http://anesthesiology.duke.edu 1 Acupuncture Offers Headache Relief Over Medication By Duke Medicine News and Communications Acupuncture is more effective than medication in reducing the severity and frequency of chronic headaches, according to a new analysis conducted by Duke University Medical Center researchers. The National Institutes of Health recommended acupuncture as a viable treatment for chronic headaches a decade ago and, while research in this field has increased, there have been conflicting reports about its efficacy. “We combed through the literature and conducted the most comprehensive review of available data done to date using only the most rigorously-executed trials,” says Tong Joo (T.J.) Gan, MD, a Duke anesthesiologist who lead the analysis. Researchers analyzed data from only randomized controlled trials evaluating acupuncture for adults with chronic headaches and were conducted for more than four weeks. “Acupuncture is becoming a favorable option for a variety of purposes ranging from enhancing fertility to decreasing post-operative pain because people experience significantly fewer side effects and it can be less expensive than other options,” Gan says. “This analysis reinforces that acupuncture also is a successful source of relief from chronic headaches.” While everyone experiences an occasional headache, more than 45 million Americans (one in six) suffer from chronic headaches, 20 million of whom are women. Medication remains the mainstay of treatment with varying levels of success. The Duke team looked at studies that compared traditional acupuncture to either medication or a control group who received sham acupuncture. Similar to traditional acupuncture, the sham therapy entails inserting needles into the skin but the acupuncturist avoids meridians or areas of the body that Chinese medicine teaches contains vital energy associated with achieving balance needed for good health. Researchers analyzed more than 30 studies to arrive at the findings published in the December issue of Anesthesia and Analgesia. The studies included nearly 4,000 patients who reported migraines (17 studies), tension headaches (10 studies) and other forms of chronic headaches with multiple symptoms (four studies). In 17 studies comparing acupuncture to medication, the researchers found that 62 percent of the acupuncture patients reported headache relief compared to only 45 percent of people taking medication. These acupuncture patients also reported better physical well-being compared to the medication group. In 14 studies that compared real acupuncture to sham therapy, 53 percent of acupuncture patients responded to treatment compared to 45 percent receiving sham therapy. “Acupuncture has been practiced for thousands of years but only recently has started to become more accepted as an alternative or supplement to conventional therapies,” Gan explains. “One of the barriers to treatment with acupuncture is getting people to understand that while needles are used it is not a painful experience,” Gan says. “It is a method for releasing your body’s own natural painkillers.” Acupuncture therapy is becoming widely available nationwide and a typical course of treatment for chronic headaches requires 30-minute sessions. Many people begin experiencing relief following five to six visits. Gan also has conducted research to determine the effect of acupuncture on post-operative pain, nausea and vomiting. His research has found that acupuncture can significantly reduce pain and the need for pain medications following surgery. He also found that acupuncture can be as effective as medication in reducing post-operative nausea and vomiting. The research was conducted in collaboration with Yanxia Sun, MD. The meta-analysis was supported by Duke’s Department of Anesthesiology. New Departmental Research Publications Jungwirth B, Mackensen GB. Real-time 3-dimensional echocardiography in the operating room. Semin Cardiothorac Vasc Anesth. 2008 Dec;12(4):248-64. Epub 2008 Nov 24. Chudgar SM, Clay AS, Knudsen NW, Andolsek KM, Cox C, Que L. Current teaching and evaluation methods in critical care medicine: has the ACGME affected how we practice and teach in the ICU? Crit Care Med. 2009;37(1):49-60. Comings and Goings in the Department Please welcome Tara Davison and Syreena Bibbs to the Anesthesiology family. They are both new Lab Assistants working in the Basic Sciences Division. Both started on January 5, 2009. January 12 - 18 Birthday Wishes Dr. Shahar Bar-Yosef Dr. Tony Roche Gladwell Mbochi Dr. Daniel Thomas Dr. Amy Rice Note: If you do not want your name listed here, please send a removal notice to [email protected]. News Monday, January 12, 2009 • Volume 11, Issue 2 T.J. Gan, MD
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http://anesthesiology.duke.edu 1
Acupuncture Offers Headache Relief Over MedicationBy Duke Medicine News and Communications
Acupuncture is more effective than medication in reducing the severity and frequency of chronic headaches, according to a new analysis conducted by Duke University Medical Center researchers.
