medigraphic.com
ISSN 1684-1824 (Electronic)

2021, Number 4

<< Back Next >>

Rev Méd Electrón 2021; 43 (4)

Acupuncture in the recovery from general anesthesia in patients who underwent a breast nodule surgery

Alemán SLE, Castro MEM, González PRI, Collado LI, Lovio NY, Rodríguez CE

Language: Spanish
References: 20
Page: 1-14
PDF size: 1483.26 Kb.


ABSTRACT

Introduction: in the recovery period from general anesthesia the used drugs should be metabolized and the physiological alterations restored. Acupuncture is a treatment method that has been studied in the perioperative period with different aims; nevertheless its effect on the recovery from general anesthesia is less well known.
Objective: to describe the acupuncture stimulation effect on the recovery from general balanced anesthesia in patients who underwent a breast nodule surgery.
Materials and methods: a prospective, observational study was performed in 60 patients who underwent a surgery of breast nodule with balanced endotracheal general anesthesia, from January 2014 to January 2016, at the Provincial Teaching Hospital “Jose Ramon Lopez Tabrane” of Matanzas. Two groups were formed: group I included patients to whom acupuncture needles were placed in R1, Du 26 and P9 acupoints after surgery, and Group II patients to whom acupuncture was not performed. The acupuncture effect on anesthetic recovery was assessed using the Aldrete Scale. Two groups were formed: group I, whose members at the end of the surgery were placed acupuncture needles to in the points R1, Du26 and P9; and group II, whose members did not receive acupuncture. The effect of acupuncture on anesthetic recovery was measured through the Aldrete Scale.
Results: the highest incidence age was 40 to 49 years. The physical condition of the patients, according to the American Society of Anesthesiology, was I. An anesthetic time of 61 to 90 minutes prevailed. More than 75% of the women had an anesthetic recovery time between 31 and 60 minutes. There were two minor complications attributable to acupuncture.
Conclusions: acupuncture application shortened the anesthetic recovery time in the studied patients.


REFERENCES

  1. Chávez Velgara LY. Tiempo de recuperación en pacientes sometidos a anestesia total intravenosa comparada con anestesia general balanceada en colecistectomía laparoscópica, Hospital Belén de Trujillo [Internet]. Trujillo: Universidad César Vallejo. Repositorio Digital Institucional; 2016 [citado 16/01/2021]. Disponible en: Disponible en: https://repositorio.ucv.edu.pe/handle/20.500.12692/555

  2. Pujols Bautista LMI, González González LA. Protocolo de atención para anestesia general [Internet]. Santo Domingo: Ministerio de Salud Pública; 2017 [citado 16/01/2021]. Disponible en: Disponible en: https://repositorio.msp.gob.do/bitstream/handle/123456789/928/ProtocoloAtencionAnestesiaGeneral.pdf?sequence=1&isAllowed=y

  3. Yuan W, Wang Q. Perioperative acupuncture medicine: a novel concept instead of acupuncture anesthesia. Chin Med J. 2019 Mar;132(6):707-15. Citado en PubMed; PMID: 30855351.

  4. Kwon S, Jin C, Jeong A, et al. Effects of acupuncture on postoperative recovery and extubation time: A protocol for systematic review and meta analysis. Medicine. 2021 Jan;100(4). Citado en PubMed; PMID: 33530274.

  5. Li S, Zheng M, Wenzhong W, et al . Effects of Electroacupuncture Administered 24 hours Prior to Surgery on Postoperative Nausea and Vomiting and Pain in Patients Undergoing Gynecologic Laparoscopic Surgery: A Feasibility Study Affiliation. Explore. 2017;13(5):313-8. Citado en PubMed; PMID: 28818674.

  6. Yu X, Zhang F, Chen B. The effect of TEAS on the quality of early recovery in patients undergoing gynecological laparoscopic surgery: a prospective, randomized, placebo-controlled trial. Trials. 2020;21(1):43. Citado en Pub Med; PMID: 31915045.

