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Open Access Study protocol

Acupuncture for post anaesthetic recovery and postoperative pain: study protocol for a randomised controlled trial

Johannes Fleckenstein123*, Petra I Baeumler1, Caroline Gurschler1, Tobias Weissenbacher4, Michael Simang5, Thorsten Annecke2, Thomas Geisenberger26 and Dominik Irnich12

Author Affiliations

1 Multidisciplinary Pain Centre, Department of Anaesthesiology, University of Munich, Pettenkoferstrasse 8 A, 80336 München, Germany

2 Department of Anaesthesiology, University of Munich, München, Germany

3 Department of Traditional Chinese Medicine/Acupuncture, Institute of Complementary Medicine IKOM, University of Bern, Bern, Switzerland

4 Department of Obstetrics and Gynaecology, Ludwig-Maximillians-University Hospital, München, Germany

5 Institute for Medical Information Sciences, Biometry and Epidemiology (IBE), University of Munich, München, Germany

6 Department of Anaesthesiology, Hospital of the City of Tuttlingen, Tuttlingen, Germany

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Trials 2014, 15:292  doi:10.1186/1745-6215-15-292

Published: 21 July 2014

Abstract

Background

We report on the design and implementation of a study protocol entitled Acupuncture randomised trial for post anaesthetic recovery and postoperative pain - a pilot study (ACUARP) designed to investigate the effectiveness of acupuncture therapy performed in the perioperative period on post anaesthetic recovery and postoperative pain.

Methods/Design

The study is designed as a randomised controlled pilot trial with three arms and partial double blinding. We will compare (a) press needle acupuncture, (b) no treatment and (c) press plaster acupressure in a standardised anaesthetic setting. Seventy-five patients scheduled for laparoscopic surgery to the uterus or ovaries will be allocated randomly to one of the three trial arms. The total observation period will begin one day before surgery and end on the second postoperative day. Twelve press needles and press plasters are to be administered preoperatively at seven acupuncture points. The primary outcome measure will be time from extubation to ‘ready for discharge’ from the post anaesthesia care unit (in minutes). The ‘ready for discharge’ end point will be assessed using three different scores: the Aldrete score, the Post Anaesthetic Discharge Scoring System and an In-House score. Secondary outcome measures will comprise pre-, intra- and postoperative variables (which are anxiety, pain, nausea and vomiting, concomitant medication).

Discussion

The results of this study will provide information on whether acupuncture may improve patient post anaesthetic recovery. Comparing acupuncture with acupressure will provide insight into potential therapeutic differences between invasive and non-invasive acupuncture techniques.

Trial registration

NCT01816386 (First received: 28 October 2012)