Auricular Acupuncture As Part Of A Multimodal Regimen After Distal Radius Open Reduction and Internal Fixation

NCT ID: NCT05974254

Last Updated: 2025-01-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-09

Study Completion Date

2025-12-31

Brief Summary

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This randomized controlled trial will test the hypothesis that patients receiving an intraoperative auricular acupuncture protocol will require less postoperative opioid analgesic use compared to those who do not receive acupuncture in the setting of a multimodal analgesic protocol for patients receiving surgery to repair distal radius fractures at a Level 1 trauma center under brachial plexus anesthesia with sedation.

Detailed Description

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Conditions

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Radius Fracture Distal Pain, Postoperative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled trial Group 1 - acupuncture treatment Group 2 - no acupuncture treatment 70 patients per group
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
The patients will be under sedation in the operating room and will not be aware of which treatment group they are in.

The PACU team and outcomes assessor will not be aware of patient group assignment.

Study Groups

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Electroauricular acupuncture

Immediately after Level 2 sedation is achieved, an enhanced auricular trauma protocol (ATP) will be administered on the ear ipsilateral to the operative side at 8 ear points (Hypothalamus, Amygdala, Hippocampus, Prefrontal Cortex, Point Zero, Shen Men, Insula, Vagus) as described by Cheng (2022). The original ATP was described by Helms (2011). Seirin L 0.2 x 30 mm needles will be placed at Hypothalamus and Shen Men points. Seirin J 0.18 x 15 mm needles will be placed at Amygdala, Hippocampus, Prefrontal Cortex, Point Zero, Vagus, and Insula points. Electrostimulation using an ITO ES 130 microstimulator at 30 HZ with Level 4 intensity, will be applied with the positive lead (red) on Hypothalamus and negative lead (black) at Shen Men for 60 minutes. All needles will be removed 1 hour after insertion.

Group Type EXPERIMENTAL

Acupuncture

Intervention Type DEVICE

Electroacupuncture

No acupuncture

No acupuncture treatment given

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Acupuncture

Electroacupuncture

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient ages 18-64
* American Society of Anesthesiologists Physical Status 1, 2, or 3
* Patients scheduled to undergo distal radius ORIF under brachial plexus nerve block

Exclusion Criteria

* Renal dysfunction (Serum Cr \> 1.2) - excluded due to potential for altered metabolism of anesthetic and perioperative medications
* Allergy to any of the standard anesthetic agents
* Patient inability to properly communicate with investigators
* Patient or surgeon refusal
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Baylor College of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Jaime Ortiz

Professor of Anesthesiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jaime Ortiz, MD, MBA

Role: PRINCIPAL_INVESTIGATOR

Baylor College of Medicine

Locations

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Ben Taub Hospital

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jaime Ortiz, MD, MBA

Role: CONTACT

713-873-2860

Facility Contacts

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Jaime Ortiz, MD,MBA

Role: primary

713-873-2860

Other Identifiers

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H-53875

Identifier Type: -

Identifier Source: org_study_id

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