Safety Concerns with Thoracoabdominal Acupuncture: Experience at a Tertiary-Care Emergency Department
| Autor: | Won Young Kim, Youn-Jung Kim, Hak Jin Lee |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Seoul Acupuncture Therapy 03 medical and health sciences 0302 clinical medicine Pneumoperitoneum Abdomen Acupuncture Medicine Humans 030212 general & internal medicine Pneumomediastinum Retrospective Studies Dry needling business.industry Pneumothorax Retrospective cohort study General Medicine Emergency department Thorax medicine.disease Thoracostomy 030205 complementary & alternative medicine Anesthesiology and Pain Medicine Emergency medicine Female Neurology (clinical) business Emergency Service Hospital |
| Zdroj: | Pain medicine (Malden, Mass.). 18(12) |
| ISSN: | 1526-4637 |
| Popis: | Objective To evaluate serious complications caused by acupuncture treatment and to increase awareness of this complication. Design A retrospective observational study. Setting At the emergency department of a tertiary hospital in an urban area during a five-year period (2010-2014) in Seoul, Korea. Subjects Patients with postacupuncture mechanical complications in the thoracoabdominal region. Methods All cases were independently assessed for inclusion by two emergency physicians based on the causal relationship between acupuncture and emergency department presentation. Results There were 10 cases of pneumothorax (one combined with pneumomediastinum) and two cases of pneumoperitoneum induced by acupuncture. Five of the 12 patients were male; the mean age was 43.4 years. The mean time between acupuncture and emergency department admission was 1.6 days. The pneumothorax was unilateral in eight cases and bilateral in two. Eight patients underwent tube thoracostomy (pig tail catheter or chest tube insertion) and were admitted to the hospital for a median of 11 days. Of the two patients with pneumoperitoneum, one was transferred to another hospital for emergency surgery and the other was admitted to our hospital after emergency total colectomy. Conclusions Life-threating complications such as pneumothorax and bowel perforation after acupuncture can occur, and this suggests that physicians, especially acupuncturists, should be aware of the risk associated with needling around the trunk region. To maximize the safety of acupuncture, adequate competency-based training should be provided. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|