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Personalized checkpoint acupuncture can reduce postoperative pain after abdominal surgery - a STRICTA-conform pilot study

Background: Optimal pain management is one of the core elements of Enhanced Recovery After Surgery (ERAS®) protocols and remains a challenge. Acupuncture (AC) is an effective treatment for various pain conditions. Systematic and personalized allocation of acupoints may be decisive for efficacy. Meth...

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Main Authors: Ghanad, Erfan (Author) , Yang, Cui (Author) , Weiß, Christel (Author) , Goncalves, Mario (Author) , Santos, Maria Joao (Author) , Correia, Nuno (Author) , Reißfelder, Christoph (Author) , Greten, Henry Johannes (Author) , Herrle, Florian (Author)
Format: Article (Journal)
Language:English
Published: 10 October 2023
In: Langenbeck's archives of surgery
Year: 2023, Volume: 408, Pages: 1-8
ISSN:1435-2451
DOI:10.1007/s00423-023-03051-8
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00423-023-03051-8
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Author Notes:Erfan Ghanad, Cui Yang, Christel Weiß, Mario Goncalves, Maria Joao Santos, Nuno Correia, Christoph Reissfelder, Henry Johannes Greten, Florian Herrle
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Summary:Background: Optimal pain management is one of the core elements of Enhanced Recovery After Surgery (ERAS®) protocols and remains a challenge. Acupuncture (AC) is an effective treatment for various pain conditions. Systematic and personalized allocation of acupoints may be decisive for efficacy. Methods: Based on the predominant pressure sensitivity of six gastrointestinal (GI) checkpoints (G1-G6), we devised a method to detect personalized patterns of pain and a corresponding set of acupoints. We performed a single AC treatment with semi-permanent needles and assessed the visual analogue scale (VAS) score, pain threshold based on pressure algometry (PA), and temperature changes on abdominal skin areas before and 5 min after AC. Results: Between April and June 2021, thirty-eight patients were prospectively included in this pilot study. The mean reduction in subjective pain sensation as assessed by VAS was 86%, paralleled by an augmentation of the pain threshold as measured by PA by 64%. A small but significant increase in the skin temperature was observed above the abdominal surface. These effects were independent of the type of surgery. Conclusion: Checkpoint acupuncture may be a complementary tool for postoperative pain management. Further investigations are needed to explore this analgesic effect.
Item Description:Online veröffentlicht: 10. Oktober 2023
Gesehen am 20.12.2023
Physical Description:Online Resource
ISSN:1435-2451
DOI:10.1007/s00423-023-03051-8

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