Electrical Acupoint Stimulation for Postoperative Recovery (EAS)
Electrical Acupoint Stimulation for Postoperative Recovery After Knee Arthroplasty. A Randomized, Double-blind, Clinical Trial.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: zhang weiliang, MD
- Phone Number: 6114 086-0531-68617021
- Email: hezhangweiliang@163.com
Study Contact Backup
- Name: Su Fan, MD
- Phone Number: 6114 086-0531-68617023
- Email: boatsail@163.com
Study Locations
-
-
Shandong
-
Ji'nan, Shandong, China, 250011
- Affiliated Hospital of Shandong University of Traditional Chinese Medicine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Agree to sign the contract
- The patients receive total hip or knee arthroplasty
- Epidural anesthesia administered
Exclusion Criteria:
- The patients' age out of range setting
- Forbidden to the administration of transcutaneous electrical acupoint stimulation
- Communication disorder
- The patients who had medical history of cerebral vascular diseases, deep vein thrombosis, urinary retention, nausea and vomiting.
- The patients who attended another trial in the past three months
- Emergency surgery
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: TEAS group
Transcutaneous Electrical Acupoint Stimulation on Neiguan, Quchi, Zusanli, Sanyinjiao.
Intensity: maximal tolerance by subject; Time span: 30minutes before anesthesia induction and 30 minutes after wound closure.
|
The intervention will be administered by electrical acupoint machine, the brand is Great Wall.
|
|
Placebo Comparator: Electroacupuncture group
Hand-needle on Neiguan, Quchi, Zusanli, Sanyinjiao.Intensity: maximal tolerance by subject; Time span: 30minutes before anesthesia induction and 30 minutes after wound closure.
|
The intervention will be administered by electrical acupoint machine, the brand is Great Wall.
|
|
Sham Comparator: sham TEAS group
Sham transcutaneous electrical acupoint stimulation on Neiguan, Quchi, Zusanli, Sanyinjiao; Intensity: maximal tolerance by subject; Time span: 30minutes before anesthesia induction and 30 minutes after wound closure.
|
The intervention will be administered by transcutaneous electrical acupoint machine, even no truly actualized.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The postoperative recovery
Time Frame: 7 days
|
Record the postoperative recovery after surgery through quality of recovery-40 questionnaire.
|
7 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The adverse event
Time Frame: 7 days
|
Record all the adverse events appeared during the entire trail, which might cause to skin rash, allergic reaction, et al.
|
7 days
|
|
The level of stress response
Time Frame: up to 7 days
|
Assess the level of preoperative stress response at 1, 3, 7 days after operation.
It mainly include Adrenocorticotropic Hormone (ACTH), Cortisol (COR), Adrenaline (E), norepinephrine (NE).
All measures unit is pg/ml.
|
up to 7 days
|
|
Postoperative complications
Time Frame: 7 days
|
Record the incidence of any postoperative complications during 7 days
|
7 days
|
|
The level of inflammatory response by TNF-a, IL-1, IL-6, IL-10
Time Frame: up to 7 days
|
Assess the level of perioperative inflammatory response at 1, 3, 7 days after operation.
It mainly include Tumor Necrosis Factor-a (TNF-a), Interleukins-1 (IL-1), Interleukins-6 (IL-6), Interleukins-10 (IL-10).
All measures unit is ng/ml.
|
up to 7 days
|
|
The level of inflammatory response by C-reactive protein
Time Frame: up to 7 days
|
Assess the level of perioperative inflammatory response at 1, 3, 7 days after operation through C-reactive protein.
the unit is mg/L.
|
up to 7 days
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Age in years
Time Frame: 1 day
|
Once patients enrolled, the age (years) need to be recorded ahead of operation.
|
1 day
|
|
ASA classification status
Time Frame: 1 day
|
Once patients enrolled, the ASA condition need to be recorded ahead of operation depend on the ASA classification.
|
1 day
|
|
Gender
Time Frame: 1 day
|
Once patients enrolled, the gender need to be recorded ahead of operation.
