Acupuncture for Postoperative Analgesia in Laparoscopic Surgery
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - 70 |
| Updated: | 4/6/2019 |
| Start Date: | September 2016 |
| End Date: | February 2020 |
| Contact: | Yanire Nieves, MD |
| Email: | ynieves@emory.edu |
| Phone: | (404) 321-6111 |
Auricular (ear) acupuncture treatment involves placing filiform needles in the ears at
particular locations called acupoints. Although the mechanism for acupuncture analgesia is
still unclear, it is believed ear acupoints work like reflex points that once stimulated with
penetration by a needle have the ability to relieve pain in a different part of the body.
The purpose of this study is to explore the safety and effects of auricular acupuncture
therapy on postoperative analgesic consumption and pain scores immediately following
laparoscopic surgery.
particular locations called acupoints. Although the mechanism for acupuncture analgesia is
still unclear, it is believed ear acupoints work like reflex points that once stimulated with
penetration by a needle have the ability to relieve pain in a different part of the body.
The purpose of this study is to explore the safety and effects of auricular acupuncture
therapy on postoperative analgesic consumption and pain scores immediately following
laparoscopic surgery.
Auricular acupuncture is a diagnostic and treatment system associated with a somatotopic
representation of the homunculus in the ear. This acupuncture technique is similar, in
theory, to reflexology where stimulation of a reflex point in the ear is presumed to relieve
symptoms in another part of the body. It is hypothesized that this technique works to
decrease pain through the reticular formation, the sympathetic and the parasympathetic
nervous systems.
The increasing use of laparoscopic surgery has significantly diminished the dosing and
duration of postoperative opioid consumption compared with open surgery. However, adverse
events related with opioid use (nausea & vomiting, pruritus, urinary retention, sedation) may
cause delays in hospital discharge and can be especially problematic for certain sub-sets of
high risk patients such as those with obstructive sleep apnea or prior histories of
addiction. Investigators hypothesize that auricular acupuncture using the Battlefield
Acupuncture Protocol will decrease opioid consumption and postoperative pain after
laparoscopic surgery with minimal or no adverse events.
The primary aim of this study is to assess the effects of the BFA protocol on postoperative
analgesic consumption and the secondary aims are to assess pain scores and time to discharge
from Post Anesthesia Care Unit following laparoscopic surgery.
representation of the homunculus in the ear. This acupuncture technique is similar, in
theory, to reflexology where stimulation of a reflex point in the ear is presumed to relieve
symptoms in another part of the body. It is hypothesized that this technique works to
decrease pain through the reticular formation, the sympathetic and the parasympathetic
nervous systems.
The increasing use of laparoscopic surgery has significantly diminished the dosing and
duration of postoperative opioid consumption compared with open surgery. However, adverse
events related with opioid use (nausea & vomiting, pruritus, urinary retention, sedation) may
cause delays in hospital discharge and can be especially problematic for certain sub-sets of
high risk patients such as those with obstructive sleep apnea or prior histories of
addiction. Investigators hypothesize that auricular acupuncture using the Battlefield
Acupuncture Protocol will decrease opioid consumption and postoperative pain after
laparoscopic surgery with minimal or no adverse events.
The primary aim of this study is to assess the effects of the BFA protocol on postoperative
analgesic consumption and the secondary aims are to assess pain scores and time to discharge
from Post Anesthesia Care Unit following laparoscopic surgery.
Inclusion Criteria:
- Patients undergoing laparoscopic surgery for cholecystectomy, hysterectomy or hernia
repair
- Patients naïve to acupuncture
Exclusion Criteria:
- Pregnancy
- Bleeding disorder
- Anticoagulant medications
- Involuntary movement disorders/Seizure disorders
- Local auricular infection, loss of skin integrity or significant deformation
- History of opioid medication use or dependence
- Hemodynamic or immunocompromised status
- History of syncope with venipuncture
- Unable to understand the consent form or how to use the VAS-100
- Prosthetic cardiac valves
- Patients will be withdrawn from the study if surgery time exceeds 90 minutes or the
laparoscopic procedure turned into an open surgery
We found this trial at
1
site
1670 Clairmont Road
Atlanta, Georgia 30033
Atlanta, Georgia 30033
Phone: 404-321-6111
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