Acupuncture management of pain and emergence agitation in children after bilateral myringotomy and tympanostomy tube insertion

Lin, Yuan‐Chi; Tassone, Rosalie F.; Jahng, Stefan; Rahbar, Reza; Holzman, Robert S.; Zurakowski, David; Sethna, Navil F.

doi:10.1111/j.1460-9592.2009.03129.x

Cited by 63 publications

(63 citation statements)

References 21 publications

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“…[52][53][54][55][56][57][58][59][60] One study found acupuncture partly effective for pain, 61 and one study found acupressure effective for vomiting, but not nausea.…”

Section: Resultsmentioning

confidence: 99%

“…58 One study reported on acupuncture applied to the PC6 acupoint to treat sore throat due to intubation. 56 Acupuncture or acupressure was initiated before the induction of anesthesia in seven studies, 52,53,55,62,[64][65][66] during anesthesia in five studies, 37,56,[58][59][60] and postoperatively in three studies. 54,57,61 One study tested both preoperative and perioperative acupuncture.…”

Section: Norheim Et Almentioning

confidence: 99%

“…37,[63][64][65][66] Eleven studies reported on PONV as a primary endpoint using acupuncture/acupressure at point PC6, and among these eleven studies one study 60 combined PC6 with CV13. 37,[52][53][54][55]60,[62][63][64][65][66] Three studies 57,58,61 reported on POP as primary endpoint. One of these three studies used acupuncture points GV2, GV20, BL30, BL57, PC6, and Nei Ting.…”

Section: Norheim Et Almentioning

confidence: 99%

“…59 For maintenance anesthesia, ten studies used volatile anesthetics, 52,[54][55][56]58,60,[62][63][64][65] four studies used intravenous anesthetics, 57,59,61,66 a multicenter study included both volatile and intravenous anesthetics, 37 and in one study anesthesia was not specified. 53 The studies encompassed a range of types of surgery, including strabismus surgery, tonsillectomy, and laparoscopic cholecystectomy.…”

Section: Norheim Et Almentioning

confidence: 99%

“…63 Blinding of patients and assessor occurred in eleven studies out of 16. 37,54,55,57,58,60,[62][63][64][65][66] In four studies, 52,53,56,61 patient was blinded but blinding of assessors was unclear.…”

Section: Norheim Et Almentioning

confidence: 99%

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Acupuncture in ambulatory anesthesia: a review

Norheim¹,

Liodden²,

Alræk³

2015

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Background: Post-anesthetic morbidities remain challenging in our daily practice of anesthesia. Meta-analyses and reviews of acupuncture and related techniques for postoperative nausea and vomiting (POVN) and postoperative vomiting (POV) show promising results while many clinicians remain skeptical of the value of acupuncture. Given the interest in finding safe nonpharmacological approaches toward postoperative care, this body of knowledge needs to be considered. This review critically appraises and summarizes the research on acupuncture and acupressure in ambulatory anesthesia during the last 15 years. Methods: Articles were identified through searches of Medline, PubMed, and Embase using the search terms "acupuncture" or "acupuncture therapy" in combination with "ambulatory anesthesia" or "ambulatory surgery" or "day surgery" or "postoperative". A corresponding search was done using "acupressure" and "wristbands". The searches generated a total of 104, 118, and 122 references, respectively. Results: Sixteen studies were included; eight studies reported on acupuncture and eight on acupressure. Nine studies found acupuncture or acupressure effective on primary endpoints including postoperative nausea and vomiting, postoperative pain, sore throat, and emergence agitation. Four studies found acupuncture had a similar effect to antiemetic medication. Conclusion: Overall, the studies were of fairly good quality. A large proportion of the reviewed papers highlights an effect of acupuncture or acupressure on postoperative morbidities in an ambulatory setting. However, one should bear in mind that research on acupuncture/acupressure in an ambulatory setting contributes to ambiguous conclusions. Hence, we have addressed some of the issues related to this diversity in acupuncture research.

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“…[52][53][54][55][56][57][58][59][60] One study found acupuncture partly effective for pain, 61 and one study found acupressure effective for vomiting, but not nausea.…”

Section: Resultsmentioning

confidence: 99%

Section: Norheim Et Almentioning

confidence: 99%

Section: Norheim Et Almentioning

confidence: 99%

Section: Norheim Et Almentioning

confidence: 99%

Section: Norheim Et Almentioning

confidence: 99%

See 3 more Smart Citations

Acupuncture in ambulatory anesthesia: a review

Norheim¹,

Liodden²,

Alræk³

2015

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Effects of sevoflurane versus other general anaesthesia on emergence agitation in children

Costi

Cyna

Ahmed

et al. 2014

Cochrane Database of Systematic Reviews

145

133

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Propofol, halothane, alpha-2 agonists (dexmedetomidine, clonidine), opioids (e.g. fentanyl) and ketamine reduce the risk of EA compared with sevoflurane anaesthesia, whereas no clear evidence shows an effect for desflurane, isoflurane, midazolam premedication and parental presence at emergence. Therefore anaesthetists can consider several effective strategies to reduce the risk of EA in their clinical practice. Future studies should ensure adequate analgesia in the control group, for which pain may be a contributing or confounding factor in the diagnosis of EA. Regardless of the EA scale used, it would be helpful for study authors to report the risk of EA, so that this might be included in future meta-analyses. Researchers should also consider combining effective interventions as a multi-modal approach to further reduce the risk of EA.

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Intraoperative acupuncture for posttonsillectomy pain: A randomized, double‐blind, placebo‐controlled trial

et al. 2015

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Acupuncture management of pain and emergence agitation in children after bilateral myringotomy and tympanostomy tube insertion

Abstract: Our study suggests that acupuncture therapy may be effective in diminishing both pain and emergence agitation in children after BMT insertion without adverse effects.

Cited by 63 publications

References 21 publications

Acupuncture in ambulatory anesthesia: a review

Acupuncture in ambulatory anesthesia: a review

Effects of sevoflurane versus other general anaesthesia on emergence agitation in children

Intraoperative acupuncture for posttonsillectomy pain: A randomized, double‐blind, placebo‐controlled trial

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