Description bilaterally at acupuncture LI- 4 (he gu) and HT-7 (shen men) points
Experimental Description
This prospective randomized controlled trial is to evaluate the effectiveness of acupuncture to control pain and agitation after initial bilateral myringotomy tube placement in 60 nonpremedicated children. After obtaining parental consent, patients were randomized into either the acupuncture or the control group.
Premedication was not used in any of the patients. A standard general anesthetic technique and monitoring were used in all patients. Parental presence was allowed during inhalational induction by mask with 70% nitrous oxide in oxygen followed by incremental increase in inspired sevoflurane. The concentration of sevoflurane was increased gradually by 0.2% to 0.5% to achieve effective general anesthesia. Spontaneous ventilation was maintained, and the anesthetic depth was adjusted to each patient’s response to surgical stimulation. When simple comfort measures such as the presence of parents, physically holding the child, or offering oral fluids did not console the patient; oral acetaminophen 15 mg·kg-1 was administered. If the patient remained inconsolable, an additional dose of acetaminophen was given 30 min later.
Stimulation Method
MS
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
-
-
-
-
-
manipulated for 10 s and kept in situ for a total time of 10 min
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
0.18×30 mm
Serin Co, Shizuoka, Japan
-
Description Immediately after the induction of anesthesia and prior to surgical stimulation, the patients in the acupuncture group received acupuncture treatment. A stainless steel acupuncture needle, 30 mm in length and 0.18 mm in diameter (Serin Co, Shizuoka, Japan), was used for the acupuncture. Acupuncture treatment was applied bilaterally at acupuncture LI- 4 (he gu) and HT-7 (shen men) points. Each acupuncture needle was manually manipulated for 10 s and kept in situ for a total time of 10 min. No electrical stimulation was applied.
Anesthesia Method
GA
Clinical Trial Type
prospective randomized controlled trial
Contraindications
Exclusion criteria included the presence of neurological diseases, developmental delay, or chil_x005fdren who had received analgesics and sedatives within 36 h prior to surgery
Effector
Acupuncture treatment provided significant benefit in pain and agitation reduction. The median time to first postoperative analgesic (acetaminophen) administration was significantly shorter in the control group. The number of patients who required analgesia was considerably fewer in the acupuncture group than that in the control. No adverse effects related to acupuncture treatment were observed. Our study suggests that acupuncture therapy may be effective in diminishing both pain and emergence agitation in children after BMT insertion without adverse effects.
Acupuncture management of pain and emergence agitation in children after bilateral myringotomy and tympanostomy tube insertion.
Abstract
AIM: To further investigate the effect of acupuncture in postoperative pain and emergence agitation in children undergoing bilateral myringotomy and tympanostomy tube (BMT) placement. BACKGROUND: BMT insertion surgery in children is routinely performed under general anesthesia and is associated with a high incidence of postoperative pain and agitation upon emergence from anesthesia. Various medications have been investigated to alleviate the pain and agitation, which have been accompanied by high incidence of adverse effects. In children, anecdotal reports suggest that acupuncture may offer postoperative analgesia. METHODS/MATERIALS: This prospective randomized controlled trial is to evaluate the effectiveness of acupuncture to control pain and agitation after initial bilateral myringotomy tube placement in 60 nonpremedicated children. Acupuncture was applied at points LI-4 (he gu) and HT-7 (shen men) immediately after induction of anesthesia. A single-blinded assessor evaluated postoperative pain and agitation using CHEOPS and emergence agitation scale. Pain and agitation scores were significantly lower in the acupuncture group compared to those in the control group at the time of arrival in the post anesthesia care unit and during the subsequent 30 min. RESULTS: Acupuncture treatment provided significant benefit in pain and agitation reduction. The median time to first postoperative analgesic (acetaminophen) administration was significantly shorter in the control group. The number of patients who required analgesia was considerably fewer in the acupuncture group than that in the control. No adverse effects related to acupuncture treatment were observed. CONCLUSION: Our study suggests that acupuncture therapy may be effective in diminishing both pain and emergence agitation in children after BMT insertion without adverse effects."
Souce
Paediatr Anaesth. 2009 Nov;19(11):1096-101. doi: 10.1111/j.1460-9592.2009.03129.x. Epub 2009 Aug 26.
