67
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Auricular Acupunctures are Effective for the Prevention of Postoperative Agitation in Old Patients

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Postoperative cognitive problems and delirium are not uncommon in the elderly. We reported four cases in which auricular acupunctures on the ‘Shenmen’ and ‘Point Zero’ points successfully managed postoperative problematic behaviors of the three patients with dementia and the one patient postoperatively demonstrating an agitated behavior.

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: not found

          The use of auricular acupuncture to reduce preoperative anxiety.

          Ear acupuncture can decrease preoperative anxiety in adults undergoing outpatient surgery.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Effect of the intensity of transcutaneous acupoint electrical stimulation on the postoperative analgesic requirement.

            Given the inherent side effects associated with both opioid and nonopioid analgesic drugs, a nonpharmacologic therapy that could decrease the need for analgesic medication would be valuable. We designed a sham-controlled study to assess the effect of the intensity of transcutaneous acupoint electrical stimulation (TAES) on postoperative patient-controlled analgesia (PCA) requirement for hydromorphone (HM), the incidence of opioid-related side effects, and the recovery profile after lower abdominal surgery. One hundred one healthy consenting women undergoing lower abdominal procedures with a standardized general anesthetic technique were randomly assigned to one of four postoperative analgesic treatment regimens: Group I (n = 26) PCA only; Group II (n = 25), PCA + sham-TAES (no electrical stimulation); Group III (n = 25), PCA + low-TAES (4-5 mA of electrical stimulation); Group IV (n = 25), PCA + high-TAES (9-12 mA of electrical stimulation). The PCA device was programmed to deliver HM, 0.2-0.4 mg intravenously boluses "on demand," with a minimum lockout interval of 10 min. The TAES skin electrodes were placed at the Hegu acupoint on the nondominant hand and on both sides of the surgical incision. The TAES frequency was set in the dense-and-disperse mode, alternating at 2 Hz and 100 Hz every 3 s, with stimulation of the hand and incision alternated every 6 s. The patients in Groups II-IV were instructed to use TAES every 2 h for 30 min while awake. After discontinuation of PCA, oral pain medications were administered on demand. The postoperative PCA-HM requirement, pain scores, opioid-related side effects, and requirements for antiemetic and antipruritic medication were recorded. High-TAES decreased the HM requirement by 65% and reduced the duration of PCA therapy, as well as the incidence of nausea, dizziness, and pruritus. Low-TAES produced a 34% decrease in the HM requirement compared with only 23% in the "sham" TAES group. We conclude that high-TAES produced a significant decrease in the PCA opioid requirement and opioid-related side effects after low intraabdominal surgery.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Risk factors for delirium in the elderly after coronary artery bypass graft surgery.

              To investigate the risk factors for delirium in the elderly during the post-operative period of coronary artery bypass graft surgery (CABG). A total of 220 inpatients submitted to CABG were evaluated prior to and after surgery. In order to investigate the possible risk factors, data were collected from pre- intra- and post-operative periods. The patients were assessed using the Mini-mental State Examination and to the Geriatric Depression Scale. The diagnosis of delirium was determined according to DSM-IV criteria. Delirium was detected in 74 (33.6%) patients. Increasing age, blood urea level, cardio-thoracic index, hypertension, smoking habits, blood replacement during bypass, atrial fibrillation (AF), pneumonia and blood balance in the post-operative period were the risk factors for delirium selected by the logistic regression analysis. No specific factor associated with the CABG (perfusion pressure, number of grafts) was correlated with an increased risk for delirium post-operatively. The length of stay was twice as long in the delirious group (p<0.001). Delirium in the elderly after CABG is a multifactorial disorder. Nine factors taken together can identify patients at great risk for delirium. No specific factor associated with bypass procedure could be identified as a risk factor for delirium. The control of the risk factors should bring a decrease in delirium morbidity and mortality.
                Bookmark

                Author and article information

                Journal
                Evid Based Complement Alternat Med
                ecam
                ecam
                Evidence-based Complementary and Alternative Medicine : eCAM
                Oxford University Press
                1741-427X
                1741-4288
                September 2010
                29 October 2009
                : 7
                : 3
                : 383-386
                Affiliations
                1Multidisciplinary Pain Centre, Aichi Medical University, School of Medicine, 2Department of Surgery, Toki General Hospital, Gifu and 3Departments of Anesthesiology, Clinical Physiology and Pharmacology, School of Nursing, Kochi Medical School, Japan
                Author notes
                For reprints and all correspondence: Young-Chang P. Arai, Multidisciplinary Pain Centre, Aichi Medical University, School of Medicine, 21 Karimata, Nagakutecho, Aichigun, Aichi 480-1195, Japan. Tel: +81-561-62-3311; Fax: +81-561-62-5004; E-mail: arainon@ 123456aichi-med-u.ac.jp
                Article
                nep172
                10.1093/ecam/nep172
                2887336
                19875431
                fc13b6d4-9558-4812-b19d-5e358342a8de
                © The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org
                History
                : 7 May 2009
                : 2 October 2009
                Categories
                Case Report

                Complementary & Alternative medicine
                dementia,agitation,auricular acupuncture,delirium
                Complementary & Alternative medicine
                dementia, agitation, auricular acupuncture, delirium

                Comments

                Comment on this article