Acupuncture and related techniques during perioperative period: A literature review

Acar, H. Volkan

doi:10.1016/j.ctim.2016.09.013

Cited by 74 publications

(54 citation statements)

References 82 publications

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“…Aromatherapy, massage, music therapy, virtual reality, even acupuncture are relatively safe, effective, and enjoyable options to reduce preoperative anxiety (13,(21)(22)(23). Only a small proportion of our patients indicated some of these methods to reduce anxiety.…”

Section: Discussionmentioning

confidence: 94%

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery

Kuzminskaitė

Kaklauskaitė

Petkevičiūtė

2019

AML

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The study was conducted at the Centre of Anaesthesiology, Intensive Care and Pain Management of Vilnius University Hospital Santaros Klinikos. Background. Due to its implications on postoperative outcomes and patient satisfaction, anxiety evaluation should be incorporated in the preoperative assessment of the patients. Materials and methods. A series of consecutive patients undergoing elective surgery were included in the study. Preoperative anxiety was evaluated using the Hospital Anxiety and Depression Scale (HADS), the Amsterdam Preoperative Anxiety and Information Scale (APAIS), and the Visual Analogue (Face) Scale (VAFS). Qualitative and quantitative analyses were used to describe features of anxiety. Results. 149 patients were included in the study, of whom 40.9% were scheduled for low, 47.7% for intermediate, and 11.4% for highrisk procedures. Based on HADS, 19 patients (12.6%) were positive for anxiety. VAFS revealed that 10.3% of patients experience medium/high intensity of anxiety. Patients were mostly concerned about the success (29.3%) and complications (11.4%) of the surgery APAIS score analysis revealed significantly higher anxiety (p < 0.01) and a need of information (p < 0.01) about surgery compared to anaesthesia. In contrast to age, education, or previous surgery, anxiety was associated with female sex (p < 0.01), surgical risk (p = 0.02), and subjective health evaluation (p < 0.01). Patients tended to choose a conversation with the doctor (45.6%) or a relative (44.8%) as a measure to relieve anxiety, and 18.4% would choose medication. Praying, music therapy, massage, or even sexual intercourse were among the measures suggested by patients. Conclusions. A significant part of patients experience anxiety before surgery, predominantly about the success of the surgery. According to the patients, conversation is the best option to reduce anxiety.

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Section: Discussionmentioning

confidence: 94%

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery

Kuzminskaitė

Kaklauskaitė

Petkevičiūtė

2019

AML

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“…Furthermore, the type of acupuncture stimuli applied may have affected treatment efficacy. For example, electrical acustimulation is more effective than traditional needle acupuncture and may have been more effective in our study [15, 16, 20, 24, 37, 45].…”

Section: Discussionmentioning

confidence: 94%

“…Acupuncture is hypothesized to exert general effects through mechanisms including autonomic nervous system activation to restore homeostasis (nerve reflex theory), neurohumoral actions, and release of endorphins [5, 15, 16, 18, 21, 22, 36–38]. For example, acupuncture may reduce nausea through the above mechanisms within the area postrema and by reducing discomfort through normalizing gut motility [20, 26].…”

Section: Discussionmentioning

confidence: 99%

“…Although previous investigations suggest that acupuncture might mitigate changes in GI motility, which may contribute to nausea (13, 26), gastric emptying and GI transit times did not differ between groups in the present study. Nausea and vomiting are multifactorial events, dependent on the patient’s disease processes, anesthetics, the procedure performed, and co-morbidities [15, 16, 22, 39]. In addition, the vomition center contains groups of neurons in the medulla that includes the chemoreceptor trigger zone in the area postrema and the nucleus tractus solitarius, which can exert differing actions on vomiting when stimulated, for example, by pharmacologic agents [26, 31, 40].…”