  7. Román-Romero J, Córdova-González I. Analgesia preventiva versus analgesia postoperatoria con paracetamol + ketorolaco en colecistectomía laparoscópica. Rev Mex Anest [Internet]. 2021 [citado 16/01/2021];44(1):8-12. Disponible en: Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=97772

  8. Fu CW, Shu Q, Jiao Y, et al. A comparison of noninvasive and invasive acupuncture in preventing post operative nausea and vomiting: A protocol for systematic review and Bayesian network meta-analysis. Medicine. 2020 Jul;99(31):e 21 544. Citado en PubMed; PMID: 32756210.

  9. De los Ríos-Arellano JG, Cordero-Escobar I, Pérez-Martínez G, et al. Satisfacción de la recuperación anestésica postoperatoria, según escala en pacientes con anestesia general y neuroaxial. Rev Mexicana Anestesiol [Internet]. 2017 [citado 16/01/2021];(40):264-72. Disponible en: Disponible en: https://www.medigraphic.com/pdfs/rma/cma-2017/cma174c.pdf

  10. Álvarez Díaz TA, Tosar Pérez MA, Echemendia Salix C. Medicina Tradicional china. Acupuntura, moxibustion y medicina herbolaria. La Habana: Editorial UH; 2014.

  11. Álvarez Fernández J, Palacios Ozores P, Cebey López V, et al. Cáncer de mama. Medicine: Programa de Formación Médica Continuada Acreditado [Internet]. 2021 [citado 16/11/2020];13(27):1506-17. Disponible en: Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7837160

  12. McCahillLE, Single RM, Aiello Bowles EJ. Variability in reexcision following breast conservation surgery. JAMA [Internet]. 2012 [citado 16/11/2020];307:467-75. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/1104931

  13. Deng S. Acupuncture treatment of syncope based on differentiation of signs and symptoms. J Tradit Chin Med. 1990;10(3):182-8.

  14. Xu M, Li D, Zhang S. Acupuntura para el accidente cerebrovascular agudo. Biblioteca Cochrane [Internet]. 2018 [citado 16/11/2020];(3). Disponible en: Disponible en: https://www.cochrane.org/es/CD003317/STROKE_acupuntura-para-el-accidente-cerebrovascular-agudo

  15. Yang A, Wu H, Tang J, et al. Acupuntura para la rehabilitación del accidente cerebrovascular. Biblioteca Cochrane [Internet]. 2016 [citado 16/11/2020];(8). Disponible en: Disponible en: https://www.cochrane.org/es/CD004131/STROKE_acupuntura-para-la-rehabilitacion-del-accidente-cerebrovascular

  16. Quiñones NA. Aporte de las terapias alternativas dentro de los procesos de neurorehabilitación. FisioGlía [Internet]. 2018 [citado 16/09/2020];5(1):5-9. Disponible en: Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6253103

  17. Gemma M, Nicelli E, Gioia L, et al. Acupuncture accelerates recovery after general anesthesia: a prospective randomized controlled trial. J Integr Med. 2015;13(2):99-104. Citado en PubMed; PMID: 25797640.

  18. Fleckenstein J, Baeumler P, Gurschler C, et al. Acupuncture for post anaesthetic recovery and postoperative pain: study protocol for a randomised controlled trial. Trials. 2014;15:292. Citado en PubMed; PMID: 25047046.

  19. Fernández de Gamarra Goiricelaya A. Reanimación cardiopulmonar y Du-26. A propósito de un caso. Rev Inter Acupuntura [Internet]. 2011 [citado 16/11/2020];5(1):24-6. Disponible en: Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1887836911700060

  20. Pereira G, Mesquitad A, Martins-da-Encarnacão AP. Adverse events during acupuncture training at the 3rd Edition of the Post-Graduation on Medical Acupuncture at Health Sciences School of the University of Minho. Acupuncture and Related Therapies [Internet]. 2016 Feb-Aug [citado 16/11/2020];4(1-3):1-5. Disponible en: Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S2211766016300068




2020     |     www.medigraphic.com