Transcutaneous Electrical Acupoint Stimulation (TEAS) on Prevention Hypotension in Elderly

Konya Meram State Hospital

Status: Completed

Conditions: Hypotension

Treatments: Device: Transcutaneous Electrical Acupoint Stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT05272033

TEAS Elderly Hypotension

Details and patient eligibility

About

Despite prophylactic measures, hypotension remains a common side-effect of spinal anesthesia. Electroacupuncture influences hemodynamics. We hypothesized that transcutaneous electrical acupuncture point stimulation (TEAS) at traditionally used acupuncture points would reduce the severity of hypotension after spinal anesthesia in geriatric patients undergoing hernia surgery.

Full description

After obtaining written informed patient consent, 60 geriatric patients undergoing hernia surgery under spinal anesthesia were randomized into two groups. In the placebo TEAS group, the gel electrodes will be applied at the same anatomical points without stimulation. The acupoint group will receive TEAS at the PC-5, PC-6, and ST-36 points bilaterally before the spinal anesthesia. The spinal anesthesia will be performed using 12.5 mg 0.5% bupivacaine was from the L3-4 or L4-5 interval with a 25G Quincke spinal needle. Hemodynamic data will be followed every five minutes.

Enrollment: 60 patients

Sex: All

Ages: 65 to 90 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• ASA I-III patients aged 65 years and older who are scheduled for inguinal hernia repair

Exclusion criteria

• Patients with neurological or psychological diseases
• Patients who have been treated with TEAS or acupuncture before,
• Patients with heart failure and pace-maker
• Those who have a local infection in the TEAS area.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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60 participants in 2 patient groups

GROUP TEAS

Active Comparator group

Description:

Patients in the TEAS group will receive preoperative TEAS for 30 min before the spinal anesthesia at PC-5, PC-6, and ST-36 with an electronic acupuncture device.

Treatment:

Device: Transcutaneous Electrical Acupoint Stimulation

Sham TEAS

Sham Comparator group

Description:

In the sham TEAS group, the gel electrodes will be applied at the same anatomical points without stimulation.

Treatment:

Device: Transcutaneous Electrical Acupoint Stimulation