The Effects of Acupuncture on Hemodynamic Changes During Endotracheal Intubation for General Anesthesia

Abstract

Objective: The goal of this research was to investigate the efficacy of perioperative manual acupuncture in the LV 3 and LI 4 points for lessening hemodynamic changes during endotracheal intubation in patients who were receiving anesthesia. Materials and Methods: This double-blinded randomized controlled study enrolled patients who were undergoing endotracheal intubation, in 2015-2016, during general anesthesia in the general surgery department of the Imam Khomeini Hospital complex, in the Tehran University of Medical Sciences, Iran. The patients were randomly allocated into 2 groups with 30 patients in each group. In the treatment group, acupuncture needles were placed at LV 3 and LI 4, whereas, in the control group, the needles were placed 1 cm lateral to these points. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP), and heart rate (HR) before and after placing the acupuncture needles, after induction, immediately, 1 minute, and 3 minutes after intubation were measured and recorded prospectively. Results: The patients had a mean age of 44.45-12.72 years and included 35 (58.3%) males. Before acupuncture, demographic data, mean blood pressure (BP), and mean HR of the patients were not significantly different in the treatment and control groups. The mean SBP, DBP, MAP, and HR of all patients changed over time significantly (P < 0.001 for all). In the treatment group, mean SBP, DBP, and MAP changes immediately after the needles were placed were significantly less than those in the control group (P = 0.033, 0.024, and 0.024, respectively). Conclusions: Although acupuncture could have a very-short-term effect that reduces BP during endotracheal intubation, hemodynamic changes might not be prevented during endotracheal intubation.

Efficacy of Acupuncture in the Treatment of Obstructive Sleep Apnea: A Review

“…The absence of blinding techniques in randomized controlled trials (RCTs) could potentially influence the study outcomes. Moreover, acupuncture has the potential to generate strong placebo effects (40,63). Therefore, to establish the effectiveness and safety of acupuncture for patients with OSA, further high-quality RCTs are warranted.…”

Effectiveness of Electroacupuncture for Managing Urinary Retention Post Lumbar Spine Surgery: a retrospective single-cohort study

“…TCM theory categorizes urinary retention as “LongBi” [ 15 - 17 ]. This condition is characterized by excessive blood loss or kidney Qi injury during childbirth or surgery, Qi depletion, kidney Qi deficiency, urinary adjustment failure, and post-operation liver Qi stagnation, which all contribute to urinary retention [ 7 , 17 ].…”

“…Previously, Chen has suggested the importance of Zhongji (CV3), Guanyuan (CV4), Sanyijiao (SP6), Yinlingquan (SP9), Pangguanshu (BL28), and Ciliao (BL32) [ 17 ]. Furthermore, Tran has recommended the uses of Sanjiaoshu (BL22), Zhongji (CV3), Guanyuan (CV4), Qihai (CV6), Shenshu (BL23), Sanyijiao (SP6), and Xuehai (SP10) [ 15 ]. Also, Nguyen has suggested utilizing Zhongji (CV3), Sanyijiao (SP6), Ciliao (BL32), Zigong (Extra point), and Lanmen (Extra point) [ 16 ].…”

A randomized-controlled trial assessing the effect of intraoperative acupuncture on anesthesia-related parameters during gynecological oncology surgery

“…However, no significant effect was found in patients receiving preoperative or intraoperative electro-acupuncture for elective sinusotomy or supratentorial craniotomy (Liu et al 2015 ; Wang et al 2014 ; Yu et al 2014 ). Finally, a significantly lower change in MAP was observed following acupuncture needle insertion during endotracheal intubation for general anesthesia (Rahimi et al 2019 ).…”