Rédacteurs : Johan Nguyen, Henri Truong
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Ci-dessous, les différences entre deux révisions de la page.
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acupuncture:evaluation:algologie-anesthesie par acupuncture:02. douleur aigue [12 Oct 2019 15:26] Nguyen Johan Page name changed from acupuncture:evaluation:algologie-anesthesie par acupuncture:01. douleur aigue to acupuncture:evaluation:algologie-anesthesie par acupuncture:02. douleur aigue |
acupuncture:evaluation:algologie-anesthesie par acupuncture:02. douleur aigue [01 Jul 2022 06:28] (Version actuelle) Nguyen Johan [2.3. Australian and New Zealand College of Anaesthetists (ANZCA) 2020 ⊕] |
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| + | /*English:Acute Pain*/ | ||
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| + | ======= Acute Pain ======= | ||
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| ====== Douleur aiguë : évaluation de l'acupuncture ====== | ====== Douleur aiguë : évaluation de l'acupuncture ====== | ||
| - | ===== Revues systématiques et méta-analyses ===== | + | ===== Systematic Reviews and Meta-Analysis===== |
| + | | ☆☆☆ | Evidence for effectiveness and a specific effect of acupuncture | | ||
| + | | ☆☆ | Evidence for effectiveness of acupuncture | | ||
| + | | ☆ | Limited evidence for effectiveness of acupuncture | | ||
| + | | Ø | No evidence or insufficient evidence | | ||
| - | ==== Acupuncture générique ==== | + | |
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| + | ==== Generic Acupuncture ==== | ||
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| + | === Chou 2020 === | ||
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| + | Chou R, Wagner J, Ahmed AY, Blazina I, Brodt E, Buckley DI, Cheney TP, Choo E, Dana T, Gordon D, Khandelwal S, Kantner S, McDonagh MS, Sedgley C, Skelly AC. Treatments for Acute Pain: A Systematic Review [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US). 2020. [213517]. [[https://www.ncbi.nlm.nih.gov/books/NBK566506/pdf/Bookshelf_NBK566506.pdf|URL]]. | ||
| + | ^Objectives|To evaluate the effectiveness and comparative effectiveness of opioid, nonopioid pharmacologic, and nonpharmacologic therapy in patients with specific types of acute pain, including effects on pain, function, quality of life, adverse events, and long-term use of opioids. | | ||
| + | ^Methods|Data sources: Electronic databases (Ovid® MEDLINE®, PsycINFO®, Embase®, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews) to August 2020, reference lists, and a Federal Register notice. Review methods: Using predefined criteria and dual review, we selected randomized controlled trials (RCTs) of outpatient therapies for eight acute pain conditions: low back pain, neck pain, other musculoskeletal pain, neuropathic pain, postoperative pain following discharge, dental pain (surgical or nonsurgical), pain due to kidney stones, and pain due to sickle cell disease. Meta-analyses were conducted on pharmacologic therapy for dental pain and kidney stone pain, and likelihood of repeat or rescue medication use and adverse events. The magnitude of effects was classified as small, moderate, or large using previously defined criteria, and strength of evidence was assessed. | | ||
| + | ^Results|One hundred eighty-three RCTs on the comparative effectiveness of therapies for acute pain were included. Opioid therapy was probably less effective than nonsteroidal anti-inflammatory drugs (NSAIDs) for surgical dental pain and kidney stones, and might be similarly effective as NSAIDs for low back pain. Opioids and NSAIDs were more effective than acetaminophen for surgical dental pain, but opioids were less effective than acetaminophen for kidney stone pain. For postoperative pain, opioids were associated with increased likelihood of repeat or rescue analgesic use, but effects on pain intensity were inconsistent. Being prescribed an opioid for acute low back pain or postoperative pain was associated with increased likelihood of use of opioids at long-term followup versus not being prescribed, based on observational studies. Heat therapy was probably effective for acute low back pain, spinal manipulation might be effective for acute back pain with radiculopathy, acupressure might be effective for acute musculoskeletal pain, an opioid might be effective for acute neuropathic pain, massage might be effective for some types of postoperative pain, and a cervical collar or exercise might be effective for acute neck pain with radiculopathy. Most studies had methodological limitations. Effect sizes were primarily small to moderate for pain, the most commonly evaluated outcome. Opioids were associated with increased risk of short-term adverse events versus NSAIDs or acetaminophen, including any adverse event, nausea, dizziness, and somnolence. Serious adverse events were uncommon for all interventions, but studies were not designed to assess risk of overdose, opioid use disorder, or long-term harms. Evidence on how benefits or harms varied in subgroups was lacking.| | ||
| + | ^Conclusions| Opioid therapy was associated with decreased or similar effectiveness as an NSAID for some acute pain conditions, but with increased risk of short-term adverse events. Evidence on nonpharmacological therapies was limited, but heat therapy, spinal manipulation, massage, **acupuncture, acupressure**, a cervical collar, and exercise **were effective for specific acute pain conditions**. Research is needed to determine the comparative effectiveness of therapies for sickle cell pain, acute neuropathic pain, neck pain, and management of postoperative pain following discharge; effects of therapies for acute pain on non-pain outcomes; effects of therapies on long-term outcomes, including long-term opioid use; and how benefits and harms of therapies vary in subgroups. | | ||
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| - | ==== Techniques particulières ==== | + | ==== Special Acupuncture Techniques ==== |
| - | === Acupuncture auriculaire === | + | === Auricular Acupuncture === |