Section: Discussionmentioning

confidence: 99%

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Effects of acupuncture at Pericardium-6 and Stomach-36 on nausea, sedation and gastrointestinal motility in healthy dogs administered intravenous lidocaine infusions

et al. 2019

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The objectives of this study were to assess gastrointestinal transit times, sedation, and signs of nausea associated with intravenous lidocaine infusions in dogs following targeted acupuncture at Pericardium-6 (PC6) and Stomach-36 (ST36). In a randomized, blind crossover design, 6 healthy, adult Beagles were fed thirty 1.5 mm barium-impregnated polyethylene spheres (BIPS), then were subject to 30 minutes of: 1) no acupuncture, 2) bilateral targeted acupuncture at PC6 and ST36, or 3) bilateral non-target acupuncture at Lung-5 (LU5) and Bladder-55 (BL55). Lidocaine was immediately administered at 1 mg/kg intravenously followed by 50 μg/kg/min. BIPS were tracked radiographically; sedation and nausea were scored at baseline (Time 0) and for 11 hours during lidocaine infusions. Transit times and sedation and nausea scores were analyzed with a linear mixed-effects model; the number of BIPS at defined time points was analyzed with a piecewise linear mixed-effects model. All P values were two-sided and P < 0.05 was considered significant. Sedation and nausea scores did not differ between treatments at any time point (all P > 0.05). However, nausea scores in all groups were significantly greater at Times 5 through 7 and at Time 11 compared to Time 0 whereas sedation scores in all groups were significantly greater at Times 2 through 11 compared to Time 0 (all P < 0.05). The number of BIPs found out of the stomach, the number found in the large intestine, gastric emptying and gastrointestinal transit times did not differ between treatments (all P > 0.05). Acupuncture at PC6 and ST36 did not alleviate nausea and sedation associated with lidocaine infusions in clinically normal animals or affect gastric emptying and gastrointestinal transit.

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“…Nowadays, the mechanism of acupressure PC6 point for the treatment of PONV has not been established. Different studies [23,24,25] have shown that stimulating PC6 point may affect the endocrine system of the body, regulate the level of beta-endorphins in cerebrospinal fluid and the transmission of endogenous opioids and 5-hydroxytryptamine in serum, inhibit the secretion of gastric acid, regulate gastrointestinal function, and thus stop nausea and vomit.…”

Section: Discussionmentioning

confidence: 99%

Acupressure the PC6 point for alleviating postoperative nausea and vomiting

et al. 2019

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Background:Postoperative nausea and vomiting (PONV) are common complications following surgery and anesthesia, conventional drugs can carry some side effect in treating PONV. Acupressure PC6 point has been widely used in clinical, but there still exist controversy towards its effectiveness and safety. We, therefore, design this study to systematically assess the effectiveness and safety of acupressure PC6 point for treating PONV.Methods and analysis:Nine online databases will be searched from their inception to May 2019. We will include randomized controlled trials (RCTs) involving patients with PONV and receiving acupressure PC6 point treatment. Two independent reviewers will be responsible for the selection of studies, data extraction and risk of bias assessment. RevMan V.5.3 software will be used for data synthesis with either a fixed effects model or random effects model depending on the heterogeneity test. Evidence quality will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation system (GRADE). The primary outcome is incidence of postoperative nausea (PON), postoperative vomiting (POV) and PONV events during 0 to 6 hours and after 6 hours of the treatment. The secondary outcome is the number of people who use emergency drugs and the number of people with adverse reactions. A meta-analysis will be conducted if no considerable heterogeneity is detected. The results will be presented as risk ratios with 95% confidence interval (CIs) for dichotomous data and weighted mean differences or standardized mean differences with 95% CIs for continuous data.Results:This study will provide a high-quality evidence to assess the effectiveness and safety of acupressure PC6 point for patient with PONV.Conclusion:This review will provide up-date evidence of whether acupressure of PC6 point is an effective and safe intervention for PONV. PROSPERO registration number: CRD42019135598

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Acupuncture and related techniques during perioperative period: A literature review

Cited by 74 publications

References 82 publications

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery

Effects of acupuncture at Pericardium-6 and Stomach-36 on nausea, sedation and gastrointestinal motility in healthy dogs administered intravenous lidocaine infusions

Acupressure the PC6 point for alleviating postoperative nausea and vomiting

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