The Experts below are selected from a list of 6 Experts worldwide ranked by ideXlab platform
Gabriela Rocha Lauretti - One of the best experts on this subject based on the ideXlab platform.
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High and low frequency TENS reduce postoperative pain intensity after laparoscopic tubal Ligation: a randomized controlled trial.
The Clinical Journal of Pain, 2009Co-Authors: Josimari Melo Desantana, Kathleen A. Sluka, Gabriela Rocha LaurettiAbstract:Background Transcutaneous electrical nerve stimulation (TENS) is an effective adjunctive therapy for postoperative pain; however, effects of different frequencies of stimulation have not been systematically investigated. Laparoscopic sterilization (LS) causes significant pain in the early postoperative period and requires substantial postoperative medication. Therefore, we studied the effects of TENS on postoperative pain after LS through placement of Yoon fallopian rings in a prospective, randomized, double-blinded, and placebo-controlled study. Methods Sixty-four patients undergoing LS for Uterine Tube Ligation were randomly allocated to receive either active TENS or placebo TENS. Postoperative pain was evaluated using a standard 11-point numeric rating scale and the McGill Pain Questionnaire (MPQ)-pain rating index and number of words chosen. Both high frequency (100 Hz) and low frequency (4 Hz) TENS, at strong, but comfortable sensory intensity, were applied for 20 minutes through 4 electrodes placed around the surgical incision immediately after surgery. Pain was assessed before and after application of TENS when patients were at postanesthesia care unit (PACU). Results Both high and low frequency TENS significantly decreased postoperative pain intensity when compared with before administration of TENS using the numeric rating scale (P=0.001), pain rating index (P=0.001), and number of words chosen (P=0.001) compared with placebo TENS (P=0.001). TENS in combination with standard pharmacologic analgesic treatment was efficacious for postoperative pain relief after LS. Conclusions We recommend regular use of multimodal therapy with TENS and analgesic drugs after LS with placement of Yoon rings.
Josimari Melo Desantana - One of the best experts on this subject based on the ideXlab platform.
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High and low frequency TENS reduce postoperative pain intensity after laparoscopic tubal Ligation: a randomized controlled trial.
The Clinical Journal of Pain, 2009Co-Authors: Josimari Melo Desantana, Kathleen A. Sluka, Gabriela Rocha LaurettiAbstract:Background Transcutaneous electrical nerve stimulation (TENS) is an effective adjunctive therapy for postoperative pain; however, effects of different frequencies of stimulation have not been systematically investigated. Laparoscopic sterilization (LS) causes significant pain in the early postoperative period and requires substantial postoperative medication. Therefore, we studied the effects of TENS on postoperative pain after LS through placement of Yoon fallopian rings in a prospective, randomized, double-blinded, and placebo-controlled study. Methods Sixty-four patients undergoing LS for Uterine Tube Ligation were randomly allocated to receive either active TENS or placebo TENS. Postoperative pain was evaluated using a standard 11-point numeric rating scale and the McGill Pain Questionnaire (MPQ)-pain rating index and number of words chosen. Both high frequency (100 Hz) and low frequency (4 Hz) TENS, at strong, but comfortable sensory intensity, were applied for 20 minutes through 4 electrodes placed around the surgical incision immediately after surgery. Pain was assessed before and after application of TENS when patients were at postanesthesia care unit (PACU). Results Both high and low frequency TENS significantly decreased postoperative pain intensity when compared with before administration of TENS using the numeric rating scale (P=0.001), pain rating index (P=0.001), and number of words chosen (P=0.001) compared with placebo TENS (P=0.001). TENS in combination with standard pharmacologic analgesic treatment was efficacious for postoperative pain relief after LS. Conclusions We recommend regular use of multimodal therapy with TENS and analgesic drugs after LS with placement of Yoon rings.
Kathleen A. Sluka - One of the best experts on this subject based on the ideXlab platform.
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High and low frequency TENS reduce postoperative pain intensity after laparoscopic tubal Ligation: a randomized controlled trial.