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| ^Conclusions| Ear acupuncture may be a promising modality to be used for pain reduction within 48 hours, with a low side effect profile. Rigorous research is needed to establish definitive evidence of a clinically significant difference from controls or from other pain treatments.| | ^Conclusions| Ear acupuncture may be a promising modality to be used for pain reduction within 48 hours, with a low side effect profile. Rigorous research is needed to establish definitive evidence of a clinically significant difference from controls or from other pain treatments.| | ||
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| + | === Acupression === | ||
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| + | == Busse 2020 == | ||
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| + | Busse JW, Sadeghirad B, Oparin Y, Chen E, Goshua A, May C, Hong PJ, Agarwal A, Chang Y, Ross SA, Emary P, Florez ID, Noor ST, Yao W, Lok A, et al. Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries : A Systematic Review and Network Meta-analysis of Randomized Trials. Ann Intern Med. 2020;173(9):730-738. [219437]. [[https://doi.org/10.7326/m19-3601]] | ||
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| + | ===== Clinical Practice Guidelines ===== | ||
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| + | | ⊕ positive recommendation (regardless of the level of evidence reported) \\ Ø negative recommendation (or lack of evidence) | | ||
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| + | ==== British Columbia Ministry of Health, Doctors of BC, British Columbia Guidelines (Canada) 2022 ⊕ ==== | ||
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| + | Managing Patients with Pain in Primary Care. 2022 | ||
| + | https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/managing-patients-with-pain-in-primary-care-part-1 | ||
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| + | |//Acute Pain//. It is always appropriate to consider non-pharmacologic strategies such as chiropractic care, manual therapy, and **acupuncture** (as examples) in the acute onset of pain.\\ **Acupuncture** or TENS: Evidence for reducing pain, mitigate withdrawal side effects. Acupuncture may be beneficial in certain conditions as well as other Traditional Chinese Medicine techniques, including cupping and massage.| | ||
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| + | ==== British Geriatrics Society (BGS, UK) 2021 ⊕ (older people) ==== | ||
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| + | Nickel C, Arendts G, Lucke J, Mooijaart S. Silver Book II: Geriatric syndromes. British Geriatrics Society (BGS). [201678]. [[https://www.bgs.org.uk/resources/silver-book-ii-geriatric-syndromes|URL]]. | ||
| + | |Non-pharmacologic approaches. Increasingly are found to have added benefit and should be routinely incorporated, especially in cases of chronic pain. For acute pain management, non-pharmacological options include nerve blocks, **acupressure, reflexology**, and transcutaneous electrical nerve stimulation.| | ||
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| + | ==== Australian and New Zealand College of Anaesthetists (ANZCA) 2020 ⊕ ==== | ||
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| + | Acute Pain Management: Scientific Evidence Australian and New Zealand College of Anaesthetists (ANZA). 2020:1317P. {{:medias securises:acupuncture:evaluation:algologie-anesthesie par acupuncture:anza-205268.pdf|[205268]}} . [[https://www.anzca.edu.au/news/top-news/acute-pain-management-scientific-evidence-5th-edit|URL]]. | ||
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| + | | 1. Acupuncture and acupressure for labour pain may reduce pain, use of pharmacological pain relief and increase satisfaction with pain management versus standard care or placebo (Q) (Level I [Cochrane Review]); Caesarean section rates are unchanged (R) (Level I [Cochrane Review]). \\ 2. For oocyte retrieval, electroacupuncture plus sedation reduced procedural and postoperative pain compared with sedation plus placebo or sedation alone (U), but may be inferior to paracervical block plus sedation (Q) (Level I [Cochrane Review]). \\ 3. Acupuncture or acupressure may be effective in the treatment of primary dysmenorrhoea (S) (Level I [Cochrane Review]). \\ 4. Acupuncture may reduce the frequency of tension-type headaches and migraine (U) (Level I [Cochrane Review]); in migraine, it may be better tolerated than pharmacological prophylaxis (N) (Level I [Cochrane Review]). \\ 5. Acupuncture may be effective in a variety of acute pain conditions in the emergency department setting (S) (Level I [PRISMA]) including back pain (N) (Level I [PRISMA]) \\ 6. Acupuncture by a variety of techniques may reduce postoperative pain and opioid consumption for a variety of surgical types (S) (Level I); specifically, the benefit may occur after lumbar spinal surgery (U) (Level I [PRISMA]), total knee arthroplasty (U) (Level I [PRISMA]), total hip arthroplasty (N) (Level I) and craniotomy (N) (Level I [PRISMA]). \\ 7. There is no difference between distant acupuncture and acupuncture at the incisional site for open abdominal surgery (S) (Level I [PRISMA]). 8. Acupuncture may reduce post-stroke pain (N) (Level I [PRISMA]). | | ||
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| + | ==== American Academy of Physical Medicine and Rehabilitation (AAPM&R, USA) 2018 ⊕ ==== | ||
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| + | Shaw E, Braza DW, Cheng DS, Ensrud E, Friedman AS, Hamilton RG, Miller JJ, Nagpal AS, Sharma S. American Academy of Physical Medicine and Rehabilitation Position Statement on Opioid Prescribing. PM R. 2018 Jun;10(6):681-683. https://doi.org/10.1016/j.pmrj.2018.05.004 | ||
| + | |Acute, subacute, and chronic pain management should be multimodal. AAPM&R believes that evidence-based, pain management treatments should include cognitive behavioral therapy, integrative treatments (ie, mindfulness, **acupuncture**), nonopioid medications, physical therapy modalities, interventional procedures, and appropriate opioid medications when indicated.| | ||
