Effect of electroacupuncture in postanesthetic shivering during regional anesthesia: a randomized controlled trial.
BMC Complement Altern Med
; 12: 233, 2012 Nov 27.
Article
en En
| MEDLINE
| ID: mdl-23181618
ABSTRACT
BACKGROUND:
Shivering during regional anesthesia is a common complication and is related to a decrease in the patient's core body temperature. Previous studies have shown that acupuncture on specific acupoints can preserve core body temperature. The present study evaluated the effect of electroacupuncture in preventing the shivering caused by regional anesthesia.METHODS:
This prospective and randomized controlled study analyzed the data from 80 patients undergoing urological surgery, who were classified as ASA I or II. Spinal anesthesia was performed in all patients using 15 mg of bupivacaine. The patients were randomly allocated to receive either placebo acupuncture (Group P, n=40) or electroacupuncture (Group A, n=40) for 30 min before administration of spinal anesthesia. Shivering score was recorded at 5 min intervals, with 0 representing no shivering and 4 representing the most severe shivering possible. Heart rate, blood pressure, and tympanic temperature were recorded before the intrathecal injection, and again every 5 min thereafter until 30 min.RESULTS:
After spinal anesthesia, the decrease in tympanic temperature was less for Group A patients than Group P, with the difference being statistically significant. After 15 min, 13 patients in Group P attained a shivering score of 3 or more, compared with 3 patients in Group A. Significantly more patients in Group P attained a shivering score of at least 1.CONCLUSIONS:
The prophylactic use of electroacupuncture might maintain core body temperature, and may effectively prevent the shivering that commonly develops during regional anesthesia. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry ACTRN12612000096853.
Texto completo:
1
Bases de datos:
MEDLINE
Medicinas Tradicionales:
Medicinas_tradicionales_de_asia
/
Medicina_china
Métodos Terapéuticos y Terapias MTCI:
Terapias_energeticas
Asunto principal:
Tiritona
/
Temperatura Corporal
/
Electroacupuntura
/
Anestesia Raquidea
Tipo de estudio:
Clinical_trials
/
Observational_studies
Idioma:
En
Revista:
BMC Complement Altern Med
Año:
2012
Tipo del documento:
Article
País de afiliación:
Taiwán