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Transcutaneous electrical acupoint stimulation (TEAS) has been shown to decrease the need of opioids including remifentanil during anaesthesia. However, it is not clear whether combination of two or more acupoints could induce stronger analgesia. Moreover, evidence for the long-term effect of TEAS has been limited. The present study was to compare the short-term and long-term effect on pain of dual-acupoint and single-acupoint TEAS.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| single acupoint stimulation | Experimental |
| |
| dual acupoints stimulation | Experimental |
| |
| no stimulation | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| acupoint stimulation | Device |
| ||
| single acupoint |
| Measure | Description | Time Frame |
|---|---|---|
| consumption of remifentanil | from start of anesthesia to extubation, on average 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| time to recall | from end of remifentanil infusion to patient response to verbal command,approximately 10 minutes on average | |
| time to extubation | from end of remifentanil infusion to extubation,approximately 10 minutes on average |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 4843161 | Background | Kuhn LA. Editorial: Acupuncture anesthesia for open heart surgery. Am J Cardiol. 1974 Aug;34(2):254-5. doi: 10.1016/0002-9149(74)90207-0. No abstract available. | |
| 26170347 | Result | Lu Z, Dong H, Wang Q, Xiong L. Perioperative acupuncture modulation: more than anaesthesia. Br J Anaesth. 2015 Aug;115(2):183-93. doi: 10.1093/bja/aev227. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015669 | Acupuncture Points |
| ID | Term |
|---|---|
| D016740 | Meridians |
| D015670 | Acupuncture Therapy |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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Interventions were performed by a designated investigator who was not involved in the anaesthesia or the follow-up. The stimulator was placed in an opaque box to blind the surgical team and the anesthesiologists to the group allocation.
| Device |
|
| dual acupoints | Device |
|
| respiratory depression | end of the surgery to discharge from postanesthesia care unit,with an average of 30 minutes |
| nausea and vomiting | end of the surgery to discharge from postanesthesia care unit,with an average of 30 minutes |
| visual analogue scale of pain | pain intensity is assessed by a 0-10mm scale, 0 is no pain, 10 is untolerated pain | end of the surgery to discharge from postanesthesia care unit,with an average of 30 minutes |
| patients' satisfaction score | patients' satisfaction score is assessed by a 0-10mm scale, 0 is no pain, 10 is untolerated pain | from end of surgery to 24 hours after surgery, totally 24 hours |
| incidence of pain at 3m after surgery | percentage of patients suffering from pain around the incision | from discharge from hospital to 3 months after surgery, approximately 3 months |
| incidence of pain at 6m after surgery | percentage of patients suffering from pain around the incision | from discharge from hospital to 6 months after surgery, approximately 3 months |
| 24576720 | Result | Wang H, Xie Y, Zhang Q, Xu N, Zhong H, Dong H, Liu L, Jiang T, Wang Q, Xiong L. Transcutaneous electric acupoint stimulation reduces intra-operative remifentanil consumption and alleviates postoperative side-effects in patients undergoing sinusotomy: a prospective, randomized, placebo-controlled trial. Br J Anaesth. 2014 Jun;112(6):1075-82. doi: 10.1093/bja/aeu001. Epub 2014 Feb 26. |
| 15876491 | Result | Yan B, Li K, Xu J, Wang W, Li K, Liu H, Shan B, Tang X. Acupoint-specific fMRI patterns in human brain. Neurosci Lett. 2005 Aug 5;383(3):236-40. doi: 10.1016/j.neulet.2005.04.021. |