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- Title
Acupuncture as An Adjunct for Sedation during Lithotripsy.
- Authors
Shu-Ming Wang; Punjala, Mamatha; Weiss, Dana; Anderson, Kevin; Kain, Zeev N.
- Abstract
Objective: To determine whether a combination of auricular and body acupuncture is effective as an adjunct for the preprocedural anxiety and pain management in patients undergoing lithotripsy procedures. Design: Randomized controlled study. Setting and Location: Lithotripsy suite located at the Yale New Haven Hospital, New Haven CT. Subjects: Adult patients who were scheduled to receive elective lithotripsy procedures. Interventions: Acupuncture group: Preprocedural auricular acupuncture intervention combined with intraprocedural electroacupuncture stimulation ( n = 29); Sham control group: Preprocedural sham auricular acupuncture intervention combined with intraprocedural sham electroacupuncture stimulation ( n = 27). Outcomes measurement: Preprocedural anxiety, intraprocedural alfentanil consumption, visual analogue scale for pain. Results: Patients in the acupuncture group were less anxious preprocedure than those in the Sham Control Group 32 (29–34) versus 40 (35–45) ( p = 0.029). Similarly, patients in the Acupuncture Group used a lesser amount of alfentanil than those in the sham control group ( p = 0.040). The adjustable alfentanil consumption as expressed by median rate of alfentanil consumption of 1 (0.6–1.6) μg kg−1 minute−1 in the acupuncture group was lower than that of 1.5 (0.9–2.3) μ g kg−1 minute−1 in the sham control group. Patients in the Acupuncture group also reported lower pain scores on admission to the recovery room ( p = 0.014). Conclusions: A combination of auricular and body acupuncture can be used as an adjunct treatment to decrease preprocedural anxiety and intraprocedural analgesia in patients undergoing lithotripsy.
- Publication
Journal of Alternative & Complementary Medicine, 2007, Vol 13, Issue 2, p241
- ISSN
1075-5535
- Publication type
Academic Journal
- DOI
10.1089/acm.2006.6262