The National Institutes of Health recommended acupuncture as a viable treatment for chronic headaches a decade ago and, while research in this field has increased, there have been conflicting reports about its efficacy.
“We combed through the literature and conducted the most comprehensive review of
available data done to date using only the most rigorously-executed trials,” says Tong Joo (T.J.) Gan, MD, a Duke anesthesiologist who lead the analysis.
Researchers analyzed data from only randomized controlled trials evaluating acupuncture for adults with chronic headaches and were conducted for more than four weeks.
“Acupuncture is becoming a favorable option for a variety of purposes ranging from enhancing fertility to decreasing post-operative pain because people experience significantly fewer side effects and it can be less expensive than other options,” Gan says. “This analysis reinforces that acupuncture also is a successful source of relief from chronic headaches.”
While everyone experiences an occasional headache, more than 45 million Americans (one in six) suffer from chronic headaches, 20 million of whom are women. Medication remains the mainstay of treatment with varying levels of success.
The Duke team looked at studies that compared traditional acupuncture to either medication or a control group who received sham acupuncture. Similar to traditional acupuncture, the sham therapy entails inserting needles into the skin but the acupuncturist avoids meridians or areas of the body that Chinese medicine teaches contains vital energy associated with achieving balance needed for good health.
Researchers analyzed more than 30 studies to arrive at the findings published in the December issue of Anesthesia and Analgesia. The studies included nearly 4,000 patients who reported migraines (17 studies), tension headaches (10 studies) and other forms of chronic headaches with multiple symptoms (four studies).
In 17 studies comparing acupuncture to medication, the researchers found that 62 percent of the acupuncture patients reported headache relief compared to only 45 percent of people taking medication. These acupuncture patients also reported better physical well-being compared
to the medication group. In 14 studies that compared real acupuncture to sham therapy, 53 percent of acupuncture patients responded to treatment compared to 45 percent receiving sham therapy.
“Acupuncture has been practiced for thousands of years but only recently has started to become more accepted as an alternative or supplement to conventional therapies,” Gan explains.
“One of the barriers to treatment with acupuncture is getting people to understand that while needles are used it is not a painful experience,” Gan says. “It is a method for releasing your body’s own natural painkillers.”
Acupuncture therapy is becoming widely available nationwide and a typical course of treatment for chronic headaches requires 30-minute sessions. Many people begin experiencing relief following five to six visits.
Gan also has conducted research to determine the effect of acupuncture on post-operative pain, nausea and vomiting. His research has found that acupuncture can significantly reduce pain and the need for pain medications following surgery. He also found that acupuncture can be as effective as medication in reducing post-operative nausea and vomiting.
The research was conducted in collaboration with Yanxia Sun, MD. The meta-analysis was supported by Duke’s Department of Anesthesiology.
New Departmental Research PublicationsJungwirth B, Mackensen GB. Real-time 3-dimensional echocardiography in the operating room. Semin Cardiothorac Vasc Anesth. 2008 Dec;12(4):248-64. Epub 2008 Nov 24.
Chudgar SM, Clay AS, Knudsen NW, Andolsek KM, Cox C, Que L. Current teaching and evaluation methods in critical care medicine: has the ACGME affected how we practice and teach in the ICU? Crit Care Med. 2009;37(1):49-60.
Comings and Goings in the DepartmentPlease welcome Tara Davison and Syreena Bibbs to the Anesthesiology family. They are both new Lab Assistants working in the Basic Sciences Division. Both started on January 5, 2009.
