Investigate the efficacy of the NSS-2 BRIDGE device in reducing perioperative opioid consumption in opioid-naïve patients undergoing major abdominal surgery using the current SHY ERAS anesthesia protocol. This is reported in consumption of oral morphine mg equivalents (OME) at 24 hrs, 48 hrs, 72 hrs, 96 hrs, and 120 hrs post-operative.
Numerical Rating Scale (NRS) Pain scores on a scale from 0-10, with 0 being no pain, 5 being moderate pain and 10 being the worst imaginable pain. The lowest possible score is 0 and the highest possible score is 10. Higher scores represent a worse outcome.
24 Hours
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
4.0
± 2.0
Sham NSS-2 BRIDGE and ERAS Protocol
4.1
± 2.2
48 Hours
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
3.0
± 1.9
Sham NSS-2 BRIDGE and ERAS Protocol
3.8
± 2.3
72 Hours
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
2.8
± 2.0
Sham NSS-2 BRIDGE and ERAS Protocol
3.5
± 2.5
96 Hours
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
2.9
± 2.3
Sham NSS-2 BRIDGE and ERAS Protocol
3.1
± 2.4
120 Hours
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
2.8
± 2.0
Sham NSS-2 BRIDGE and ERAS Protocol
3.6
± 3.0
Non-narcotic Analgesic ConsumptionSecondary· Day of surgery through post-operative day 5
Investigate the efficacy of the NSS-2 Bridge Device in reducing perioperative consumption of non-narcotic analgesics.
Acetaminophen
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
10840.4
± 4259.29
Sham NSS-2 BRIDGE and ERAS Protocol
10195.9
± 4134.82
Gabapentin
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
1168.4
± 762.34
Sham NSS-2 BRIDGE and ERAS Protocol
994.1
± 561.77
Ibuprofen
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
3022.2
± 2136.46
Sham NSS-2 BRIDGE and ERAS Protocol
2657.1
± 1192.84
Ketamine IV
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
197.6
± 66.57
Sham NSS-2 BRIDGE and ERAS Protocol
202.5
± 49.21
Ketorolac
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
66.3
± 42.05
Sham NSS-2 BRIDGE and ERAS Protocol
92.9
± 44.34
Total Post-operative Nausea and Vomiting (PONV)Secondary· Day of surgery through post-operative day 5
Evaluate the feeling of post-operative nausea and/or vomiting during the immediate 5 day post-operative period. This will be measured on a 10-point nausea scale from 0 (no nausea) to 10 (the worst nausea imaginable). The patient reports this score on a daily basis from post-op day 1 to post-op day 5 and the five daily scores will be added to calculate a total post-operative nausea score. The lowest possible total score is 0 and the highest possible total score is 50. A higher total score represents a worse outcome.
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
1.08
± 1.70
Sham NSS-2 BRIDGE and ERAS Protocol
1.52
± 2.78
Length of Recovery Room StaySecondary· Day of surgery through recovery room discharge, up to 300 minutes post-operative
Evaluate time to recovery room discharge from out of OR time.
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
192.3
± 48.1
Sham NSS-2 BRIDGE and ERAS Protocol
207.1
± 84.4
Time to Ambulation (Walking Greater Than 15 Feet)Secondary· Day of surgery through time of ambulation, up to 120 hrs post-operative
Evaluate length of time till ambulation from out of OR time.
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
26
± 22.60
Sham NSS-2 BRIDGE and ERAS Protocol
24
± 18.95
Time to First Bowel MovementSecondary· Day of surgery through time of first bowel movement, up to 150 hrs post-operative
Evaluate length of time till first bowel movement from out of OR time.
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
79
± 32.63
Sham NSS-2 BRIDGE and ERAS Protocol
62
± 36.08
Time to Oral IntakeSecondary· Day of surgery through time of oral intake, up to 160 hrs post-operative
Evaluate length of time till oral intake from out of OR time. Time to oral intake is recorded as the first consumption of fluids, medication, or food by mouth. This is especially important for patients undergoing abdominal procedures as the time to oral intake can be delayed following such procedures.
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
45
± 41.76
Sham NSS-2 BRIDGE and ERAS Protocol
35
± 37.39
Length of Hospital StaySecondary· Day of surgery through discharge, up to 360 hrs post-operative
Evaluate time to hospital discharge from out of OR time.
