8 research outputs found
Auricular Acupunctures are Effective for the Prevention of Postoperative Agitation in Old Patients
Postoperative cognitive problems and delirium are not uncommon in the elderly. We reported four cases in which auricular acupunctures on the âShenmenâ and âPoint Zeroâ points successfully managed postoperative problematic behaviors of the three patients with dementia and the one patient postoperatively demonstrating an agitated behavior
Transcutaneous Electrical Nerve Stimulation on the PC-5 and PC-6 Points Alleviated Hypotension after Epidural Anaesthesia, Depending on the Stimulus Frequency
Neuraxial blockade causes arterial hypotension. Transcutaneous electrical nerve stimulation (TENS) at the Neiguan (PC-6) and Jianshi (PC-5) reduces the severity of hypotension after spinal anaesthesia, but did not clarify the optimal stimulus frequency. We hypothesized that the stimulus frequency of TENS at the PC-6 and PC-5 points would influence the severity of hypotension after epidural anaesthesia. 65 ASA I or II male patients presenting for inguinal hernia repair were randomized to five groups: the control group received no treatment; the 2âHz, 10âHz, 20âHz, and 40âHz groups received TENS at a frequency of 2âHz, 10âHz, 20âHz, and 40âHz, respectively. The lowest SBP was significantly higher in the 40âHz group [the control, 84 (74â110)âmmHg; the 2âHz, 96 (62â116)âmmHg; the 10âHz, 100 (68â110)âmmHg; the 20âHz, 96 (64â115)âmmHg; the 40âHz, 104 (75â140)âmmHg: P = 0.004]. Significantly less patients experienced hypotension in the 40âHz group [the control, 78%; the 2âHz, 43%; the 10âHz, 38%; the 20âHz, 38%; the 40âHz, 8%: P = 0.008]. TENS on the PC-6 and PC-5 points reduced the severity and incidence of hypotension after epidural anaesthesia, depending on the stimulus frequency