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Titolo:
Acupuncture: Complications, contraindications and informed consent
Autore:
de Groot, M;
Indirizzi:
Univ Klinikum Leipzig, Neurol Klin & Poliklin, D-04103 Leipzig, Germany Univ Klinikum Leipzig Leipzig Germany D-04103 , D-04103 Leipzig, Germany
Titolo Testata:
FORSCHENDE KOMPLEMENTARMEDIZIN UND KLASSISCHE NATURHEILKUNDE
fascicolo: 5, volume: 8, anno: 2001,
pagine: 256 - 262
SICI:
1424-7364(200110)8:5<256:ACCAIC>2.0.ZU;2-D
Fonte:
ISI
Lingua:
GER
Soggetto:
CARDIAC-TAMPONADE; BACTERIAL-ENDOCARDITIS; ADVERSE EVENTS; NEEDLE; PERICHONDRITIS; HEPATITIS; INJECTION; INJURY;
Keywords:
acupuncture : adverse effects; complications; contraindications; informed consent;
Tipo documento:
Editorial Material
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
79
Recensione:
Indirizzi per estratti:
Indirizzo: de Groot, M Univ Klinikum Leipzig, Neurol Klin & Poliklin, Liebigstr 22A, D-04103 Leipzig, Germany Univ Klinikum Leipzig Liebigstr 22A Leipzig Germany D-04103 y
Citazione:
M. de Groot, "Acupuncture: Complications, contraindications and informed consent", FORSCH KOM, 8(5), 2001, pp. 256-262

Abstract

With the widespread usage of acupuncture, the number of reports about complications of this treatment increases. Harmless disturbances are common andinclude minor bleedings or haematomas, pain during insertion or after withdrawal of the needle, and skin symptoms. in every second acupuncture treatment, at least one of these complications occurs. Orthostatic dysregulationsare relatively rare and can be observed in only 1% of patients. They can be prevented by treating the patient in a lying position, especially in the first treatment session. Stab injuries of internal organs most often affectthe lungs, resulting in a pneumothorax. At least 23 cases have been published, 2 of them with fatal consequences. An inquiry of Norwegian doctors even suggests that until 1995 in Norway alone 250 cases of pneumothorax after acupuncture occurred. Stab injuries of other internal organs or the CNS areonly described in case reports, but some of them had fatal consequences. Stab injuries of peripheral nerves or large vessels and systemic bacterial infections like sepsis or endocarditis are very rare but serious consequences have been described. The transmission of viral infections due to insufficiently sterilised acupuncture needles loses more and more importance. The incidence of local infections can possibly be influenced, but even in Europethis complication still occurs frequently, The overview of published complications leads to the contraindications of acupuncture. Disturbances of coagulation, immune deficiency, abnormal heart valves or prosthetic valves arethe most important ones to name. Suggestions for obtaining informed consent may be helpful while performing clinical trials.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 12:52:04