Acupuncture as an Antiemetic in Children who Underwent Adenoidectomy and/or Tonsillectomy

Özmert, Şengül; Salman, Nergis; Sever, Feyza; Akın, Mine; Saydam, Sibel; Keskin, Gülsen; Kurt, Devrim

doi:10.5152/tjar.2016.05902

Cited by 9 publications

(7 citation statements)

References 31 publications

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“…In the pediatric population, acupuncture, electroacupuncture, and laser acupuncture at the P-6 acupoint have all been used to prevent POV after tonsillectomy and/or adenoidectomy, hernia repair, circumcision, orchidopexy, chemotherapy, and strabismus procedures 321, [350][351][352][353][354][355][356][357][358][359][360][361][362] . However, there are other studies that used these modalities in both adults and children with negative results [363][364][365][366] .…”

Section: Nonpharmacologic Therapies For Ponv and Pdnvmentioning

confidence: 99%

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review

et al. 2020

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Postoperative nausea and vomiting (PONV) and postdischarge nausea and vomiting (PDNV) remain common and distressing complications following surgery. The routine use of opioid analgesics for perioperative pain management is a major contributing factor to both PONV and PDNV after surgery. PONV and PDNV can delay discharge from the hospital or surgicenter, delay the return to normal activities of daily living after discharge home, and increase medical costs. The high incidence of PONV and PDNV has persisted despite the introduction of many new antiemetic drugs (and more aggressive use of antiemetic prophylaxis) over the last two decades as a result of growth in minimally invasive ambulatory surgery and the increased emphasis on earlier mobilization and discharge after both minor and major surgical procedures (e.g. enhanced recovery protocols). Pharmacologic management of PONV should be tailored to the patient’s risk level using the validated PONV and PDNV risk-scoring systems to encourage cost-effective practices and minimize the potential for adverse side effects due to drug interactions in the perioperative period. A combination of prophylactic antiemetic drugs with different mechanisms of action should be administered to patients with moderate to high risk of developing PONV. In addition to utilizing prophylactic antiemetic drugs, the management of perioperative pain using opioid-sparing multimodal analgesic techniques is critically important for achieving an enhanced recovery after surgery. In conclusion, the utilization of strategies to reduce the baseline risk of PONV (e.g. adequate hydration and the use of nonpharmacologic antiemetic and opioid-sparing analgesic techniques) and implementing multimodal antiemetic and analgesic regimens will reduce the likelihood of patients developing PONV and PDNV after surgery.

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Section: Nonpharmacologic Therapies For Ponv and Pdnvmentioning

confidence: 99%

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review

et al. 2020

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“…Similarly, Özmert et al found that acupuncture at P6 acupoint for at least 20 minutes has been associated with a lower incidence of PONV. 33 …”

Section: Discussionmentioning

confidence: 99%

Unilateral Acupuncture Reduces Postoperative Pain Scores in Children Undergoing Adenotonsillectomy: A Randomized Controlled Trial

Ismail

Atef

Abuelnaga

et al. 2021

JPR

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Purpose Acupuncture ameliorates several pain disorders including postoperative pain. This can help to decrease the need for postoperative analgesics. We aimed to evaluate the effectiveness of acupuncture as an adjuvant scheme reduce both intraoperative and postoperative analgesia needs in children undergoing adenotonsillectomy. Methods This was a randomized controlled single-blinded trial that was performed over sixty children scheduled for adenotonsillectomy. They were randomly allocated to either an intervention group that received general anesthesia plus acupuncture or a control group which received general anesthesia alone. The primary outcome was the measurement of postoperative pain scores. Secondary outcomes included measurement of time to the first request of postoperative analgesia, the number of children requesting postoperative analgesics in the first 2 hours, the incidence of postoperative complications including postoperative nausea and/or vomiting (PONV), and emergence agitation (EA). Results AThe Wong-Baker FACES pain scores at rest and on swallowing were significantly lower in the intervention group than in the control group postoperatively. The time to the first request of postoperative analgesia was delayed in the intervention group versus the control group, with less number of patients who have requested additional analgesia during the first 2 hours postoperatively. Postoperative agitation was lower in the intervention group versus the control group patients. However, the incidence of PONV was not statistically different between study groups. Conclusion Combined acupuncture with general anesthesia in children undergoing adenotonsillectomy provided better postoperative pain control with no adverse effects.

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“…6,9 In previous studies, acupuncture or EA produced relief of nausea symptoms. 4,5,7 For example, Dundee et al, in a series of studies with more than 500 female patients, found a significant reduction in PONV only by stimulating PC 6. 4 The lack of antinausea effect of EA in the present study, which is effective for the treatment of nausea of other causes, such as chemotherapy-induced and postoperative nausea, might indicate that there are different pathophysiology mechanisms in the development of nausea in motion sickness.…”

Section: Discussionmentioning

confidence: 99%

“…Electroacupuncture (EA) entails the application of an electric current to the fitted needles by means of a special device. Previous studies have shown benefits from the application of acupuncture and EA for prevention of and therapy for nausea from other causes, such as chemotherapyinduced nausea, 3,4 postoperative nausea, [5][6][7] and pregnancyrelated nausea in the first semester. 4,8 The present study was designed to research the effect of EA on the symptoms of motion sickness.…”

Section: Introductionmentioning

confidence: 99%

Electroacupuncture Could Reduce Motion Sickness Susceptibility in Healthy Male Adults: A Double-Blinded Study

Fydanaki

Kousoulis

Dardiotis

et al. 2017

Medical Acupuncture

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Motion sickness is the main cause of nausea-related symptoms during passive motion in transportation. The aim of this study was to evaluate the effects of electroacupuncture (EA) for the reduction of motion sickness symptoms. Study participants were randomly assigned into three groups: Group A, therapeutic EA; Group B, sham EA; and group C, a control group. After an EA session, participants were exposed to a motion stimulus, using a rotating chair. Their symptoms were measured using the Greek version of the Gianaros Motion Sickness Assessment Questionnaire (MSAQ). In this study 20 volunteers participated. All 3 groups of subjects showed increases in their motion sickness symptoms after exposure to the motion stimulus. The mean total symptom score for Group A was 59,375, for Group B it was 74,333, and in Group C was it 93,166. This difference is partially statistically significant when comparing Group A with Group C, especially in a peripheral group of symptoms, as measured by the Gianaros MSAQ. The results of the present study suggest that participants who received therapeutic EA prior to motion stimulation tended to have fewer motion sickness symptoms in comparison with their counterparts, who were not given any therapy.

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Acupuncture as an Antiemetic in Children who Underwent Adenoidectomy and/or Tonsillectomy

Cited by 9 publications

References 31 publications

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review

Unilateral Acupuncture Reduces Postoperative Pain Scores in Children Undergoing Adenotonsillectomy: A Randomized Controlled Trial

Electroacupuncture Could Reduce Motion Sickness Susceptibility in Healthy Male Adults: A Double-Blinded Study

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