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Auricular Acupuncture Analgesia in Thoracic Trauma: A Case Report.

Abstract We report a case of thoracic trauma (rib fractures with pneumothorax and pulmonary contusions) with severe chest pain leading to ineffective ventilation and oxygenation. The patient presented to our emergency department. The patient had chronic obstructive pulmonary disease and was completely unable to take deep breaths and clear secretions from his bronchial tree. After obtaining informed consent, we applied auricular acupuncture to ameliorate pain and hopefully improve his functional ability to cough and breathe deeply. Within a few minutes, his pain scores diminished considerably, and his ventilation and oxygenation indices improved to safe limits. Auricular acupuncture analgesia lasted for several hours. Parallel to pain reduction, hemodynamic disturbances and anxiety significantly resolved. A second treatment nearly a day later resulted in almost complete resolution of pain that lasted at least 5 days and permitted adequate ventilation, restored oxygenation, and some degree of mobilization (although restricted due to a compression fracture of a lumbar vertebra). Nonopioid and opioid analgesics were sparsely used in low doses during the entire hospitalization period. Hemodynamic alterations and anxiety also decreased, and the patient was soon ready to be discharged.
PMID
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Authors

Mayor MeshTerms

Acupuncture Analgesia

Acupuncture, Ear

Pain Management

Keywords

analgesia

auricular acupuncture

chest trauma

chronic obstructive pulmonary disease

Journal Title journal of acupuncture and meridian studies
Publication Year Start




PMID- 28254102
OWN - NLM
STAT- MEDLINE
DA  - 20170303
DCOM- 20170313
LR  - 20170313
IS  - 2093-8152 (Electronic)
IS  - 2005-2901 (Linking)
VI  - 10
IP  - 1
DP  - 2017 Jan
TI  - Auricular Acupuncture Analgesia in Thoracic Trauma: A Case Report.
PG  - 49-52
LID - S2005-2901(16)30085-1 [pii]
LID - 10.1016/j.jams.2016.06.003 [doi]
AB  - We report a case of thoracic trauma (rib fractures with pneumothorax and
      pulmonary contusions) with severe chest pain leading to ineffective ventilation
      and oxygenation. The patient presented to our emergency department. The patient
      had chronic obstructive pulmonary disease and was completely unable to take deep 
      breaths and clear secretions from his bronchial tree. After obtaining informed
      consent, we applied auricular acupuncture to ameliorate pain and hopefully
      improve his functional ability to cough and breathe deeply. Within a few minutes,
      his pain scores diminished considerably, and his ventilation and oxygenation
      indices improved to safe limits. Auricular acupuncture analgesia lasted for
      several hours. Parallel to pain reduction, hemodynamic disturbances and anxiety
      significantly resolved. A second treatment nearly a day later resulted in almost 
      complete resolution of pain that lasted at least 5 days and permitted adequate
      ventilation, restored oxygenation, and some degree of mobilization (although
      restricted due to a compression fracture of a lumbar vertebra). Nonopioid and
      opioid analgesics were sparsely used in low doses during the entire
      hospitalization period. Hemodynamic alterations and anxiety also decreased, and
      the patient was soon ready to be discharged.
CI  - Copyright (c) 2016 Medical Association of Pharmacopuncture Institute. Published
      by Elsevier B.V. All rights reserved.
FAU - Papadopoulos, Georgios S
AU  - Papadopoulos GS
AD  - Department of Anesthesiology and Postoperative Intensive Care, Faculty of
      Medicine, School of Health Sciences, University of Ioannina, P.O. Box 1186,
      45110, Ioannina, Greece.
FAU - Tzimas, Petros
AU  - Tzimas P
AD  - Department of Anesthesiology and Postoperative Intensive Care, Faculty of
      Medicine, School of Health Sciences, University of Ioannina, P.O. Box 1186,
      45110, Ioannina, Greece.
FAU - Liarmakopoulou, Antonia
AU  - Liarmakopoulou A
AD  - Department of Anesthesiology and Postoperative Intensive Care, Faculty of
      Medicine, School of Health Sciences, University of Ioannina, P.O. Box 1186,
      45110, Ioannina, Greece.
FAU - Petrou, Anastasios M
AU  - Petrou AM
AD  - Department of Anesthesiology and Postoperative Intensive Care, Faculty of
      Medicine, School of Health Sciences, University of Ioannina, P.O. Box 1186,
      45110, Ioannina, Greece. Electronic address: [email protected]
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20160728
PL  - Korea (South)
TA  - J Acupunct Meridian Stud
JT  - Journal of acupuncture and meridian studies
JID - 101490763
SB  - IM
MH  - *Acupuncture Analgesia
MH  - *Acupuncture, Ear
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Pain Management
MH  - Rib Fractures/*physiopathology
MH  - Thoracic Injuries/*physiopathology
OTO - NOTNLM
OT  - *analgesia
OT  - *auricular acupuncture
OT  - *chest trauma
OT  - *chronic obstructive pulmonary disease
EDAT- 2017/03/04 06:00
MHDA- 2017/03/14 06:00
CRDT- 2017/03/04 06:00
PHST- 2016/03/18 [received]
PHST- 2016/06/13 [revised]
PHST- 2016/06/15 [accepted]
AID - S2005-2901(16)30085-1 [pii]
AID - 10.1016/j.jams.2016.06.003 [doi]
PST - ppublish
SO  - J Acupunct Meridian Stud. 2017 Jan;10(1):49-52. doi: 10.1016/j.jams.2016.06.003. 
      Epub 2016 Jul 28.

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