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Opioid use after C-section diminished by almost half with non-invasive ache administration machine, research finds

Credit score: The Ohio State College Wexner Medical Middle

In accordance with the Facilities for Illness Management and Prevention, greater than 1 million folks ship their infants by cesarean part (C-section) every year, making it the most typical surgical process in america. After discharge, sufferers are usually prescribed opioids for ache administration, however narcotics include concern over unwanted side effects and the danger of dependancy.

In a current research revealed in JAMA Community Opena workforce at The Ohio State College Wexner Medical Middle regarded right into a drug-free and non-invasive various to managing sufferers’ ache after C-section. The analysis workforce studied the usage of a tool that emits electrical pulses when held close to the C-section incision website, and so they discovered that sufferers who acquired the remedy used 47% much less opioids to regulate their ache in comparison with those that didn’t obtain the remedy.

“For many patients, especially as the effects of their epidural are wearing off, they have a lot of pain on the outside or right near the incision in the first one to two days,” stated the research’s lead investigator Jennifer Grasch, MD, a fellow in maternal fetal drugs at Ohio State Wexner Medical Middle. “Our hope was that this device would help address that pain. By better controlling a patient’s pain during those first two days, it would lead to lower inflammation and less pain long-term as they’re recovering and taking care of a new baby.”

The excessive frequency neurostimulation machine, known as TrueReliefÒ, has two stainless-steel probes which are held close to the C-section incision website. The affected person feels a vibration in the course of the remedy course of which lasts a complete of 12 minutes. The probes are moved above the incision each two minutes and stimulate the nerves.

The randomized medical trial included a management group and an experimental group. Half of the sufferers acquired remedy with the neurostimulation machine, and the opposite half acquired remedy with an an identical sham machine that emitted the identical vibration feeling. Investigators didn’t change what number of opioid tablets the sufferers’ medical doctors prescribed or what number of have been accessible to the sufferers.

“Our study suggests that adding transcutaneous treatment with a high-frequency (20,000 Hz) electrical stimulation device decreases opioid use after C-section delivery without compromising pain control,” stated Grasch.

“Future studies focused on integrating the device into routine pain management care and in other settings and surgical procedures are needed to confirm the feasibility of using the device in clinical practice,” stated principal investigator Kara Rood, MD, maternal fetal drugs doctor at Ohio State Wexner Medical Middle and affiliate professor in obstetrics and gynecology at Ohio State Faculty of Medication.

Extra info:
Jennifer L. Grasch et al, Noninvasive Bioelectronic Remedy of Postcesarean Ache, JAMA Community Open (2023). DOI: 10.1001/jamanetworkopen.2023.38188

Opioid use after C-section diminished by almost half with non-invasive ache administration machine, research finds (2023, November 18)
retrieved 18 November 2023

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