January 12 - 18 Birthday WishesDr. Shahar Bar-Yosef Dr. Tony RocheGladwell Mbochi Dr. Daniel ThomasDr. Amy Rice
Note: If you do not want your name listed here, please send a removal notice to [email protected].
NewsMonday, January 12, 2009 • Volume 11, Issue 2
T.J. Gan, MD
ThIs Month In the DepartMent of anesthesIology
http://anesthesiology.duke.edu 2
January 2009MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
12 13 14 15 16
7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference
2-3 p.m., VAMCVA Echocardiography Conference
5-6 p.m., 5685-HAFSDepartmental Research Confer-ence: “Genetic, drug-related & environmental causes of mitochondrial dysfunction in neurological diseases” - Sherine Chan, PhD
7 a.m.-2 p.m.Resident Interview Day
5-6 p.m., 5685-HAFSCT Conference: “Ventricular As-sist Devices” - Steven Hill, MD
5-6 p.m., 5680A-HAFSGVTCCM Conference: “Anes-thesia for Liver Transplantation at the University of Michigan” - Dmitri Avlassevitch, MD
6:15-7:15 a.m., 5685-HAFSCT Anesthesia Fellow/Faculty Preceptor Seminar: “Imaging Planes & the Standard SCA/ASE Exam” - Katherine Grich-nik, MD
6:30 a.m., 2001DNResident Conference Lectures: “Neonatal Resuscitation” - Ad-eyemi Olufolabi, MB
7:15 a.m., 2001DNGrand Rounds: “Clinical Case Conference” - Holly Muir, MD
7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Journal Club
12:00-12:45 p.m., 2001DNCritical Care Conference
4-5 p.m., 5680A-HAFSPediatric Conference: “Intes-tinal Transplant Surgery” - Andrew Peery, MD
7 a.m.-2 p.m.Resident Interview Day
19 20 21 22 23
Martin luther King Jr. Holiday
5-6 p.m., 5685-HAFSCT Conference
5-6 p.m., 5680A-HAFSGVTCCM Conference: “Periop-erative Management of Sickle Cell Disease” - Laura DeCastro, MD
IrB Deadline: submit 1 origi-nal and 3 copies to Dr. Gan’s office by 5 p.m.
6:15-7:15 a.m., 5685-HAFSCT Anesthesia Fellow/Faculty Preceptor Seminar
6:30 a.m., 2001DNResident Conference Lectures: “The Complicated Parturient pt 1” - Terrence Allen, MD
7:15 a.m., 2001DNGrand Rounds: “Sleep Apnea” - Daniel LaValley, MD
7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Journal Club
12:00-12:45 p.m., 2001DNCritical Care Grand Rounds
4-5 p.m., 5680A-HAFSPediatric Conference
5-6 p.m., 5685-HAFSResident Education Sessions: “PBLD” - Cathleen Peterson-Layne, MD
7 a.m.-2 p.m.Resident Interview Day
26 27 28 29 30
7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference
2-3 p.m., VAMCVA Echocardiography Conference
4-5 p.m., 5420B-DNPerioperative Leadership Group Meeting
7 a.m.-2 p.m.Resident Interview Day
5-6 p.m., 5685-HAFSCT Conference
5-6 p.m., 5680A-HAFSGVTCCM Conference: “TBA”
IrB Deadline: submit 1 origi-nal and 3 copies to Dr. Gan’s office by 5 p.m.
