior neck pain following thyroidectomy is common because full neck extension is required during the procedure. We evaluated the effect of intra-operative transcutaneous electrical nerve stimulation on postoperative neck pain in patients undergoing total thyroidectomy under general anaesthesia. One hundred patients were randomly assigned to one of two groups; 50 patients received transcutaneous electrical nerve stimulation applied to the trapezius muscle and 50 patients acted as controls. Postoperative posterior neck pain and anterior wound pain were evaluated using an 11-point numerical rating scale at 30 min, 6 h, 24 h and 48 h following surgery. The numerical rating scale for posterior neck pain was significantly lower in the transcutaneous electrical nerve stimulation group compared with the control group at all time points (p < 0.05). There were no significant differences in the numerical rating scale for anterior wound pain at any time point. No adverse effects related to transcutaneous electrical nerve stimulation were observed. We conclude that intra-operative transcutaneous electrical nerve stimulation applied to the trapezius muscle reduced posterior neck pain following thyroidectomy.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/anae.12933/abstract
DOI
10.1111/anae.12933
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Park, Chol Hee(박철희)
Shin, Cheung Soo(신증수) ORCID logo https://orcid.org/0000-0001-7829-8458
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Choi, Jong Bum(최종범)
Han, Dong Woo(한동우) ORCID logo https://orcid.org/0000-0002-8757-663X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139629
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