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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| Hauptverfasser: | , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
10 October 2023
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| In: |
Langenbeck's archives of surgery
Year: 2023, Jahrgang: 408, Pages: 1-8 |
| ISSN: | 1435-2451 |
| DOI: | 10.1007/s00423-023-03051-8 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00423-023-03051-8
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| Verfasserangaben: | Erfan Ghanad, Cui Yang, Christel Weiß, Mario Goncalves, Maria Joao Santos, Nuno Correia, Christoph Reissfelder, Henry Johannes Greten, Florian Herrle |
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| 245 | 1 | 0 | |a Personalized checkpoint acupuncture can reduce postoperative pain after abdominal surgery - a STRICTA-conform pilot study |c Erfan Ghanad, Cui Yang, Christel Weiß, Mario Goncalves, Maria Joao Santos, Nuno Correia, Christoph Reissfelder, Henry Johannes Greten, Florian Herrle |
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| 520 | |a 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. | ||
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| 650 | 4 | |a Postoperative pain | |
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