Pediatric anesthesia & critical care
Effect of transcutaneous electrical acupoint stimulation on postoperative pain in pediatric orthopedic surgery with the enhanced recovery after surgery protocol: a prospective, randomized controlled trial
Authors' conclusion
TEAS may safely and effectively relieve postoperative pain and reduce the consumption of perioperative analgesia in children following orthopedic surgery with the ERAS protocol.
Study context
- Population
- Children aged 3–15 years scheduled for orthopedic surgery of the lower extremities under GA with enhanced recovery after surgery (ERAS) protocol
- Participants
- 58 children
- Comparison
- Transcutaneous electrical acupoint stimulation (TEAS) vs sham-TEAS, both with ERAS protocol
- TEASn = 29
- sham-TEASn = 29reference
- Primary endpoint
- Pain severity (Faces Pain Scale-Revised, FPS-R)
- Follow-up
- Before leaving PACU and at postoperative 2 h, 24 h, and 48 h
Methodological detailsprospective, sham-controlled, single-centre, Seventh Medical Center of the Chinese People's Liberation Army General Hospital
- Prospective
- Sham-controlled
- Single-centre
- Seventh Medical Center of the Chinese People's Liberation Army General Hospital
Primary result
As reported in the abstract
FPS-R scores · Before leaving PACU and at postoperative 2 h and 24 h
- Faces Pain Scale-Revised (FPS-R) scores significantly decreased in TEAS vs sham-TEAS before leaving post-anesthesia care unit (PACU) and at postoperative 2 h and 24 h
- p < 0.05
Further findings
Emergence agitation, intraoperative remifentanil consumption, time to extubation
- Significantly reduced in TEAS
Time to first patient-controlled intravenous analgesia (PCIA) press, PCIA pressing times in 48 h, parental satisfaction
- Time to first PCIA press significantly longer, PCIA presses in 48 h significantly decreased, parental satisfaction significantly improved in TEAS
- all p < 0.05
Safety
- No participant had any TEAS-related adverse reaction
Original publication
Effect of transcutaneous electrical acupoint stimulation on postoperative pain in pediatric orthopedic surgery with the enhanced recovery after surgery protocol: a prospective, randomized controlled trial. Anaesth Crit Care Pain Med. Published 5 July 2023. doi:10.
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