Acupuncture and transcutaneous stimulation analgesia in comparison with moderate‐dose fentanyl anaesthesia in major surgery

Kho, H. G.; Eijk, R. J. R.; Kapteijns, W. M. M. J.; Egmond, J. van

doi:10.1111/j.1365-2044.1991.tb09359.x

Cited by 33 publications

(14 citation statements)

References 14 publications

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“…To our knowledge five prospective, controlled studies on acupuncture for postoperative pain relief are reported in such detail that reproduction would be possible (1)(2)(3)(4)(5). An analgesic effect of acupuncture was found in three of these studies (1, 2, 5) but not in the other two (3,4).…”

Section: Discussionmentioning

confidence: 95%

“…Patients given peroperative electro-acupuncture at the ear together with transcutaneous nerve stimulation (TENS) under general anaesthesia for retroperitoneal lymph node dissection have been found to require far less fentanyl than control patients (1.2 vs. 23 mg kg À1 ) despite similar heart rate and blood pressure levels (2).…”

Section: Discussionmentioning

confidence: 99%

“…# Acta Anaesthesiologica Scandinavica 47 (2003) R EPORTS have differed as to the clinical value of acupuncture, since the method was introduced as an anaesthetic technique in China in 1958 (1)(2)(3)(4)(5). One factor contributing to difficulties associated with clinical studies on acupuncture is the technical problem regarding blinding (6).…”

Section: Accepted For Publication 20 March 2003mentioning

confidence: 99%

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Acupuncture fails to reduce but increases anaesthetic gas required to prevent movement in response to surgical incision

Kvorning

Christiansson²,

Beskow³

et al. 2003

Acta Anaesthesiol Scand

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Accepted For Publication 20 March 2003mentioning

confidence: 99%

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Acupuncture fails to reduce but increases anaesthetic gas required to prevent movement in response to surgical incision

Kvorning

Christiansson²,

Beskow³

et al. 2003

Acta Anaesthesiol Scand

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“…Kho et al also demonstrated a significant reduction in intraoperative fentanyl usage between the EA group and control group (no EA). 20 Although the EA was instituted under anaesthesia, the GA was only maintained with fentanyl and nitrous oxide without the use of other potent inhalational agent or intravenous anaesthetic, not surprisingly, their study had a high incident of intraoperative recall/ awareness under anaesthesia. As Kho et al did not employ any monitor to assess the hypnotic component during the anaesthesia; 20 it is difficult to determine how they had titrated the analgesic requirement.…”

Section: Discussionmentioning

confidence: 99%

Effects of Electroacupuncture on Intraoperative and Postoperative Analgesic Requirement

Sim

Xu²,

Pua³

et al. 2002

Acupunct Med

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Acupuncture has been shown to be effective in experimental and clinical acute pain settings. This study aims to evaluate the effect of preoperative electroacupuncture (EA) on intraoperative and postoperative analgesic (alfentanil and morphine) requirement in patients scheduled for gynaecologic lower abdominal surgery. Ninety patients were randomly assigned to one of three groups: Group I (control group) –received placebo EA for 45 minutes before induction of general anaesthesia (GA); Group II –preoperative EA instituted 45 minutes before induction of GA; Group III – 45 minutes of postoperative EA. The Bispectral Index monitor was used intraoperatively to monitor the hypnotic effect of anaesthetic drugs, and alfentanil was titrated to maintain the blood pressure and pulse rate within ±15% of basal values. Postoperative pain was managed by intravenous morphine via a patient-controlled analgesia (PCA) device. Patients in Group II (0.44 ± 0.15μg/kg/min) received less alfentanil than those in Group III (0.58 ± 0.22μg/kg/min) (p=0.024), but not significantly less than those in Group I (0.51 ± 0.21μg/kg/min) (p=0.472). Postoperative morphine consumption was numerically lower in Group II compared with the other groups; however, the difference was statistically significant only during the period of 6–12 hours between Group II [0.03 (0.05) mg/kg] and Group I [0.10 (0.11) mg/kg] (p=0.015), and Group II and Group III [0.08 (0.10) mg/kg] (p=0.010). The 24-hour cumulative morphine consumption for Group II (0.52 ± 0.19mg/kg) was less than that for either Group I (0.68 ± 0.38mg/kg) or Group III (0.58 ± 0.27mg/kg), but the difference did not reach significance. In conclusion, preoperative EA leads to a reduced intraoperative alfentanil consumption, though this effect may not be specific, and has a morphine sparing effect during the early postoperative period.

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“…Opioids, non-steroidal antiinflammatory drugs, local anesthetics or sedatives are usually recommended for the management of post-surgical pain, but they frequently produce unsatisfactory analgesia accompanied by adverse effects. Electroacupuncture (EA) has been proposed as a low cost and practical method that can allow effective pain management with minimal side effects (1)(2)(3)(4)(5)(6). Several studies have indicated that the analgesia evoked by EA depends on the participation of endogenous opioid mechanisms since the effect is inhibited by the non-selective opioid antagonist naloxone (7)(8)(9).…”

mentioning

confidence: 99%

Anti-hyperalgesic effect of electroacupuncture in a model of post-incisional pain in rats

Oliveira

Prado

2000

Braz J Med Biol Res

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Electroacupuncture has been proposed to be a low cost and practical method that allows effective pain management with minimal collateral effects. In this study we have examined the effect of electroacupuncture against the hyperalgesia developed in a model of postincisional pain in rats. A 1-cm longitudinal incision was made through the skin and fascia of the plantar region of the animal hind paw. Mechanical hyperalgesia in the incision was evaluated 135 min after the surgery with von Frey filaments. The tension threshold was reduced from 75 g (upper limit of the test) to 1.36 ± 0.36 g (mean ± SEM) in control rats. It is shown that a 15-min period of electroacupuncture applied 120 min after surgery to the Zusanli (ST36) and Sanyinjiao (SP6) points, but not to non-acupoints, produces a significant and long-lasting reduction of the mechanical hyperalgesia induced by the surgical incision of the plantar surface of the ipsilateral hind paw. The tension threshold was reduced from 75 to 27.6 ± 4.2 g in animals soon after the end of electroacupuncture. The mechanical threshold in this group was about 64% less than in control. Electroacupuncture was ineffective in rats treated 10 min earlier with naloxone (1 mg/kg, ip), thus confirming the involvement of opioid mechanisms in the antinociceptive effects of such procedure. The results indicate that post-incisional pain is a useful model for studying the antihyperalgesic properties of electroacupuncture in laboratory animals.

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Acupuncture and transcutaneous stimulation analgesia in comparison with moderate‐dose fentanyl anaesthesia in major surgery

Cited by 33 publications

References 14 publications

Acupuncture fails to reduce but increases anaesthetic gas required to prevent movement in response to surgical incision

Acupuncture fails to reduce but increases anaesthetic gas required to prevent movement in response to surgical incision

Effects of Electroacupuncture on Intraoperative and Postoperative Analgesic Requirement

Anti-hyperalgesic effect of electroacupuncture in a model of post-incisional pain in rats

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