Postoperative delirium
Conditions
Interventions
Active electroacupuncture group:Electroacupuncture treatment will be on Shenting (GV24) and bilateral Benshen (GB13) acupoints. It will start 30 minutes before anaesthesia induction and continue for
Sham electroacupuncture group:The sham group will use non-acupuncture points: 20 mm above GV24 and 20 mm lateral to GB13. The procedure will match the active group excluding needle manipulation de qi
Sponsors
Fujian Provincial Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Aged 65 years or older 2. American Society of Anaesthesiologists (ASA) physical status class II or III 3. Scheduled for elective unilateral total knee arthroplasty under general anaesthesia
Exclusion criteria
Exclusion criteria: 1. Baseline dementia or Mini-Mental State Examination (MMSE) score below 24 2. Implanted electrical devices (eg pacemakers brain or spinal cord neurostimulators) 3. Infection or abscess at any selected acupuncture point 4. Severe haematopoietic or haemorrhagic disease 5. Severe audio-visual impairments or inability to communicate in Mandarin 6. Alcohol or illicit drug misuse disorder 7. Current use of sedatives antidepressants or glucocorticoids 8. Received acupuncture or electroacupuncture within one month before surgery 9. Any condition deemed unsafe or unsuitable by the research team
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of postoperative delirium within the first three postoperative days; | — |
Secondary
| Measure | Time frame |
|---|---|
| Delirium severity;Delirium subtypes;Cognitive function;Anxiety and depression;Postoperative pain;Postoperative morphine consumption;Recovery quality;Sleep quality;Length of stay;Adverse events; | — |
Countries
China
Contacts
Public ContactYao yusheng
Fujian Provincial Hospital
Outcome results
None listed