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Effect of transcutaneous electrical nerve stimulation on renal tissue perfusion and hemodynamic stability for patients with hypovolemic shock: A randomized controlled trial

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Last updated: 03 Jan 2025

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Abstract

 Background: Transcutaneous electrical nerve stimulation (TENS) is widely practiced method to increase blood flow in clinical practice as some authors have observed that, in addition to its analgesic effects, TENS can alter skin temperature and increase blood flow. Objective: Was to evaluate the effect of transcutaneous electrical nerve stimulation application on the renal tissue perfusion and hemodynamic stability for patients with hypovolemic shock. Methods: A prospective, single-blind, randomized, controlled trial was conducted as patients were randomized into two groups (active TENS (intervention group) and sham TENS (control group). Active TENS group received resuscitation protocol and transcutaneous electrical nerve stimulation while sham TENS group received resuscitation protocol only. Data was collected from ICU. Improvement of renal tissue perfusion was considered the primary outcome and secondary outcomes was improvement of hemodynamic parameters. Results: TENS application had caused a highly statistical significant change in serum creatinine and NGAL test (74.43 ± 7.16 in intervention group versus 114.48 ± 13.6 2 in control group) and (7.35 ± 0.7716 in intervention group versus 20.76 ± 2.11 in control group (P = 0.007 & P= 0.000) respectively. There was highly statistical significant difference before treatment and after treatment regarding urea, creatinine and NGAL test in the control group (P= 0.002 & P= 0.006& P= 0.000) respectively and there was highly statistical significant difference before treatment and after treatment in TENS group regarding to serum creatinine (P= 0.003). Conclusion: Application of transcutaneous electrical nerve stimulation had significant improvement for renal tissue perfusion and hemodynamic parameters. Recommendation: TENS should be included as one of the ICU therapeutic modalities to improve patient's outcomes. 

DOI

10.21608/ejhc.2023.295383

Keywords

Hemodynamic stability, Hypovolemic shock, Renal tissue perfusion, NGAL, Transcutaneous electric nerve stimulation

Authors

First Name

Asmaa

Last Name

Aly Mahgoub

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Affiliation

Assistant professor, Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt.

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First Name

Sanaa

Last Name

Saber Mohamed

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-

Affiliation

Lecturer, Critical care and emergency nursing Department. Faculty of Nursing, Sohag University, Sohag, Egypt.

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First Name

Ghada

Last Name

Shalby Mahran

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-

Affiliation

Assistant professor, Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt.

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First Name

Manal

Last Name

Mohamed Abdel-Naeem

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-

Affiliation

Assistant professor, Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt.

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First Name

Mostafa

Last Name

Samy Abas

MiddleName

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Affiliation

Associate professor, Anesthesia and intensive care Department, Faculty of medicine, Assiut University, Assiut, Egypt.

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First Name

Alaa

Last Name

S. Abd-Elkader

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Affiliation

Lecture, Clinical pathology Department, Faculty of medicine, Assiut University, Assiut, Egypt.

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First Name

Alaa

Last Name

Ali M. Elzohry

MiddleName

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Affiliation

Consultant of Anesthesia, King Saud University (KSMC), KSA

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City

-

Orcid

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First Name

Ahmed

Last Name

Talaat Ahmed Ali

MiddleName

-

Affiliation

Lecturer, Anesthesia and intensive care department, Faculty of medicine, Assiut University, Assiut, Egypt.

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-

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-

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Volume

14

Article Issue

1

Related Issue

38753

Issue Date

2023-03-01

Receive Date

2023-04-15

Publish Date

2023-03-01

Page Start

1,158

Page End

1,168

Print ISSN

1687-9546

Online ISSN

3009-6766

Article File

EJHC_Volume 14_Issue 1_Pages 1158-1168.pdf

PDF . 529.8kB

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https://ejhc.journals.ekb.eg/article_295383.html

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https://ejhc.journals.ekb.eg/service?article_code=295383

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Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of transcutaneous electrical nerve stimulation on renal tissue perfusion and hemodynamic stability for patients with hypovolemic shock: A randomized controlled trial

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Article

Created At

24 Dec 2024