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Author (up) Cabrini, L.; Gioia, L.; Gemma, M.; Melloni, G.; Carretta, A.; Ciriaco, P.; Puglisi, A. url  openurl
  Title Acupuncture for diagnostic fiberoptic bronchoscopy: a prospective, randomized, placebo-controlled study Type of Study RCT
  Year 2006 Publication The American journal of Chinese medicine Abbreviated Journal Am J Chin Med  
  Volume 34 Issue 3 Pages 409-415  
  Keywords Acu + Usual Care Versus > 1 Control; Acupuncture; AcuTrials; Anesthesia; Preoperative Anxiety; Auricular Acupuncture; Fixed Acupuncture Protocol; Penetrating Sham; Lung Diseases; RCT; Respiratory Tract Diseases; Restricted Modalities, Acupuncture Only; Sham Acupoint Control; Sham Control; Standard Needling Depth; Usual Care Control, Pharmaceutical; TCM Acupuncture Style; Respiratory Disorders; Mental Disorders  
  Abstract Patients usually fear fiberoptic bronchoscopy (FBS) and they report a low level of satisfaction after this examination. We evaluated the efficacy of acupuncture in decreasing patient anxiety before diagnostic FBS and in improving tolerance to the examination. In a prospective double-blind study, we enrolled 48 patients scheduled to undergo diagnostic FBS. Patients were randomly assigned to one of three groups. Group A (16 patients): standard FBS, with airway topic anesthesia; Group B (16 patients): standard FBS, with airway topic anesthesia and acupuncture treatment; Group C (16 patients): standard FBS, with airway topic anesthesia and sham acupuncture. EKG, non-invasive arterial pressure, and pulse oximetry were monitored on a routine basis. We evaluated patient anxiety before and after acupuncture and, at the end of FBS, the discomfort suffered during the examination by a 100-mm Visual Analog Scale (VAS). Patient satisfaction in Group A was 50% worse than in Group B (p = 0.04). We observed a strong, even if not statistically significant, tendency toward a lower pre-FBS anxiety in Group B. Patients in group C had values very close to those recorded in group A. We observed no adverse event and no differences in cardio-respiratory parameters in these three groups; in particular, we did not observe a respiratory depression in Group B. Acupuncture seems an effective resource for a Thoracic Endoscopic Room to improve patient tolerance to FBS  
  Address Servizio di Anestesia e Rianimazione, Ospedale San Raffaele, Milano, Italy. cabrini.luca@hsr.it  
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  Language Number of Treatments 1  
  Treatment Follow-up N/A Frequency N/A Number of Participants 48  
  Time in Treatment 1 Day Condition Preoperative Anxiety
  Disease Category Mental Disorders OCSI Score 69  
  Notes Approved no  
  Call Number Serial 101  
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