Pulmonary Complication, Postoperative Complications
Conditions
Keywords
acupoint stimulation, elderly patients, postoperative pulmonary complications
Brief summary
Stimulation at acupoints could be of beneficial effects during the perioperative period. In this study the investigators tend to verify the effect of dual acupoints stimulation on pulmonary complications after abdominal surgery in aged patients.
Detailed description
Postoperative pulmonary complications contributes to the high morbidity of aged patients. The incidence could be as high as 30\ 50% in those undergoing abdominal surgery. Stimulation at acupoints have been to alleviate inflammatory response,improve pain management and decrease consumption of opioids, indicating a beneficial effect on pulmonary complications. In this study the investigators tend to verify the effect of dual acupoints stimulation on pulmonary complications after abdominal surgery in aged patients.
Interventions
DEVICEacupoint stimulation
Acupoint Zhongfu and Zusanli are stimulated through electrodes attached on the skin
DEVICEno treatment
electrodes are attached, but no stimulation is given
Sponsors
Air Force Military Medical University, China
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Informed consented * Scheduled for elective abdominal surgery under general anesthesia * Age \>=65 yrs
Exclusion criteria
* Patients with contraindications to transcutaneous electrical stimulation * Patients with difficulty in communication that may confuse follow-up * emergent surgeries * Patients with pneumonia or needed ventilation before surgery * Patients with history of pulmonary surgery * Scheduled surgery involves thoracic manipulations * Patients who attended clinical studies in the last 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of pulmonary complications in 30d post-surgery | from end of surgery to Day 30 after surgery, totally 30 days | incidence of pulmonary complications including pneumonia,atelectasis, pleural effusion and respiratory failure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ICU stay after surgery | from admission to ICU to being discharged from ICU,averagely 2 days | Time of patients stayed in ICU |
| Mortality in 30 days after surgery | from end of surgery to Day 30 after surgery, totally 30 days | death of all causes |
| ICU admission after surgery | from end of surgery to Day 30 after surgery, commonly in 24h after surgery | incidence of patients admitted to ICU unexpectedly |
| Hospital stay after surgery | from end of surgery to being discharged from hospital,averagely 5 days | Time of patients stayed in hospital after surgery |
| expense after surgery | from end of surgery to being discharged from hospital,averagely 5 days | expense of patients after surgery |
| incidence of pulmonary complications in 3 days post-surgery | from end of surgery to Day 3 after surgery, totally 3 days | incidence of pulmonary complications including pneumonia,atelectasis, pleural effusion and respiratory failure |
Countries
China
Contacts
Primary ContactLize Xiong, Prof.
Outcome results
None listed