Feasibility of Electro Auricular Acupuncture for Analgesia After ACL Surgery: The Feasibility of Patient Blinding and Effects on Early Postoperative Pain
ACL, ACL Injury, Anterior Cruciate Ligament Injury
About this trial
This is an interventional other trial for ACL focused on measuring Acupuncture
Eligibility Criteria
Inclusion Criteria:
- Patients undergoing ACL Surgery with a participating surgeon
- English Speaking
- Patients at least 12 years old
- Planned spinal anesthesia without peripheral nerve block (rescue block is okay)
Exclusion Criteria:
- Patients under the age of 12
- Non-English speaking patients
- Patients planning on having general anesthesia
- Planned preop peripheral nerve block
- Patients with the inability to understand/follow study protocol
- Patients with pacemaker/AICD
- Non-native Ear/Previous scarring/surgical manipulation of ear
- Patients with contraindications to intra-op protocol
- Chronic pain patients
- Patients who have regularly used opioids for more than 6 weeks prior to surgery
- Patients with guages in their ears
- Patients who refuse to remove earrings/piercings prior to surgery
- Patients with nickel allergies (needles are made of nickel)
Sites / Locations
- Hospital for Special Surgery
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Acupuncture + Standard of Care
No acupuncture + Standard of Care
Patients will receive spinal anesthesia (4 cc Mepivacaine) with IV sedation. Intraoperative anti-emetics will consist of IV odansetron and IV dexamethasone. Intra-operative analgesics will include IV Ketamine, IV Ketorolac, and IV Acetaminophen. Patients will have ATP acupuncture (8 ear points - Hypothalamus, Amygdala, Hippocampus, Prefrontal Cortex, Point Zero, Shen Men, Insula, Vagus) bilaterally with electrostimulation at Shen men and Hypothalamus at 30 hz.
Patients will receive spinal anesthesia (4 cc Mepivacaine) with IV sedation. Intraoperative anti-emetics will consist of IV odansetron and IV dexamethasone. Intra-operative analgesics will include IV Ketamine, IV Ketorolac, and IV Acetaminophen. Patients will not have ATP acupuncture (8 ear points - Hypothalamus, Amygdala, Hippocampus, Prefrontal Cortex, Point Zero, Shen Men, Insula, Vagus) bilaterally.