Auricular Acupuncture as Part of Multimodal Analgesia After Lower Leg Fracture

NCT ID: NCT05984433

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

2024-10-09

Study Completion Date

2026-12-31

Brief Summary

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The purpose is to find out if incorporation of an intraoperative electro auricular acupuncture protocol when added to a standard multimodal analgesic regimen for patients undergoing surgery to repair lower leg fracture under spinal anesthesia will help reduce postoperative opioid use.

Detailed Description

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Conditions

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Pain, Postoperative Fracture, Ankle Pilon Fracture of Tibia Foot Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
The patient will be under sedation during procedure, so will not be aware of whether or not they received acupuncture treatment.

Anesthesia team in the operating room will be aware of treatment. PACU team and outcomes assessor will not be aware of 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

Auricular acupuncture

Intervention Type DEVICE

Electro auricular acupuncture

No acupuncture

No acupuncture treatment given

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Auricular acupuncture

Electro auricular acupuncture

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patient ages 18-64
2. American Society of Anesthesiology Physical Status I, II or III
3. Inpatients scheduled to undergo ankle ORIF at Harris Health System Ben Taub Hospital

Exclusion Criteria

1. Renal dysfunction (Serum Cr \> 1.2) - excluded due to potential altered metabolism of anesthetic and perioperative medications
2. Allergy to any of the standard anesthetic agents
3. Patient inability to properly communicate with investigators (language barrier, dementia, delirium, psychiatric disorder)
4. 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

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-53820

Identifier Type: -

Identifier Source: org_study_id

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