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
144
± 48.7
Sham NSS-2 BRIDGE and ERAS Protocol
122
± 67.5
Overall Patient SatisfactionSecondary· Day of Surgery through time of discharge, up to 360 hrs post-operative
Participants will be asked to assess their overall satisfaction with care upon discharge on a 10-point satisfaction scale of 0 (least satisfaction) to 10 (highest satisfaction). The lowest possible score is 0 and the highest possible score is 10. Higher scores represent a better outcome.
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
9.36
± 1.18
Sham NSS-2 BRIDGE and ERAS Protocol
9.39
± 0.99
Satisfaction With Pain ManagementSecondary· Day of surgery through time of discharge, up to 360 hrs post-operative
Participants will be asked to assess their satisfaction with pain management upon discharge on 10-point satisfaction scale of 0 (least satisfaction) to 10 (highest satisfaction). The lowest possible score is 0 and the highest possible score is 10. Higher scores represent a better outcome.
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
9.45
± 0.80
Sham NSS-2 BRIDGE and ERAS Protocol
9
± 1.13
Functional RecoverySecondary· Day of surgery through 90 days post-operative.
Functional recovery will be measured by the assessment of the participant's answers to the Functional Recovery Questionnaire 12-Item Short Form Health Survey (SF-12). The SF-12 Health Survey includes questions from the SF-36 Health Survey (Version 1). Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). The United States population average PCS-12 and MCS-12 are both 50 points. The United States population average PCS-12 and MCS-12 are both 50 points. The United States population standard deviation is 10 points. So each 10 i
Physical Component Score
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
37.5
± 8.28
Sham NSS-2 BRIDGE and ERAS Protocol
39.9
± 10.03
Mental Component Score
Group
Value
95% CI
NSS-2 Bridge and ERAS Protocol
55.2
± 7.45
Sham NSS-2 BRIDGE and ERAS Protocol
52.1
± 8.25
Adverse events — posted to ClinicalTrials.gov
Time frame: Adverse event data was collected for the duration of the subject's participation in the study (90 days post-operative)..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The current opioid epidemic has led to a renewed interest in exploring non-pharmacological techniques to treat post-operative pain. An increasing number of patients are suffering from the adverse effects of opioid use following surgery, including post-operative nausea and vomiting, respiratory depression, immunosuppression, constipation, and most recently, addiction. Although the risk of opioid addiction following surgery is recognized, the percentage of patients becoming addicted to opioids following surgery is not well understood. Therefore, in order to combat this growing health crisis at the ground level, it is incumbent upon the medical community to explore alternative methods of pain control to treat the surgical population in order to reduce the incidence of post-operative opioid addiction.
Percutaneous Nerve Field Stimulation (PNFS) is one of these recognized methods that ongoing research has shown to be effective as a complementary method of pain management. While PNFS is not a novel concept, clinical indications of auricular field stimulation have been limited in the past due to requirement of bulky, stationary and non-disposable stimulators and electrodes. These technological limitations made it difficult to establish the real clinical potential of auricular stimulation for the perioperative management of pain in surgical patients, despite the demonstration that auriculotherapy has been shown to relieve pain in the postoperative setting.
The NSS-2 BRIDGE is a battery operated and disposable percutaneous auricular nerve field stimulator (Innovative Health Solutions, Versailles, IN, USA), that was recently cleared by the FDA and assigned a Class II Risk Designation. The indication for the NSS-2 BRIDGE is for the treatment of clinical symptoms related to opioid consumption and opioid withdrawal. These symptoms include abdominal pain, anxiety and post-operative nausea and vomiting; conditions which are also present following major oncologic abdominal surgery. The use of the NSS-2 BRIDGE device has been demonstrated to provide significant analgesia in patients with abdominal pain syndrome, and clinical trials are ongoing to assess the benefit of this approach for post-operative pain management. As compared to the present use of opioids for perioperative pain management, the use of a complementary, non-pharmacologic approach offers the advantage of analgesia without the associated side effects.
Publications & conference data
2 peer-reviewed publications reference this trial (live from Europe PMC):
NCT04365465 — BRIDGE Percutaneous Nerve Stimulation for Cesarean Delivery Pain Control
· NA
· completed
NCT03834142 — NSS-2-BRIDGE Study for Total Knee and Hip Arthroplasties, Bariatric, and Kidney Transplant Surgeries
· NA
· completed
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Trials by the same sponsor.
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Jacques E. Chelly
Last refreshed: 1 November 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03555266.