Acupuncture for Pain and Nausea in the Intensive Care Unit: A Feasibility Study in a Public Safety Net Hospital

Feeney, Colin; Bruns, Elizabeth B; LeCompte, Gabrielle; Forati, Anahita; Chen, Thomas; Matecki, Amy

doi:10.1089/acm.2016.0323

Cited by 13 publications

(22 citation statements)

References 24 publications

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“…Three of the included studies investigated the physical pain‐relieving methods of passive exercise, acupuncture and ice pack (Amidei & Sole, ; Feeney et al, ; Khalil, ). Amidei and colleagues provided a 20‐min passive exercise programme delivered by a continuous passive motion machine (CPM) (Amidei & Sole, ).…”

Section: Resultsmentioning

confidence: 99%

“…The pain was assessed before and after the acupuncture using a 10‐point VAS and an NRS. Pain intensity dropped by an average of 2.56 points on day one and by 1.98 on day three ( p < .05) (Feeney et al, ). Acupuncture also reduced morphine consumption from a mean of 21.44 mg ( SD = 29.4) before treatment to a mean of 20.00 mg after the first treatment, and morphine usage continued to decrease significantly ( p < .001) after each treatment until it reached a mean dose of 13.5 mg after the 3rd treatment (Feeney et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…In the current scoping review, acupuncture and hypnosis reduced pain intensity most efficiently (Berger et al, ; Feeney et al, ; Patterson et al, ). A 2.56‐point reduction in pain intensity, as measured by a 0–10 point VAS, was found among general ICU patients from pretreatment at baseline to the last post‐treatment with acupuncture.…”

Section: Discussionmentioning

confidence: 99%

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Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review

Sandvik

Olsen

Rygh

et al. 2020

Journal of Clinical Nursing

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Aims and Objectives: To describe what is known from the existing literature on nonpharmacological interventions targeting pain in patients admitted to the ICU. Background: Patients receiving intensive care nursing are exposed to a wide range of pain provoking tissue damage, diseases, surgery and other medical procedures in addition to the pain caused by nursing care procedures. The present shift to light sedation to improve patient outcomes and comfort underscores the need for effective pain management. Opioids are the mainstay for treating pain in the ICUs, whereas nonpharmacological treatments are understudied and possibly under-used. Method: A scoping review was undertaken using five of the six steps in the Arksey and O´Malley framework: (a) identification of the research question, (b) identification of relevant studies, (c) study selection, (d) charting the data and (e) collating, summarising and reporting the results. CINAHL, MEDLINE, PubMed, BMJ Best Practice, British Nursing Index and AMED databases were searched using relevant keywords to capture extensive evidence. Data were analysed using the six-step criteria for scoping reviews suggested by Arksey and O´Malley for data extraction. To ensure quality and transparency, we enclosed the relevant Equator checklist PRISMA. Results: Our search yielded 10,985 articles of which 12 studies were included. Tools for pain assessments were VAS, NRS, ESAS and BPS. Interventions explored were hypnosis, simple massage, distraction, relaxation, spiritual care, harp music, music therapy, listening to natural sounds, passive exercise, acupuncture, ice packs and emotional support. Reduction in pain intensity was conferred for hypnosis, acupuncture and natural sounds. Conclusion: The findings support further investigations of acupuncture, hypnosis and listening to natural sounds. Relevance to Clinical Practice: The main finding suggests the use of comprehensive multimodal interventions to investigate the effects of nonpharmacological treatment protocols on pain intensity, pain proportion and the impact on opioid consumption and sedation requirements. | 1489 SANDVIK et Al.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review

Sandvik

Olsen

Rygh

et al. 2020

Journal of Clinical Nursing

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“…Alternatively, acupuncture can be provided by qualified acupuncturists in ICUs (Feeney et al, 2017;Kreindler et al, 2014;Matsumoto-Miyazaki et al, 2018). Understanding the value of integrative therapies and collaborating with practitioners of integrative therapies is necessary to achieve optimal patient care in ICUs (Provancha-Romeo et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Integrative therapies in intensive care units: A scoping review

