Evidence map›Paper›PMID 39789467›Full record

ArticleBMC anesthesiology2025

Patients´ experiences of TENS as a postoperative pain relief method in the post-anesthesia care unit after laparoscopic cholecystectomy: a qualitative study.

Eva Angelini, Charlotta Josefsson, Cecilia Ögren, Paulin Andréll, Axel Wolf, Mona Ringdal

Registry-linked trialAbstract read
In one paragraph

Article in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04114149 (Effective Postoperative Pain Relief After Laparoscopic Cholecystectomy With TENS), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04114149 nacompletednot on this map

Effective Postoperative Pain Relief After Laparoscopic Cholecystectomy With TENS (Transcutaneous Electrical Nerve Stimulation) Treatment for First Line of Treatment Compared to Conventional Treatment With Opioids

TypeinterventionalSponsorGöteborg UniversityRan2019 to 2023Enrolled166ConditionsPain, PostoperativeArmsTENS (transcutaneous electrical nerve stimulation), iv opioid
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Eva AngeliniInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. eva.angelini@gu.se.ORCID 0000-0001-5512-9934
Charlotta JosefssonDepartment of Anesthesiology and Intensive Care Medicine, The West Hospitals, Region Västra Götaland, Sweden.
Cecilia ÖgrenDepartment of Anesthesiology and Intensive Care Medicine, The West Hospitals, Region Västra Götaland, Sweden.
Paulin AndréllDepartment of Anaesthesiology and Intensive Care Medicine/Paincenter, Sahlgrenska University Hospital Östra, Region Västra Götaland, Gothenburg, Sweden.
Axel WolfInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Mona RingdalInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-frequency, high-intensity transcutaneous electrical nerve stimulation (HFHI TENS, i.e. 80 Hz and 40-60 mA) is an effective, fast-acting pain relief modality after elective surgery, offering pain relief within 5 min. Few studies have explored patients' perspectives on using TENS in the post-anesthesia care unit. This study investigates patients' experiences and perceptions of TENS as a complementary approach to traditional pharmacological pain management in postoperative care.

methodPatients undergoing elective laparoscopic cholecystectomy were offered TENS as an alternative to conventional pain treatment with IV opioids. Twenty participants attended telephone semi-structured telephone interviews a median of 12 days after surgery. Data were analysed using a thematic analysis according to Braun and Clark.

resultsParticipants expressed that TENS provided reassurance and relaxation, calmed them, and gave them a sense of control over their pain. Participants perceived a greater degree of autonomy as TENS could be administered independently. They conveyed a preference for TENS, which they experienced as a safe and fast-acting alternative to opioids, despite its limitations in managing severe pain and rapid offset upon discontinuation.

conclusionTo our knowledge, this is the first study that describes patients' views on managing postoperative pain using TENS in the post-anesthesia care unit. This study indicates that patients desire alternatives to drugs for pain control in the postoperative setting. TENS has advantages, such as a rapid onset and offset and supporting patient autonomy, as well as drawbacks, such as being ineffective when pain is too severe. TENS could be included within the routine multimodal analgesia framework for person-centred postoperative pain management.

trial registrationThe participants in the current study were retrospectively registered and recruited from a randomized controlled trial (RCT; registered at ClinicalTrials.gov: NCT04114149).

Indexed as

Cholecystectomy, LaparoscopicPostoperative PainTranscutaneous Electric Nerve StimulationAdultAgedAnalgesics, OpioidFemaleHumansMaleMiddle AgedPain ManagementQualitative ResearchRandomized Controlled Trials as TopicAnalgesics, OpioidLaparoscopic cholecystectomyPACUPostoperative painTENS

Identifiers

PMID39789467
PMCPMC11715503

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.