Acupuncture management of pain and emergence agitation in children after bilateral myringotomy and tympanostomy tube insertion
Item
Title
Acupuncture management of pain and emergence agitation in children after bilateral myringotomy and tympanostomy tube insertion
Author(s)
Lin, Y. C. See all items with this value
Tassone, R. F. See all items with this value
Jahng, S. See all items with this value
Rahbar, R. See all items with this value
Holzman, R. S. See all items with this value
Zurakowski, D. See all items with this value
Sethna, N. F. See all items with this value
Date
2009
volume
19(11)
pages
1096-1101
Research Type
RCT
Keywords
Acu + Usual Care Versus Usual Care See all items with this value
Acupuncture See all items with this value
Fixed Acupuncture Protocol See all items with this value
Myringotomy See all items with this value
Pediatrics See all items with this value
Restricted Modalities, Acupuncture Only See all items with this value
Usual Care Control, Pharmaceutical See all items with this value
Unspecified Acupuncture Style See all items with this value
Anesthesia and Analgesia See all items with this value
Pain, Postoperative See all items with this value
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
Frequency of Treatment
N/A
Time in Treatment
1 Day
has health condition studied
Anesthesia and Analgesia
has study population number
60