Postoperative Pain; Knee Arthroscopy; Acupuncture
Conditions
Brief summary
Aim of the study: To investigate whether acupuncture with indwelling fixed needles reduces pain and analgesic requirement and foster mobilization in patients after arthroscopic knee surgery (AKS) Design: Prospective pilot investigation with non-randomized arm Number of patients: N = 60 (30 patients with acupuncture additional to standard pain treatment (SPT) vs. 30 patients with SPT only Inclusion criteria: Adult patients scheduled to elective AKS in general anaesthesia with \< 80 min. duration Without previous opioid and psychotropic medication Given informed consentOutcome measures: Postoperative analgesic requirement; Pain intensity; Incidence of side effects; Physiological parameters; Mobilization score
Interventions
OTHERAcupuncture
Acupuncture and ear acupuncture using indwelling fixed needles, that will remained in situ several days after surgery until the patients will experience pain
Sponsors
University Medicine Greifswald
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
19 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients with an American Society of Anesthesiologists physical status of I to II scheduled for elective ambulatory arthroscopic knee surgery under standardized general anesthesia 2. Surgery time does not exceed 80 minutes 3. Patients without previous opioid and psychotropic medication 4. Patients aged between 19 and 55 years, able to fill in the study questionnaire (Appendix F) 5. Patients who have given written informed consent
Exclusion criteria
1. Current psychiatric disease 2. Local skin infection at the sites of acupuncture 3. Aged \< 19 or \> 55 years 4. Failure to follow the standardized schema of general anaesthesia 5. Surgery time more than 80 minutes 6. Intraoperative complications (bleeding, required blood transfusion more than 6 units of packed cells, cardiovascular instability, required catecholamines) 7. Patients who consumed opioid medication at least 6 months before surgery 8. Patients who are unable to understand the consent form or to fill in the study questionnaire.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic requirement | 10 days | Total dose of ibuprofen taken by the patient during 10 days after arthroscopic knee surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity: verbal rating scale | 10 days after surgery | Pain intensity measured using verbal rating scale from 0=no pain to 10=maximal pain |
| Side affects | 10 days after surgery | Incidence of analgesic induced side effects |
Countries
Germany
Contacts
CONTACTTaras Usichenko, MD, PhD
CONTACTJoern Lange, MD, PhD
STUDY_CHAIRTaras Usichenko, MD, PhD
Dept. of Anesthesiology
Outcome results
None listed