Mamba

Filmalter

Heyns

2021

Journal of Clinical Nursing

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Aim:We reviewed literature describing the incorporation of integrative therapies in intensive care units. We aimed to elicit an overall picture of research and find existing knowledge gaps on this topic. Design:We conducted a scoping review guided by Arksey and O'Malley's methodological framework and were guided by the PRISMA-ScR Checklist.Methods: Various databases were searched for relevant literature. English language articles published between 1999 and 2019 were retrieved. Data were extracted based on sample, sample size, methodology, findings and implications for practice.Results: From 275 studies retrieved, 30 were included, based on the inclusion criteria.Three key themes related to integrative therapies in intensive care units emerged from the literature: 1) general information on integrative therapies; 2) interventions using integrative therapies; and 3) perceptions and attitudes of nurses on integrative therapies. Positive outcomes were observed in ICUs, and nurses showed positive attitudes towards using integrative therapies.

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“…[20] ST36 (Zusanli) and ST37 (Shangjuxu) also showed to improve small intestines motility in animal studies; additionally, ST36 (Zusanli) showed to increased gastric motility through a vagal pathway. [17,28,29] The acupoint LI4 (Hegu) a “Yuan-Source” point of the Large Intestine channel is usually indicated for treating pain-related conditions alongside with the ability to benefit the digestive system, the points showed a beneficial effect on irritable bowel syndrome and on rats with gastric carcinectomy. [30,31]…”

Section: Discussionmentioning

confidence: 99%

Acupuncture effect on digestion in critically ill postoperative oral and hypopharyngeal cancer patients

Ben-Arie

Kao

et al. 2019

Medicine

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Introduction:Head and neck cancer patients are at a high risk to suffer from malnourishment, a risk that increases in postoperative condition and with the use of enteral nutrition (EN). Until now patients who are suffering from indigestion in the intensive care unit (ICU) received treatment in the form of prokinetic drugs, drugs that can lead to serious side effects and only can partially improve digestion functions. Acupuncture was used successfully in several clinical trials to improve postoperative indigestion in cancer patients without any reported adverse events. The study aims are to investigate acupuncture effect in combination with prokinetic drugs in the treatment of indigestion in postoperative oral and hypopharyngeal cancer patients in the ICU.Methods:Single-center, double-blind randomized control trial will compare between 2 equal groups. A total of 28 patients that will meet the inclusion criteria: age 30 to 80, postplastic surgery for oral cancer or hypopharyngeal cancer, developed feeding intolerance 2 times in the first postoperative day, Apache score <20, and needed EN. Patients will be randomly divided (1:1) into treatment group or control group for 3 treatments in 3 days along with routine ICU treatment. The main outcome measurement will be the number of days a patient needs to reach his total energy expenditure.Expected outcome:The results will shed light on the effectiveness and safety of acupuncture in a double-blind design treating postoperative ICU cancer patients. In addition, the study presents a revolutionary double-blind design that if, will prove as successful might influence the way double-blind acupuncture studies are performed today.Other information:The study will be conducted in the surgical ICU department, of China medical university hospital, Taichung 404, Taiwan. The study is conducted on stable ICU patients and is anticipated to have minimum risk for adverse events. Patients enrollment and data collection will start from May 15, 2019. The study expected completion time: June 2021.

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Acupuncture for Pain and Nausea in the Intensive Care Unit: A Feasibility Study in a Public Safety Net Hospital

Abstract: Acupuncture is feasible, safe, and acceptable in an ICU setting by patients from diverse backgrounds.

Cited by 13 publications

References 24 publications

Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review

Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review

Integrative therapies in intensive care units: A scoping review

Acupuncture effect on digestion in critically ill postoperative oral and hypopharyngeal cancer patients

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