| Abstract | OBJECTIVE: To determine whether a combination of auricular and body acupuncture is effective as an adjunct for the preprocedural anxiety and pain management in patients undergoing lithotripsy procedures. DESIGN: Randomized controlled study. SETTING AND LOCATION: Lithotripsy suite located at the Yale New Haven Hospital, New Haven CT. SUBJECTS: Adult patients who were scheduled to receive elective lithotripsy procedures. INTERVENTIONS: Acupuncture group: Preprocedural auricular acupuncture intervention combined with intraprocedural electroacupuncture stimulation (n = 29); Sham control group: Preprocedural sham auricular acupuncture intervention combined with intraprocedural sham electroacupuncture stimulation (n = 27). OUTCOMES MEASUREMENT: Preprocedural anxiety, intraprocedural alfentanil consumption, visual analogue scale for pain. RESULTS: Patients in the acupuncture group were less anxious preprocedure than those in the Sham Control Group 32 (29-34) versus 40 (35-45) (p = 0.029). Similarly, patients in the Acupuncture Group used a lesser amount of alfentanil than those in the sham control group (p = 0.040). The adjustable alfentanil consumption as expressed by median rate of alfentanil consumption of 1 (0.6-1.6) microg kg(-1) minute(-1) in the acupuncture group was lower than that of 1.5 (0.9-2.3) microg kg(-1) minute(-1) in the sham control group. Patients in the Acupuncture group also reported lower pain scores on admission to the recovery room (p = 0.014). CONCLUSIONS: A combination of auricular and body acupuncture can be used as an adjunct treatment to decrease preprocedural anxiety and intraprocedural analgesia in patients undergoing lithotripsy. |
| Authors | Shu-Ming Wang, Mamatha Punjala, Dana Weiss, Kevin Anderson, Zeev N Kain
(Affiliation: Department of Anesthesiology, Yale University School of Medicine, New Haven, CT 06520-8041, USA. shu-ming.wang at yale.edu)
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| Journal | Journal of alternative and complementary medicine (New York, N.Y.)
(J Altern Complement Med)
Vol. 13
Issue 2
Pg. 241-6
(Mar 2007)
ISSN: 1075-5535 United States |
| PMID | 17388767
(Publication Type: Journal Article, Randomized Controlled Trial)
|
| Topics |
- Acupuncture Therapy
(methods)
- Adult
- Anesthesia, Local
(adverse effects)
- Anxiety
(therapy)
- Combined Modality Therapy
- Female
- Humans
- Kidney Calculi
(surgery)
- Lithotripsy
(adverse effects)
- Male
- Middle Aged
- Pain, Postoperative
(therapy)
- Treatment Outcome
- Ureteral Calculi
(surgery)
|
