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Full-Text Articles in Medicine and Health Sciences
Effectiveness Of Transcutaneous Electrical Nerve Stimulation On Postoperative Pain With Movement, Barbara Rakel, Rita Frantz
Effectiveness Of Transcutaneous Electrical Nerve Stimulation On Postoperative Pain With Movement, Barbara Rakel, Rita Frantz
Barbara A. Rakel
This study tested the effectiveness of episodic transcutaneous electrical nerve stimulation (TENS) as a supplement to pharmacologic analgesia on pain with movement and at rest after abdominal surgery and evaluated whether its use during walking and vital capacity maneuvers enhances performance of these activities. TENS, with a modulated frequency, intensity as high as the subject could tolerate, and electrodes placed on either side and parallel to the incision, was compared to placebo TENS and pharmacologic analgesia alone (control) by using a crossover design. Self-report of pain intensity, walking function, and vital capacity were assessed on 33 subjects. TENS resulted in …
Split-Thickness Skin Graft Donor Site Care: A Quantitative Synthesis Of The Research, Barbara Rakel, M. Bermel, L. Abbott, S. Baumler, M. Burger, C. Dawson, J. Heinle, I. Ocheltree
Split-Thickness Skin Graft Donor Site Care: A Quantitative Synthesis Of The Research, Barbara Rakel, M. Bermel, L. Abbott, S. Baumler, M. Burger, C. Dawson, J. Heinle, I. Ocheltree
Barbara A. Rakel
Split-thickness skin grafting (STSG) is a frequently used reconstructive technique but is associated with a large variation in practice. The purposes of this article are to integrate and synthesize the available empirical evidence regarding STSG donor site dressings, identify which dressings are associated with the best outcomes, and provide practice recommendations. This review of 33 studies found transparent film to be the best dressing for the care of STSG donor site wounds. Transparent film was associated with one of the fastest healing rates (9.47 days), a smooth epithelialized surface, a low infection rate (10 out of 394 patients or 3%), …