Effects of transcutaneous electrical acupoint stimulation at different frequencies on perioperative anesthetic dosage, recovery, complications, and prognosis in video-assisted thoracic surgical lobectomy: a randomized, double-blinded, placebo-controlled trial

Huang, Shun; Peng, Wenping; Tian, Xue; Liang, Hansheng; Jiang, Zhe; Lo, Theresa N.; He, Min; Feng, Yi

doi:10.1007/s00540-015-2057-1

Cited by 57 publications

(46 citation statements)

References 30 publications

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“…Our data showed that TEAS reduced the postoperative sufentanil consumption by almost 16%, suggesting that TEAS may exert an analgesic effect. Similarly, the incidences of PONV were dramatically reduced, adding weight to a previous study suggesting analgesic benefit of TEAS for lung cancer patients . The findings of the present study are significant because prevalence of ERAS is increasing.…”

Section: Discussionsupporting

confidence: 74%

“…Similarly, the incidences of PONV were dramatically reduced, adding weight to a previous study suggesting analgesic benefit of TEAS for lung cancer patients. 8 The findings of the present study are significant because prevalence of ERAS is increasing. These findings will lead to an increasing number of modalities for surgery, especially nonpharmacological approaches.…”

Section: Discussionmentioning

confidence: 61%

“…The acceptance of TEAS use combined with general anesthesia is increasing due to improvement in perioperative outcomes in diverse major surgeries. There is accumulating evidence indicating that TEAS may decrease the stress response during extubation, enhance the anesthetic effect, improve the quality of postoperative recovery, yield a cardioprotective effect, and reduce opioid consumption and related PONV risks …”

Section: Discussionmentioning

confidence: 99%

“…There is accumulating evidence indicating that TEAS may decrease the stress response during extubation, enhance the anesthetic effect, improve the quality of postoperative recovery, yield a cardioprotective effect, and reduce opioid consumption and related PONV risks. 3,[6][7][8][9][10] We performed a randomized, double-blind, and placebo-controlled trial to reduce the probability of bias. We believe that our study was adequately powered to analyze the primary endpoint (difference in the intensity of postoperative pain between the groups compared using the paired t-test), as sample size estimation indicated that 37 patients were required in each group to detect a mean difference of 25% for a study with a type I error of 5% and a type II error of 20%.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of transcutaneous electrical acupoint stimulation combined with general anesthesia for sedation and postoperative analgesia in minimally invasive lung cancer surgery: A randomized, double‐blind, placebo‐controlled trial

Chen

Zhang

et al. 2020

Thoracic Cancer

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Background Multimodal opioid‐sparing analgesia is a key component of an enhanced recovery pathway after surgery that aims to improve postoperative recovery. Transcutaneous electrical acupoint stimulation (TEAS) is assumed to alleviate pain and anxiety and to modify the autonomic nervous system. This study aimed to determine the efficacy of TEAS for sedation and postoperative analgesia in lung cancer patients undergoing thoracoscopic pulmonary resection. Methods A total of 80 patients were randomized into two groups: the TEAS group and the sham TEAS combined with general anesthesia group. Postoperative pain levels at six, 24, 48 hours, and one month after surgery were measured using the visual analogue scale (VAS). Bispectral index (BIS) score during the TEAS prior to anesthetic induction, Observer's Assessment of Alertness/Sedation (OAAS) score, sufentanil consumption during postoperative patient‐controlled intravenous analgesia (PCIA), number of total and effective attempts of PCIA pump use, and incidence of postoperative nausea and vomiting were recorded and analyzed statistically. Results Patients in the TEAS group had significantly lower VAS scores at six, 24, and 48 hours after surgery (P < 0.01); lower BIS scores at 10, 20, and 30 minutes before induction (P < 0.01); lower levels of postoperative sufentanil consumption; lower number of PCIA attempts and effective rates (P < 0.01); lower incidences of nausea at 0, six, 24, and 48 hours; and lower incidence of vomiting at 24 hours after surgery (P < 0.05). The postoperative OAAS scores were similar between the groups. Conclusions TEAS could be a feasible approach for sedation and postoperative analgesia in thoracoscopic pulmonary resection.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Efficacy of transcutaneous electrical acupoint stimulation combined with general anesthesia for sedation and postoperative analgesia in minimally invasive lung cancer surgery: A randomized, double‐blind, placebo‐controlled trial

Chen

Zhang

et al. 2020

Thoracic Cancer

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“…Huang et al reported a decrease in PONV ( P = 0.044) corresponding to a transcutaneous electrical acupoint stimulation at 100 Hz, and a lower postoperative visual analgesia score ( P = 0.047) with frequencies of 2/100 Hz. Reduced visual analgesia scores may in turn be responsible for a decrease in postoperative opioid consumption, known as one of the four major risk factors for PONV ( 9 , 34 ). High versus low frequency electrical stimulus seems to function differently within the brain.…”