|
1 day
|
|
Weight in kilograms
Time Frame: 1 day
|
Once patients enrolled, the weight (kilograms) need to be recorded ahead of operation.
|
1 day
|
|
Height in meters
Time Frame: 1 day
|
Once patients enrolled, the height (meters) need to be recorded ahead of operation.
|
1 day
|
|
BMI in kg/m^2
Time Frame: 1 day
|
Once patients enrolled, the BMI (weight and height will be combined to report BMI in kg/m^2) will be reported base on weight and height ahead of operation.
|
1 day
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Su Fan, MD, Shandong University of Traditional Chinese Medicine
Publications and helpful links
General Publications
- Coburn M, Fahlenkamp A, Zoremba N, Schaelte G. Postoperative cognitive dysfunction: Incidence and prophylaxis. Anaesthesist. 2010 Feb;59(2):177-84; quiz 185. doi: 10.1007/s00101-009-1657-2.
- Choi JB, Shim YH, Lee YW, Lee JS, Choi JR, Chang CH. Incidence and risk factors of postoperative nausea and vomiting in patients with fentanyl-based intravenous patient-controlled analgesia and single antiemetic prophylaxis. Yonsei Med J. 2014 Sep;55(5):1430-5. doi: 10.3349/ymj.2014.55.5.1430.
- Office of the Surgeon General (US); National Heart, Lung, and Blood Institute (US). The Surgeon General's Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Rockville (MD): Office of the Surgeon General (US); 2008. Available from http://www.ncbi.nlm.nih.gov/books/NBK44178/
- Montazeri AS, Hamidzadeh A, Raei M, Mohammadiun M, Montazeri AS, Mirshahi R, Rohani H. Evaluation of Oral Ginger Efficacy against Postoperative Nausea and Vomiting: A Randomized, Double - Blinded Clinical Trial. Iran Red Crescent Med J. 2013 Dec;15(12):e12268. doi: 10.5812/ircmj.12268. Epub 2013 Dec 5.
- Sorrell JM. Postoperative cognitive dysfunction in older adults: a call for nursing involvement. J Psychosoc Nurs Ment Health Serv. 2014 Nov;52(11):17-20. doi: 10.3928/02793695-20141021-03.
- Ge Y, Ma Z, Shi H, Zhao Y, Gu X, Wei H. [Incidence and risk factors of postoperative cognitive dysfunction in patients underwent coronary artery bypass grafting surgery]. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Oct;39(10):1049-55. doi: 10.11817/j.issn.1672-7347.2014.10.011. Chinese.
- Tsay SL, Cho YC, Chen ML. Acupressure and Transcutaneous Electrical Acupoint Stimulation in improving fatigue, sleep quality and depression in hemodialysis patients. Am J Chin Med. 2004;32(3):407-16. doi: 10.1142/S0192415X04002065.
- Kabalak AA, Akcay M, Akcay F, Gogus N. Transcutaneous electrical acupoint stimulation versus ondansetron in the prevention of postoperative vomiting following pediatric tonsillectomy. J Altern Complement Med. 2005 Jun;11(3):407-13. doi: 10.1089/acm.2005.11.407.
- Yao Y, Zhao Q, Gong C, Wu Y, Chen Y, Qiu L, Wu X, Chen Y. Transcutaneous Electrical Acupoint Stimulation Improves the Postoperative Quality of Recovery and Analgesia after Gynecological Laparoscopic Surgery: A Randomized Controlled Trial. Evid Based Complement Alternat Med. 2015;2015:324360. doi: 10.1155/2015/324360. Epub 2015 Jun 11.
- Zheng LH, Sun H, Wang GN, Liang J, Wu HX. Effect of transcutaneous electrical acupoint stimulation on nausea and vomiting induced by patient controlled intravenous analgesia with tramadol. Chin J Integr Med. 2008 Mar;14(1):61-4. doi: 10.1007/s11655-007-9006-2.
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SZH-A-20170501-R2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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