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

Not Applicable

Completed

• Conditions: Hypotension
• Interventions: Device: Transcutaneous Electrical Acupoint Stimulation

• Registration Number: NCT05272033
• Lead Sponsor: Konya Meram State Hospital

Brief Summary

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.

Detailed 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.

Study Timeline

• Study First Submitted: 2022-02-28
• Study First Submitted QC: 2022-02-28
• Study First Posted: 2022-03-09
• Study Start: 2022-04-19
• Status Verified: 2022-09
• Primary Completion: 2022-09-16
• Study Completion: 2022-09-16
• Last Update Submitted: 2022-09-16
• Last Update Posted: 2022-09-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Sham TEAS	Transcutaneous Electrical Acupoint Stimulation	In the sham TEAS group, the gel electrodes will be applied at the same anatomical points without stimulation.
GROUP TEAS	Transcutaneous Electrical Acupoint Stimulation	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.

Primary Outcome Measures

Name	Time	Method
patients blood pressure will be measured	30 minutes following spinal anesthesia	Hypotension was defined as a preoperative systolic measurement of \>20% or a systolic blood pressure below 100 mmHg.

Trial Locations

Locations (1)

Betul Kozanhan; 🇹🇷 Konya, Turkey