Section: Alternative Therapiesmentioning

confidence: 99%

Alternative Therapies for the Prevention of Postoperative Nausea and Vomiting

et al. 2015

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Postoperative nausea and vomiting (PONV) is a complication affecting between 20 and 40% of all surgery patients, with high-risk patients experiencing rates of up to 80%. Recent studies and publications have shed light on the uses of alternative treatment for PONV through their modulation of endogenous opioid neuropeptides and neurokinin ligands. In addition to reducing PONV, hypnosis was reported to be useful in attenuating postoperative pain and anxiety, and contributing to hemodynamic stability. Music therapy has been utilized to deepen the sedation level and decrease patient anxiety, antiemetic and analgesic requirements, hospital length of stay, and fatigue. Isopropyl alcohol and peppermint oil aromatherapy have both been used to reduce postoperative nausea. With correct training in traditional Chinese healing techniques, acupuncture (APu) at the P6 acupoint has also been shown to be useful in preventing early PONV, postdischarge nausea and vomiting, and alleviating of pain. Electro-acupuncture (EAPu), as with APu, provided analgesic and antiemetic effects through release and modulation of opioid neuropeptides. These non-pharmacological modalities of treatment contribute to an overall patient wellbeing, assisting in physical and emotional healing.

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Acupuncture during gynecological oncology surgery: A randomized controlled trial assessing the impact of integrative therapies on perioperative pain and anxiety

Ben‐Arye

Segev

Galil

et al. 2023

Cancer

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Background In this study, the impact of a multimodal integrative oncology pre‐ and intraoperative intervention on pain and anxiety among patients undergoing gynecological oncology surgery was explored. Methods Study participants were randomized to three groups: Group A received preoperative touch/relaxation techniques, followed by intraoperative acupuncture; Group B received preoperative touch/relaxation only; and a control group (Group C) received standard care. Pain and anxiety were scored before and after surgery using the Measure Yourself Concerns and Wellbeing (MYCAW) and Quality of Recovery (QOR‐15) questionnaires, using Part B of the QOR to assess pain, anxiety, and other quality‐of‐life parameters. Results A total of 99 patients participated in the study: 45 in Group A, 25 in Group B, and 29 in Group C. The three groups had similar baseline demographic and surgery‐related characteristics. Postoperative QOR‐Part B scores were significantly higher in the treatment groups (A and B) when compared with controls (p = .005), including for severe pain (p = .011) and anxiety (p = .007). Between‐group improvement for severe pain was observed in Group A compared with controls (p = .011). Within‐group improvement for QOR depression subscales was observed in only the intervention groups (p <0.0001). Compared with Group B, Group A had better improvement of MYCAW‐reported concerns (p = .025). Conclusions A preoperative touch/relaxation intervention may significantly reduce postoperative anxiety, possibly depression, in patients undergoing gynecological oncology surgery. The addition of intraoperative acupuncture significantly reduced severe pain when compared with controls. Further research is needed to confirm these findings and better understand the impact of intraoperative acupuncture on postoperative pain. Plain language summary Integrative oncology programs are increasingly becoming part of supportive/palliative care, with many working within the Society for Integrative Oncology. This study examined the impact of a multimodal integrative oncology program on pain and anxiety among 99 patients undergoing gynecological oncology surgery. Participants were randomized to three groups: preoperative touch/relaxation treatments, followed by intraoperative acupuncture; preoperative touch/relaxation without acupuncture; and a control group receiving standard care only. The preoperative touch/relaxation intervention significantly reduced perioperative anxiety, with the addition of intraoperative acupuncture significantly reducing severe pain as well, when compared with controls. Further research is needed to confirm these findings.

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Effects of transcutaneous electrical acupoint stimulation at different frequencies on perioperative anesthetic dosage, recovery, complications, and prognosis in video-assisted thoracic surgical lobectomy: a randomized, double-blinded, placebo-controlled trial

Cited by 57 publications

References 30 publications

Efficacy of transcutaneous electrical acupoint stimulation combined with general anesthesia for sedation and postoperative analgesia in minimally invasive lung cancer surgery: A randomized, double‐blind, placebo‐controlled trial

Efficacy of transcutaneous electrical acupoint stimulation combined with general anesthesia for sedation and postoperative analgesia in minimally invasive lung cancer surgery: A randomized, double‐blind, placebo‐controlled trial

Alternative Therapies for the Prevention of Postoperative Nausea and Vomiting

Acupuncture during gynecological oncology surgery: A randomized controlled trial assessing the impact of integrative therapies on perioperative pain and anxiety

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