Linked Life Data

8831319

Source:http://linkedlifedata.com/resource/pubmed/id/8831319

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1996-11-5
pubmed:abstractText
Transcutaneous cranial electrical stimulation with Limoge's currents (TCES) consists of high frequency, low intensity currents which decreased anesthetic requirements during elective surgery. This action is likely to be mediated by the release of central endogenous opioids. In the present study, we hypothesized that TCES applied intraoperatively may decrease early postoperative narcotic requirements. Thirty-nine ASA physical status I and II patients undergoing elective abdominal surgery were enrolled in this prospective, randomized, double-blind, placebo-controlled study. Just before induction of anesthesia, patients were connected to the electrical stimulator and randomly allocated to be either stimulated (TCES group, n = 20) or not (control group, n = 19) during surgery. The managing anesthesiologist was unaware of which group the patient was assigned. Postoperatively, patients were given a patient-controlled analgesia (PCA) device delivering buprenorphine for the first four postoperative hours. The recorded variables included postoperative buprenorphine requirements, pain scores (0-10 visual analog scale [VAS]), sedation (0-4 scale), and intraoperative isoflurane requirements. Patients were comparable with respect to age, sex ratio, weight, duration of surgery, intraoperative hemodynamics, fentanyl requirements, and time from skin closure to tracheal extubation. Buprenorphine requirements were significantly reduced in the TCES group versus the control group (2.36 vs 3.43 micrograms.kg-1.h-1; P = 0.002). Intraoperative isoflurane anesthetic requirements, as well as hourly postoperative scores for pain and sedation, were the same for the two groups. These data indicate that TCES reduces narcotic requirements for early postoperative analgesia. This technique might have potential to facilitate early postoperative analgesia in patients undergoing elective abdominal surgery.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0003-2999
pubmed:author
pubmed:issnType
Print
pubmed:volume
83
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
771-5
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:8831319-Abdomen, pubmed-meshheading:8831319-Analgesia, Patient-Controlled, pubmed-meshheading:8831319-Analgesics, Opioid, pubmed-meshheading:8831319-Anesthetics, Inhalation, pubmed-meshheading:8831319-Anesthetics, Intravenous, pubmed-meshheading:8831319-Buprenorphine, pubmed-meshheading:8831319-Conscious Sedation, pubmed-meshheading:8831319-Double-Blind Method, pubmed-meshheading:8831319-Electronarcosis, pubmed-meshheading:8831319-Female, pubmed-meshheading:8831319-Fentanyl, pubmed-meshheading:8831319-Humans, pubmed-meshheading:8831319-Infusion Pumps, pubmed-meshheading:8831319-Intraoperative Care, pubmed-meshheading:8831319-Intubation, Intratracheal, pubmed-meshheading:8831319-Isoflurane, pubmed-meshheading:8831319-Middle Aged, pubmed-meshheading:8831319-Pain, Postoperative, pubmed-meshheading:8831319-Pain Measurement, pubmed-meshheading:8831319-Placebos, pubmed-meshheading:8831319-Prospective Studies, pubmed-meshheading:8831319-Surgical Procedures, Elective
pubmed:year
1996
pubmed:articleTitle
Transcutaneous cranial electrical stimulation (Limoge's currents) decreases early buprenorphine analgesic requirements after abdominal surgery.
pubmed:affiliation
Department of Anesthesiology, Hospital Bichat, Paris, France.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't