Pain Clinical Trial
Official title:
Does Trans-Cutaneous Electrical Nerve Stimulation (TENS) Alleviate The Pain Experienced During Bone Marrow Sampling in Addition to Standard Techniques?A Randomised, Double-Blinded, Controlled Trial
The approach of this study will be to answer the question does high-frequency stimulation
Trans-Cutaneous Electrical Nerve Stimulation (TENS) alleviate the pain experienced during the
bone marrow sampling procedure in addition to the standard analgesia given (ie. local
anaesthetic with or without inhaled nitrous oxide).
Null hypothesis: TENS does not alleviate the pain experienced during the bone marrow sampling
procedure in addition to the standard analgesia given
Patients in whom a bone marrow biopsy is planned will be randomised to one of two groups - a
control-TENS group where the TENS machine will be set at the lowest sensory threshold and an
intervention-TENS group where the TENS machine will be set at a recognised analgesic level
(>50 Hertz (Hz) and below the pain threshold for the patient) (Bennett et al. 2011). The
identity of the TENS type will be concealed from both the patient and the doctor performing
the biopsy. The primary outcome will be pain and this will be recorded by the patient
immediately after the procedure using a validated numerical scale (0-10). All patients will
receive standard pain relief (ie. local anaesthetic with or without inhaled nitrous oxide).
The benefit of this study is to establish whether or not TENS can benefit patients as an
additional, safe, non-invasive and inexpensive method of pain relief during this frequently
painful procedure.
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