Patients who’ve acupuncture throughout complete knee alternative surgical procedure report much less ache and want far fewer opioids to handle their discomfort, in response to a examine being offered on the ANESTHESIOLOGY® 2021 annual assembly. Outcomes of the examine confirmed that 65% of sufferers who acquired acupuncture throughout surgical procedure achieved a low-dose or opioid-free postoperative expertise, in comparison with 9% of sufferers outdoors of the examine.
“Total knee replacements are one of the vital frequent operative procedures in the USA and usually very painful, so there’s a fantastic have to discover non-opioid ache aid methods for one of these surgical procedure,” stated Stephanie Cheng, M.D., DABMA, lead creator of the examine and assistant attending anesthesiologist on the Hospital for Particular Surgery and assistant professor of scientific anesthesiology at Weill Cornell Medication, each situated in New York Metropolis. “Acupuncture is extraordinarily secure and may help cut back ache with few undesirable unwanted effects, nevertheless it has not been nicely researched as a part of surgical anesthesia.”
The examine included 41 sufferers present process major complete knee alternative on the Hospital for Particular Surgery. All sufferers acquired the establishment’s commonplace opioid-sparing multimodal analgesic protocol, with the addition of electroacupuncture — a modified type of conventional acupuncture that applies a small electrical present to skinny needles which can be inserted at identified acupuncture factors on the physique. The acupuncture was administered throughout surgical procedure by Dr. Cheng, who’s board-certified in medical acupuncture, to eight particular factors within the ear to offer focused ache aid within the knee.
With the addition of acupuncture, nearly all of sufferers had a major discount in postoperative opioid use, in comparison with historic controls. Sixty-five % of sufferers maintained a low-dose opioid routine of 15 oxycodone drugs or much less (57.5%) or remained fully opioid-free (7.5%) from induction of anesthesia to 30 days after surgical procedure. Traditionally, solely 9% of sufferers outdoors of the examine maintained a low-dose or opioid-free routine post-surgery. All sufferers studied discontinued opioid use after 30 days following surgical procedure.
“Our examine reveals that if a educated medical acupuncturist is obtainable to carry out acupuncture within the working room, it may possibly assist sufferers with postoperative ache restoration,” stated Dr. Cheng. “Most research fail to include nontraditional methods, comparable to acupuncture, to assist lower the dependance on opioid drugs for postoperative ache management.”
Within the context of the opioid epidemic, attaining low-dose perioperative opioid consumption is vital to lowering the danger of long-term opioid use in sufferers. With acupuncture being generally used outdoors of the hospital as an efficient remedy for ache administration and therapy for a variety of well being points and signs, it’s time to think about its advantages contained in the hospital as nicely, Dr. Cheng stated. “Further analysis is required to additional outline acupuncture’s results and encourage its use in all features of illness therapy.”