Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients
Abstract Background Lumbar disc herniation is seen in 5–15% of patients with lumbar back pain and is the most common spine disorder demanding surgical correction. Spinal surgery is one of the most effective management for these patients. However, current surgical techniques still present complicatio...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-022-01875-3 |
| _version_ | 1797988427531026432 |
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| author | Xinyuan Wu Jieling Huang Yuling Zhang Luying Chen Yandong Ji Wuhua Ma Yuhui Li |
| author_facet | Xinyuan Wu Jieling Huang Yuling Zhang Luying Chen Yandong Ji Wuhua Ma Yuhui Li |
| author_sort | Xinyuan Wu |
| collection | DOAJ |
| description | Abstract Background Lumbar disc herniation is seen in 5–15% of patients with lumbar back pain and is the most common spine disorder demanding surgical correction. Spinal surgery is one of the most effective management for these patients. However, current surgical techniques still present complications such as chronic pain in 10–40% of all patients who underwent lumbar surgery, which has a significant impact on patients’ quality of life. Research studies have shown that transcutaneous electrical acupoint stimulation (TEAS) may reduce the cumulative dosage of intraoperative anesthetics as well as postoperative pain medications in these patients. Objective To investigate the effect of pTEAS on pain management and clinical outcome in major spinal surgery patients. Methods We conducted a prospective, randomized, double-blind study to verify the effect of pTEAS in improving pain management and clinical outcome after major spinal surgery. Patients (n = 90) who underwent posterior lumbar fusion surgery were randomized into two groups: pTEAS, (n = 45) and Control (n = 45). The pTEAS group received stimulation on acupoints Zusanli (ST.36), Sanyinjiao (SP.6), Taichong (LR.3), and Neiguan (PC.6). The Control group received the same electrode placement but with no electrical output. Postoperative pain scores, intraoperative outcome, perioperative hemodynamics, postoperative nausea and vomiting (PONV), and dizziness were recorded. Results Intraoperative outcomes of pTEAS group compared with Control: consumption of remifentanil was significantly lower (P < 0.05); heart rate was significantly lower at the end of the operation and after tracheal extubation (P < 0.05); and there was lesser blood loss (P < 0.05). Postoperative outcomes: lower pain visual analogue scale (VAS) score during the first two days after surgery (P < 0.05); and a significantly lower rate of PONV (on postoperative Day-5) and dizziness (on postoperative Day-1 and Day-5) (P < 0.05). Conclusion pTEAS could manage pain effectively and improve clinical outcomes. It could be used as a complementary technique for short-term pain management, especially in patients undergoing major surgeries. Trial registration ChiCTR1800014634, retrospectively registered on 25/01/2018. http://medresman.org/uc/projectsh/projectedit.aspx?proj=183 |
| first_indexed | 2024-04-11T08:04:03Z |
| format | Article |
| id | doaj.art-b69c43a5cb594260845d48c572a72768 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-04-11T08:04:03Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-b69c43a5cb594260845d48c572a727682022-12-22T04:35:37ZengBMCBMC Anesthesiology1471-22532022-11-012211910.1186/s12871-022-01875-3Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patientsXinyuan Wu0Jieling Huang1Yuling Zhang2Luying Chen3Yandong Ji4Wuhua Ma5Yuhui Li6Department of Anaesthesia, The First Affiliated Hospital of Guangzhou University of Chinese medicineThe First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou University of Chinese MedicineThe First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou University of Chinese MedicineThe First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou University of Chinese MedicineThe First Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou University of Chinese MedicineDepartment of Anaesthesia, The First Affiliated Hospital of Guangzhou University of Chinese medicineDepartment of Anaesthesia, The First Affiliated Hospital of Guangzhou University of Chinese medicineAbstract Background Lumbar disc herniation is seen in 5–15% of patients with lumbar back pain and is the most common spine disorder demanding surgical correction. Spinal surgery is one of the most effective management for these patients. However, current surgical techniques still present complications such as chronic pain in 10–40% of all patients who underwent lumbar surgery, which has a significant impact on patients’ quality of life. Research studies have shown that transcutaneous electrical acupoint stimulation (TEAS) may reduce the cumulative dosage of intraoperative anesthetics as well as postoperative pain medications in these patients. Objective To investigate the effect of pTEAS on pain management and clinical outcome in major spinal surgery patients. Methods We conducted a prospective, randomized, double-blind study to verify the effect of pTEAS in improving pain management and clinical outcome after major spinal surgery. Patients (n = 90) who underwent posterior lumbar fusion surgery were randomized into two groups: pTEAS, (n = 45) and Control (n = 45). The pTEAS group received stimulation on acupoints Zusanli (ST.36), Sanyinjiao (SP.6), Taichong (LR.3), and Neiguan (PC.6). The Control group received the same electrode placement but with no electrical output. Postoperative pain scores, intraoperative outcome, perioperative hemodynamics, postoperative nausea and vomiting (PONV), and dizziness were recorded. Results Intraoperative outcomes of pTEAS group compared with Control: consumption of remifentanil was significantly lower (P < 0.05); heart rate was significantly lower at the end of the operation and after tracheal extubation (P < 0.05); and there was lesser blood loss (P < 0.05). Postoperative outcomes: lower pain visual analogue scale (VAS) score during the first two days after surgery (P < 0.05); and a significantly lower rate of PONV (on postoperative Day-5) and dizziness (on postoperative Day-1 and Day-5) (P < 0.05). Conclusion pTEAS could manage pain effectively and improve clinical outcomes. It could be used as a complementary technique for short-term pain management, especially in patients undergoing major surgeries. Trial registration ChiCTR1800014634, retrospectively registered on 25/01/2018. http://medresman.org/uc/projectsh/projectedit.aspx?proj=183https://doi.org/10.1186/s12871-022-01875-3Perioperative transcutaneous electrical acupoint stimulation (pTEAS)Pain managementMajor spinal surgeryClinical outcome |
| spellingShingle | Xinyuan Wu Jieling Huang Yuling Zhang Luying Chen Yandong Ji Wuhua Ma Yuhui Li Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients BMC Anesthesiology Perioperative transcutaneous electrical acupoint stimulation (pTEAS) Pain management Major spinal surgery Clinical outcome |
| title | Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients |
| title_full | Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients |
| title_fullStr | Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients |
| title_full_unstemmed | Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients |
| title_short | Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients |
| title_sort | perioperative transcutaneous electrical acupoint stimulation pteas in pain management in major spinal surgery patients |
| topic | Perioperative transcutaneous electrical acupoint stimulation (pTEAS) Pain management Major spinal surgery Clinical outcome |
| url | https://doi.org/10.1186/s12871-022-01875-3 |
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