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

• Verfasst von: Ahadzadeh, Erfan [VerfasserIn]
• Verfasst von: Yang, Cui [VerfasserIn]
• Verfasst von: Weiß, Christel [VerfasserIn]
• Verfasst von: Goncalves, Mario [VerfasserIn]
• Verfasst von: Santos, Maria Joao [VerfasserIn]
• Verfasst von: Correia, Nuno [VerfasserIn]
• Verfasst von: Reißfelder, Christoph [VerfasserIn]
• Verfasst von: Greten, Henry Johannes [VerfasserIn]
• Verfasst von: Herrle, Florian [VerfasserIn]
• Titel: Personalized checkpoint acupuncture can reduce postoperative pain after abdominal surgery - a STRICTA-conform pilot study
• Verf.angabe: Erfan Ghanad, Cui Yang, Christel Weiß, Mario Goncalves, Maria Joao Santos, Nuno Correia, Christoph Reissfelder, Henry Johannes Greten, Florian Herrle
• E-Jahr: 2023
• Jahr: 10 October 2023
• Umfang: 8 S.
• Illustrationen: Illustrationen
• Fussnoten: Online veröffentlicht: 10. Oktober 2023 ; Gesehen am 20.12.2023
• Titel Quelle: Enthalten in: Langenbeck's archives of surgery
• Ort Quelle: Berlin : Springer, 1948
• Jahr Quelle: 2023
• Band/Heft Quelle: 408(2023), Artikel-ID 391, Seite 1-8
• ISSN Quelle: 1435-2451
• DOI: doi:10.1007/s00423-023-03051-8
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Acupuncture
• Sach-SW: Analgesia
• Sach-SW: Chinese medicine
• Sach-SW: ERAS®
• Sach-SW: Postoperative pain
• K10plus-PPN: 1876529679

Abstract

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.