The Clinical Journal of Pain, 2009Co-Authors: Josimari Melo Desantana, Kathleen A. Sluka, Gabriela Rocha LaurettiAbstract:Background Transcutaneous electrical nerve stimulation (TENS) is an effective adjunctive therapy for postoperative pain; however, effects of different frequencies of stimulation have not been systematically investigated. Laparoscopic sterilization (LS) causes significant pain in the early postoperative period and requires substantial postoperative medication. Therefore, we studied the effects of TENS on postoperative pain after LS through placement of Yoon fallopian rings in a prospective, randomized, double-blinded, and placebo-controlled study. Methods Sixty-four patients undergoing LS for Uterine Tube Ligation were randomly allocated to receive either active TENS or placebo TENS. Postoperative pain was evaluated using a standard 11-point numeric rating scale and the McGill Pain Questionnaire (MPQ)-pain rating index and number of words chosen. Both high frequency (100 Hz) and low frequency (4 Hz) TENS, at strong, but comfortable sensory intensity, were applied for 20 minutes through 4 electrodes placed around the surgical incision immediately after surgery. Pain was assessed before and after application of TENS when patients were at postanesthesia care unit (PACU). Results Both high and low frequency TENS significantly decreased postoperative pain intensity when compared with before administration of TENS using the numeric rating scale (P=0.001), pain rating index (P=0.001), and number of words chosen (P=0.001) compared with placebo TENS (P=0.001). TENS in combination with standard pharmacologic analgesic treatment was efficacious for postoperative pain relief after LS. Conclusions We recommend regular use of multimodal therapy with TENS and analgesic drugs after LS with placement of Yoon rings.
Breda Y - One of the best experts on this subject based on the ideXlab platform.
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Neglected shoulders reported at the Befelatanana Maternity Hospital (Antananarivo, Madagascar)
Bulletin De La Societe De Pathologie Exotique, 2007Co-Authors: Randrianantoanina F, Fenomanana S, Ravelosoa E, Andrianampanalinarivo H, Ravelomanana N, Rasolofondraibe A, Breda YAbstract:We conducted a retrospective study on neglected shoulders during 12 months at the Maternity Hospital of Befelatanana, 31 cases among 4685 deliveries were reported. The majority of the pregnancies are not under medical supervision and no ultrasound is carried out during the third trimester. There were 8 cases of Uterine rupture, 2 haemorrhage shocks, 6 syndromes of prerupture, 6 umbilical cord prolapses at the third degree and 6 tears of the cervix. 20 caesarean sections have been performed as well as a turning of foetus in utero in 3 women, 4 hysterectomies, and a conservative suture with Uterine Tube Ligation in the other cases Often linked to a large multiparity the neglected shoulder remains quite frequent in developing countries such as Madagascar and regular prenatal consultations together with a rigorous clinical exam are highly recommended by the authors to make an early diagnosis and provide a better care management.
Randrianantoanina F - One of the best experts on this subject based on the ideXlab platform.
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Neglected shoulders reported at the Befelatanana Maternity Hospital (Antananarivo, Madagascar)
Bulletin De La Societe De Pathologie Exotique, 2007Co-Authors: Randrianantoanina F, Fenomanana S, Ravelosoa E, Andrianampanalinarivo H, Ravelomanana N, Rasolofondraibe A, Breda YAbstract:We conducted a retrospective study on neglected shoulders during 12 months at the Maternity Hospital of Befelatanana, 31 cases among 4685 deliveries were reported. The majority of the pregnancies are not under medical supervision and no ultrasound is carried out during the third trimester. There were 8 cases of Uterine rupture, 2 haemorrhage shocks, 6 syndromes of prerupture, 6 umbilical cord prolapses at the third degree and 6 tears of the cervix. 20 caesarean sections have been performed as well as a turning of foetus in utero in 3 women, 4 hysterectomies, and a conservative suture with Uterine Tube Ligation in the other cases Often linked to a large multiparity the neglected shoulder remains quite frequent in developing countries such as Madagascar and regular prenatal consultations together with a rigorous clinical exam are highly recommended by the authors to make an early diagnosis and provide a better care management.
