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Transkutane elektrische Nervenstimulation (TENS)

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Der postoperative Schmerz

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Zusammenfassung

Die transkutane elektrische Nervenstimulation (TENS) nahm ihren Aufschwung Mitte der 70er Jahre v. a. in den angelsächsischen Ländern wie USA [1, 2], Kanada [3, 36, 37] und Australien [22]. Inzwischen wird über diese Methode zur (postoperativen) Schmerzlinderung weltweit berichtet; in der Literaturliste sind Beiträge aus Indien [4], Korea [20], Südafrika [28] und Schweden [17] aufgeführt. Mit ihren grundlegenden Arbeiten haben Melzack, Wall, Shealey, Dickhaus, Zimmermann, Sjölund und Terenius in den vergangenen Jahrzehnten die neurophysiologische Basis geschaffen, auf der es verständlich wurde, warum chronische oder akute Schmerzen durch elektrischen Strom ausgeschaltet werden können [25]. Im vorliegenden Übersichtsreferat wird aber nicht so sehr auf die Grundlagen der TENS eingegangen, als vielmehr auf die praktischen Aspekte dieser Methode im postoperativen Bereich. Der Autor bezieht sich dabei auf relevante Literaturstellen und eigene Erfahrungen. Die Literaturliste ist weitestgehend auf Originalarbeiten und Reviews [11, 14, 36, 45] direkt zu diesem Thema beschränkt. Eine intensive Behandlung der neurophysiologischen Grundlagen kann man in der Schmerzfachliteratur sowie im bisher einzigen deutschsprachigen TENS-Buch [15] finden.

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Literatur

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Authors
  1. R. Goepel
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Editors and Affiliations

  1. Institut für Anästhesiologie und operative Intensivmedizin, Universität zu Köln, Josef-Stelzmann-Straße 9, D-5000, Köln 41, Deutschland

    Klaus A. Lehmann

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© 1990 Springer-Verlag Berlin Heidelberg

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Goepel, R. (1990). Transkutane elektrische Nervenstimulation (TENS). In: Lehmann, K.A. (eds) Der postoperative Schmerz. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-06539-6_23

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  • DOI: https://doi.org/10.1007/978-3-662-06539-6_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-06540-2

  • Online ISBN: 978-3-662-06539-6

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