Transcutaneous Electrical Nerve Stimulation at the Acupuncture Points to Relieve Pain of Patients Under Mechanical Ventilation: A Randomized Controlled Study

Aminisaman, Javad; Mohammadi, Saeed; Karimpour, Hasanali; Hemmatpour, Behzad; Sharifi, Hengameh; Kawyannejad, Rasool

doi:10.1016/j.jams.2018.06.008

Cited by 14 publications

(16 citation statements)

References 28 publications

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“…Additional trials that evaluated acupuncture for acute pain in the ICU for surgical patients, inpatients, or patients in the ED are detailed in Table 4 . Two studies evaluated acupuncture for pain in intubated ICU patients: one using electrical stimulation on needles inserted into acupuncture points [ 65 ] and the other using transcutaneous electrical nerve stimulation on acupuncture points [ 68 ]. The former found a marked reduction in the dosage of the sedative drug (midazolam) needed for the pain and discomfort of mechanical intubation [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

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Acupuncture Therapy as an Evidence-Based Nonpharmacologic Strategy for Comprehensive Acute Pain Care: The Academic Consortium Pain Task Force White Paper Update

et al. 2022

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Background A crisis in pain management persists as does the epidemic of opioid overdose deaths, addiction, and diversion. Pain medicine is meeting these challenges by returning to its origins: the Bonica model of multidisciplinary pain care. The 2018 Academic Consortium White Paper detailed the historical context and magnitude of the pain crisis, and the evidence-base for nonpharmacologic strategies. Over 50% of chronic opioid use begins in the acute pain care setting. Acupuncture may be able to reduce this risk. Objective This paper updates the evidence-base of acupuncture therapy for acute pain with a review of systematic reviews and meta-analyses: post-surgical/peri-operative pain with opioid sparing, acute non-surgical/trauma pain including acute pain in the emergency department (ED). Methods To update reviews cited in the 2018 White Paper, electronic searches were conducted in PubMed, MEDLINE, CINAHL and Cochrane Central Register of Controlled Trials for ‘acupuncture’ and ‘acupuncture therapy’ and ‘acute pain’, ‘surgery’, ‘peri-operative’, ‘trauma’, ‘emergency department’, ‘urgent care’, ‘review(s)’, ‘systematic review’, ‘meta-analysis’ with additional manual review of titles, links, and reference lists. Results There are 22 systematic reviews, 17 with meta-analyses of acupuncture in acute pain settings, and a review for acute pain in the intensive care unit (ICU). There are additional studies of acupuncture in acute pain settings. Conclusion The majority of reviews find acupuncture therapy to be an efficacious strategy for acute pain with potential to avoid and/or reduce opioid reliance. Future multi-center trials are needed to clarify the dosage and generalizability of acupuncture for acute pain in the ED. With an extremely low risk profile, acupuncture therapy is an important strategy in comprehensive acute pain care.

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Section: Discussionmentioning

confidence: 99%

“…The former found a marked reduction in the dosage of the sedative drug (midazolam) needed for the pain and discomfort of mechanical intubation [ 65 ]. The latter found a reduction in pain and in analgesic and sedation medication [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

Acupuncture Therapy as an Evidence-Based Nonpharmacologic Strategy for Comprehensive Acute Pain Care: The Academic Consortium Pain Task Force White Paper Update

et al. 2022

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“…The therapeutic advantage of using acupuncture as an adjuvant therapy lies in the fact that the combination benefits the respiration of ICU patients on ventilation machine and helps weaning from prolonged ventilation [ 37 ]. The application of transcutaneous electrical nerve stimulation on acupuncture points has been shown to decrease the level of pain and opioid consumption in intubated patients connected to mechanical ventilators [ 38 ]. In addition, combined therapy of acupuncture with herbal medicine has been found to reduce the incidence of delirium in patients with cardiovascular disease in ICUs [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Acupuncture Combined with Rehabilitation Training for Intensive Care Unit-Acquired Muscle Weakness: A Protocol for a Randomized, Sham-Procedure-Controlled Clinical Trial

Shou

Jin

Zhuang

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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To evaluate the efficacy of acupuncture combined with rehabilitation training in patients with intensive care unit (ICU)-acquired muscle weakness (ICUAW), a single-blinded, randomized, sham-controlled clinical trial is designed for execution. In total, 56 participants with ICUAW will be randomly assigned to the treatment and control groups with 28 participants in each group. The participants will be treated with acupunctures or sham procedures at LI15, LI11, ST36, GB34, and ST31, 5 times per week for a total of 20 sessions in 4 weeks while they will receive rehabilitation training. Patients will be followed up every month for 3 months after treatment. The primary outcomes include changes in quadriceps femoris muscle area, thickness, vastus intermediate muscle thickness, subcutaneous tissue thickness, and ultrasonic intensities of the rectus femoris. The secondary outcomes consist of the modified Barthel index score and the Medical Research Council total score. Participants’ mechanical ventilation, the rate of detachment at the second week, the 28-day survival rate, and the occurrence of adverse reactions will be measured, and any side effects will be reported and recorded. Patient outcomes between the treatment and control groups will be compared and statistically tested. We anticipate that the therapeutic regimen of acupuncture combined with rehabilitation training would be more effective than the rehabilitation training alone for the treatment of the ICUAW. The findings of this study could help develop a better strategy for the treatment of the ICUAW disease and explore a clinical application of an acupuncture technique. Trial registration: Chinese Clinical Trial Register ChiCTR2000038779. Registered 30 September, 2020, https://www.chictr.org.cn/showproj.aspx?proj=62284.

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“…Essa estimulação pode ocorrer quando alta intensidade é usada. O uso da TENS tem sido encorajado nestes públicos, uma vez que a utilização de opióides está relacionada ao desenvolvimento de efeitos adversos como sonolência extrema, náuseas, vômitos, supressão da tosse, e maior dificuldade para expectoração 21 .…”

Section: Discussionunclassified

Estimulação elétrica transcutânea para tratamento da dor após cirurgia cardíaca: uma revisão sistemática

Oliveira¹,

Cerqueira²,

Cordeiro³

et al. 2020

Rev Pesq Fisio

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Transcutaneous Electrical Nerve Stimulation at the Acupuncture Points to Relieve Pain of Patients Under Mechanical Ventilation: A Randomized Controlled Study

Abstract: The results showed that the use of TENS on acupuncture points can decrease the level of pain and opioid consumption in intubated patients under a mechanical ventilator.

Cited by 14 publications

References 28 publications

Acupuncture Therapy as an Evidence-Based Nonpharmacologic Strategy for Comprehensive Acute Pain Care: The Academic Consortium Pain Task Force White Paper Update

Acupuncture Therapy as an Evidence-Based Nonpharmacologic Strategy for Comprehensive Acute Pain Care: The Academic Consortium Pain Task Force White Paper Update

Efficacy of Acupuncture Combined with Rehabilitation Training for Intensive Care Unit-Acquired Muscle Weakness: A Protocol for a Randomized, Sham-Procedure-Controlled Clinical Trial

Estimulação elétrica transcutânea para tratamento da dor após cirurgia cardíaca: uma revisão sistemática

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