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News

Monday, January 12, 2009 • Volume 11, Issue 2

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. T.J. Gan, MD

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

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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 Gladwell Mbochi Dr. Amy Rice

Dr. Tony Roche Dr. Daniel Thomas

Note: If you do not want your name listed here, please send a removal notice to keith010@mc.duke.edu.

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This Month in the Department of Anesthesiology January 2009 MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

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7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference

5-6 p.m., 5685-HAFS CT Conference: “Ventricular Assist Devices” - Steven Hill, MD

7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Journal Club

7 a.m.-2 p.m. Resident Interview Day

2-3 p.m., VAMC VA Echocardiography Conference

5-6 p.m., 5680A-HAFS GVTCCM Conference: “Anesthesia for Liver Transplantation at the University of Michigan” Dmitri Avlassevitch, MD

6:15-7:15 a.m., 5685-HAFS CT Anesthesia Fellow/Faculty Preceptor Seminar: “Imaging Planes & the Standard SCA/ ASE Exam” - Katherine Grichnik, MD 6:30 a.m., 2001DN Resident Conference Lectures: “Neonatal Resuscitation” - Adeyemi Olufolabi, MB

4-5 p.m., 5680A-HAFS Pediatric Conference: “Intestinal Transplant Surgery” Andrew Peery, MD

5-6 p.m., 5685-HAFS Departmental Research Conference: “Genetic, drug-related & environmental causes of mitochondrial dysfunction in neurological diseases” Sherine Chan, PhD

12:00-12:45 p.m., 2001DN Critical Care Conference

7:15 a.m., 2001DN Grand Rounds: “Clinical Case Conference” - Holly Muir, MD

7 a.m.-2 p.m. Resident Interview Day 19

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Martin Luther King Jr. Holiday

5-6 p.m., 5685-HAFS CT Conference

6:15-7:15 a.m., 5685-HAFS CT Anesthesia Fellow/Faculty Preceptor Seminar

7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Journal Club

7 a.m.-2 p.m. Resident Interview Day

6:30 a.m., 2001DN Resident Conference Lectures: “The Complicated Parturient pt 1” - Terrence Allen, MD

12:00-12:45 p.m., 2001DN Critical Care Grand Rounds

5-6 p.m., 5680A-HAFS GVTCCM Conference: “Perioperative Management of Sickle Cell Disease” - Laura DeCastro, MD

4-5 p.m., 5680A-HAFS Pediatric Conference

IRB Deadline: Submit 1 original and 3 copies to Dr. Gan’s office by 5 p.m.

7:15 a.m., 2001DN Grand Rounds: “Sleep Apnea” Daniel LaValley, MD

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7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference

5-6 p.m., 5685-HAFS CT Conference

6:15-7:15 a.m., 5685-HAFS CT Anesthesia Fellow/Faculty Preceptor Seminar

7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Journal Club

7 a.m.-2 p.m. Resident Interview Day

6:30 a.m., 2001DN Resident Conference Lectures: “The Complicated Parturient pt 2” - Ashraf Habib, MD

12:00-12:45 p.m., 2001DN Critical Care Conference

2-3 p.m., VAMC VA Echocardiography Conference 4-5 p.m., 5420B-DN Perioperative Leadership Group Meeting

5-6 p.m., 5680A-HAFS GVTCCM Conference: “TBA” IRB Deadline: Submit 1 original and 3 copies to Dr. Gan’s office by 5 p.m.

7 a.m.-2 p.m. Resident Interview Day

7:15 a.m., 2001DN Grand Rounds: “Bezold-Jarisch Reflex & Anesthesia” - Cheryl Jones, MD

5-6 p.m., 5685-HAFS Resident Education Sessions: “PBLD” - Cathleen PetersonLayne, MD

4-5 p.m., 5680A-HAFS Pediatric Conference

5 p.m., Chen Conf. Room Neuroradiology Conference

February 2, 2009

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7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Conference

5-6 p.m., 5685-HAFS CT Conference

6:15-7:15 a.m., 5685-HAFS CT Anesthesia Fellow/Faculty Preceptor Seminar

7:15-8:00 a.m., RM203-Pain Clinic MRC Pain Journal Club

6:30 a.m., 2001DN Resident Conference Lectures

12:00-12:45 p.m., 2001DN Critical Care Grand Rounds

7:15 a.m., 2001DN Grand Rounds

4-5 p.m., 5680A-HAFS Pediatric Conference

2-3 p.m., VAMC VA Echocardiography Conference 7 a.m.-2 p.m. Resident Interview Day

5-6 p.m., 5680A-HAFS GVTCCM Conference IRB Deadline: Submit 1 original and 3 copies to Dr. Gan’s office by 5 p.m.

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4-5 p.m., 5685-HAFS Executive Team Meeting 5-6 p.m., 5685-HAFS Faculty Meeting

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Anesthesiology news

DUKE HEART CENTER LECTURE SERIES

12th Annual J.G. Reves, MD Lecture

“Adult Congenital Heart Disease: Contrasting Management Strategies for Severe Pulmonary Valve Insufficiency” 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

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ANESTHESIOLOGY NEWS

DUKE CME: TRANSFORMING KNOWLEDGE

Duke University School of Medicine and The Department of Anesthesiology PRESENTS

DUKE CME: TRanSFoRMing KnowLEDgE

12th Annual Duke Cardiothoracic Update and TEE Board Review Course

Duke University School of Medicine and The Department of anesthesiology

Sponsored by the Duke

PRESEnTS

University School of Medicine.

NEW! Featuring Heartworks™ TEE Simulator

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 http://anesthesiology.duke.edu

SAVE THE DATE 2nd Annual Emerging Technologies in the OR

SAVE THE DATE

June 18-21, 2009 Crowne Plaza Resort Hilton Head Island, South Carolina

June 7-10, 2009 Disney’s Yacht and Beach Club Resort Lake Buena Vista, Florida

Sponsored by the Duke University School of Medicine

For registration questions please contact Katherine Siler at 919-681-6437 or email at siler006@mc.duke.edu anesthesiology.duke.edu ©Disney

Magic Kingdom® Park

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THE BACK PAGE Classifieds

New Anesthesia Baby

Transportation

Kieu 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.

1999 Subaru Legacy 4 door sedan. All wheel drive, automatic transmission, tow package, roof rack, with A/C and aftermarket radio/CD player. A Canadian car with 133,700 miles on it (speedometer in miles and kilometers). 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 blankets. All offers gratefully received. Please contact David MacLeod on 970-7963.

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