Transcutaneous Electrical Nerve Stimulation for Tissues Perfusion


The aim of this study is to determine the effect of transcutaneous electrical nerve stimulation in mechanically ventilated patients on the lower limb and renal tissue perfusion.

Full Title of Study: “Effect of Transcutaneous Electrical Nerve Stimulation on Tissue Perfusion for the Critically Ill Patient”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Supportive Care
    • Masking: Double (Participant, Outcomes Assessor)
  • Study Primary Completion Date: October 6, 2020


  • Device: trans-cutaneous electrical nerve stimulation.
    • • Patients assigned to the EMS group received daily EMS sessions of both lower extremities starting from the second day for 5days.
  • Device: Sham TENS
    • Patients in the control group will receive sham TENS.

Arms, Groups and Cohorts

  • Active Comparator: TENS
  • Sham Comparator: Control

Clinical Trial Outcome Measures

Primary Measures

  • tissue perfusion of the lower limb.
    • Time Frame: 5 ICU days
    • capillary refill time
  • Renal perfusion
    • Time Frame: 5 ICU days
    • quantitative assessment of neutrophil gelatinase-associated lipocalin

Participating in This Clinical Trial

Inclusion Criteria

  • Recently intubated patient. – Adult and both gender. – Hemodynamic stability Exclusion Criteria:

  • Vascular diseases – Diabetic patients – Patients who receive vasoactive drugs – Patients with varicose vein – Systemic scoliosis

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 70 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Assiut University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Mostafa Samy Abbas, associate professor of anesthesia – Assiut University

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