Abstract
Background
Transcutaneous electric acupoint stimulation (TEAS) has shown benefits when used peri-operatively. However, the role of numbers of areas with acupoint stimulation is still unclear. Therefore, we report the protocol of a randomized controlled trial of using TEAS in elderly patients subjected to gastrointestinal surgery, and comparing dual-acupoint and single-acupoint stimulation.
Methods/design
A multicenter, randomized, controlled, three-arm design, large-scale trial is currently undergoing in four hospitals in China. Three hundred and forty-five participants are randomly assigned to three groups in a 1:1:1 ratio, receiving dual-acupoint TEAS, single-acupoint TEAS, and no stimulation, respectively. The primary outcome is incidence of pulmonary complications at 30 days after surgery. The secondary outcomes include the incidence of pulmonary complications at 3 days after surgery; the all-cause mortality within 30 days and 1 year after surgery; admission to the intensive care unit (ICU) and length of ICU stay within 30 days after surgery; the length of postoperative hospital stay; and medical costs during hospitalization after surgery.
Discussion
The result of this trial (which will be available in September 2019) will confirm whether TEAS before and during anesthesia could alleviate the postoperative pulmonary complications after gastrointestinal surgery in elderly patients, and whether dual-acupoint stimulation is more effective than single-acupoint stimulation.
Trials registrations
ClinicalTrials.gov, ID: NCT03230045. Registered on 10 July 2017.
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Details
1 Xijing Hospital, Fourth Military Medical University, Department of Anesthesiology, Xi’an, China (GRID:grid.417295.c) (ISNI:0000 0004 1799 374X)
2 Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Department of Anesthesiology, Guangzhou, China (GRID:grid.413402.0)
3 First Affiliated Hospital of Chongqing Medical University, Department of Anesthesiology, Chongqing, China (GRID:grid.452206.7)
4 First Affiliated Hospital of Zhengzhou University, Department of Anesthesiology, Zhengzhou, China (GRID:grid.412633.1)