6:15-7:15 a.m., 5685-HAFSCT Anesthesia Fellow/Faculty Preceptor Seminar
6:30 a.m., 2001DNResident Conference Lectures: “The Complicated Parturient pt 2” - Ashraf Habib, MD
7:15 a.m., 2001DNGrand Rounds: “Bezold-Jarisch Reflex & Anesthesia” - Cheryl Jones, MD
5 p.m., Chen Conf. RoomNeuroradiology Conference
7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Journal Club
12:00-12:45 p.m., 2001DNCritical Care Conference
4-5 p.m., 5680A-HAFSPediatric Conference
7 a.m.-2 p.m.Resident Interview Day
February 2, 2009 3 4 5 6
7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference
2-3 p.m., VAMCVA Echocardiography Conference
7 a.m.-2 p.m.Resident Interview Day
4-5 p.m., 5685-HAFSExecutive Team Meeting
5-6 p.m., 5685-HAFSFaculty Meeting
5-6 p.m., 5685-HAFSCT Conference
5-6 p.m., 5680A-HAFSGVTCCM Conference
IrB Deadline: submit 1 origi-nal and 3 copies to Dr. Gan’s office by 5 p.m.
6:15-7:15 a.m., 5685-HAFSCT Anesthesia Fellow/Faculty Preceptor Seminar
6:30 a.m., 2001DNResident Conference Lectures
7:15 a.m., 2001DNGrand Rounds
7:15-8:00 a.m., RM203-Pain ClinicMRC Pain Journal Club
12:00-12:45 p.m., 2001DNCritical Care Grand Rounds
4-5 p.m., 5680A-HAFSPediatric Conference
anesthesIology news
http://anesthesiology.duke.edu 3
DUKE HEART CENTER LECTURE SERIES
12th Annual J.G. Reves, MD Lecture
Cary Ward, MD – Medical therapy James Jaggers, MD – Surgery
John Rhodes, MD – EP interventional
Richard Ing, MD – Moderator
Wednesday, February 4th
7:30 – 8:30 am Room 2002 DN
“Adult Congenital Heart Disease: Contrasting Management Strategies
for Severe Pulmonary Valve Insufficiency”
http://anesthesiology.duke.edu 4
anesthesIology news
Magic Kingdom® Park©Disney
2nd Annual Emerging Technologies in the OR
June 7-10, 2009Disney’s Yacht and Beach Club ResortLake Buena Vista, Florida
For registration questions please contact Katherine Siler at 919-681-6437 or email at [email protected]
anesthesiology.duke.edu
SAVE THE DATE
Sponsored by the Duke University School of Medicine
DUKE CME: TRanSFoRMing KnowLEDgE
Duke University School of Medicine and The Department of anesthesiologyPRESEnTS
DUKE CME: TRANSFORMING KNOWLEDGE
Duke University School of Medicine and The Department of AnesthesiologyPRESENTS
SAV
E TH
E D
ATE
Sponsored
by the Duke
University
School of
Medicine.
Mark your calendars for another year of cutting-edge research and updated information designed for medical personnel of all skill levels.
http://anesthesiology.duke.edu
12th Annual Duke Cardiothoracic Update and TEE Board Review Course
June 18-21, 2009Crowne Plaza ResortHilton Head Island, South Carolina
NEW!Featuring
Heartworks™TEE Simulator
ClassifiedsTransportation
1999 Subaru Legacy 4 door sedan. All wheel drive, au-tomatic transmission, tow package, roof rack, with A/C and aftermarket radio/CD player. A Canadian car with 133,700 miles on it (speed-ometer in miles and kilome-
ters). 4 new tires, new timing chain, well maintained, inspected. A solid car--ideal for driving to the mountains. Asking $3,800.00 (under book price, negotiable). If interested please call Amy Rice at 919 812-5954 (around the corner from Duke).
Wanted
On Friday, December 19, 2008 my family fostered a pregnant 2 year old German Shepherd that had been abandoned at a vet’s clinic. On Saturday she gave birth to 8 wonderful puppies. We are in need of old newspapers and blan-kets. All offers gratefully received. Please contact David MacLeod on 970-7963.
http://anesthesiology.duke.edu 5
the BACK page
New Anesthesia BabyKieu Luu and his wife Kari are proud first-time parents of baby girl, Katelyn, born on December 31, 2008 at 9:59 am at 6 lb, 14 oz.
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