Acupuncture in Preterm Babies during Minor Painful Procedures

Ecevit, Ayşe; Ince, Denız Anuk; Tarcan, Aylin; Cabıoğlu, Mehmet Tuğrul; Kurt, Abdullah

doi:10.1016/s0254-6272(12)60009-0

Cited by 39 publications

(81 citation statements)

References 25 publications

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“…Stimulating LI 4 ( Hegu ) bilaterally resulted in a more immediate effect than unilateral stimulation [34]. LI 4 ( Hegu ) has been used to treat infantile colic [35–38] and has been described for analgesia [39]. Furthermore, LI 4 ( Hegu ) induces specific patterns of brain activity in adults and children during manual acupuncture, electroacupuncture, and LA [40, 41].…”

Section: Resultsmentioning

confidence: 99%

Near-Infrared Spectroscopy for Objectifying Cerebral Effects of Laser Acupuncture in Term and Preterm Neonates

Raith

Pichler

Sapetschnig

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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Laser acupuncture (LA) becomes more and more relevant in neonates and infants. With near-infrared spectroscopy (NIRS), a continuous and noninvasive measurement of tissue oxygenation is possible. Aim was to investigate, whether the application of LA was associated with any changes in regional cerebral oxygen saturation (rcSO2) in term and preterm neonates. The study included 20 neonates (12 males, 8 females). The Large Intestine 4 acupuncture point (LI 4, Hegu) was stimulated by a microlaser needle (10 mW, 685 nm laser needle EG GmbH, Germany) for 5 minutes, bilaterally. All neonates underwent polygraphic recording during undisturbed daytime sleep, including heart rate (HR), peripheral oxygen saturation (SpO2), and measurement of nasal flow. Using NIRS, rcSO2 was measured continuously. Cerebral fractional tissue oxygen extraction (cFTOE) was calculated. We did not observe any significant changes in SpO2 and HR values during the whole observation period. However, there was a significant decrease in rcSO2 (P = 0.003) within postintervention period, accompanied by a significant increase in cFTOE (P = 0.010) in postintervention period.

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Section: Resultsmentioning

confidence: 99%

Near-Infrared Spectroscopy for Objectifying Cerebral Effects of Laser Acupuncture in Term and Preterm Neonates

Raith

Pichler

Sapetschnig

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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“…Survey forms used the WBFPRS to assess pain (“0-no hurt“ to “10-hurts worst”) and a visual analog scale to assess anxiety (“0-not at all” to “10-worst imaginable”). The WBFPRS has been validated in children [18,39,54,59] and was chosen given the simplicity, patient preference, and speed in assessing pain [10,39,54]. The anxiety scale [9,14] was chosen for consistency and given the same feasibility reasons.…”

Section: Methodsmentioning

confidence: 99%

“…The 1998 NIH consensus statement endorsed acupuncture for postoperative dental pain [1]; other groups have described its benefits in procedure pain treatment [18,21,38]. Laser acupuncture (LA) is a noninvasive, painless alternative to needles using low-level intensity light.…”

Section: Introductionmentioning

confidence: 99%

Laser acupuncture reduces pain in pediatric kidney biopsies: a randomized controlled trial

Oates

Benedict²,

Sun³

et al. 2016

PAIN

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Evaluate laser acupuncture as an adjuvant therapy in pain management during percutaneous kidney biopsy procedure in children and adolescents. This prospective, double-blinded, randomized controlled trial enrolled patients aged 7-26 years admitted to a children’s hospital for percutaneous kidney biopsy. Patients received laser acupuncture to treatment points (acupuncture group) or sham points (control group) prior to the procedure. Laser delivered a dose of 42 J/cm2 over 10 acupoints. Patients and parents rated the pain during and after the biopsy, and change in pain scores were calculated for each patient. Anxiety, vital signs, sedation medication, and patient’s biopsy experience were secondary outcomes. Sixty-nine treatments (33 acupuncture group, 36 control group) were eligible for analysis. Patients in the acupuncture group reported a significantly improved change in pain score after the biopsy compared to the controls (0.8 vs −0.5, ρ=0.044). Patients in the acupuncture group had a statistically significant decrease in procedure vital signs including heart rate (−1.8 vs 5.6, ρ=0.043) and respiratory rate (−2.4 vs 0.4, ρ=0.045) when compared to controls. Parents also perceived a correspondingly greater improvement in their child’s pain for those in the acupuncture group compared to the controls (2.3 vs 0.3, ρ=0.04). Adjunctive laser acupuncture significantly improved pain after pediatric percutaneous kidney biopsies.

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“…32 Results suggested that needling this acupoint was an effective method to reduce pain and duration of crying.…”

Section: Painmentioning

confidence: 99%

Acupuncture for Pediatric Conditions: A Narrative Review

Milley

Davis

Kong

et al. 2015

Medical Acupuncture

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Background: The use of acupuncture for common pediatric conditions continues to grow. Three previous overviews have summarized the research literature. Objective: The aim of this article is to provide an updated narrative review of the literature on the use of acupuncture within the pediatric population. Methods: A systematic search was performed to identify clinical trials and reviews published through July 2015. Trials were excluded if they were not: (1) acupuncture-specific; (2) limited to pediatric patients; (3) published in English. The literature was assessed and synthesized into a narrative review and commentary. Results: Seventy-one publications were identified (59 clinical trials and 12 reviews) that represented 20 conditions. Since the prior overviews, 36 new publications (33 clinical trials) were identified and represented nine countries; the top three were China, Norway, and the United States. The top five areas of research at that timepoint were autism spectrum disorder, cerebral palsy, colic, pain, and nausea and vomiting. Conclusions: Clinical trials in pediatric acupuncture (n = 59) represent a small subset of acupuncture research. Data are promising for conditions such as pain and amblyopia; however, conclusions cannot be made due to limited number of trials and heterogeneity of treatment approaches. Specifically, caution is warranted, as acupuncture needling of a single acupoint in clinical research may not be equivalent to acupuncture treatment in clinical practice. Further research on the use of acupuncture for pediatric conditions is warranted. The current authors posit that the early phase research model, with pragmatic treatment approaches, should be employed to all areas of study. The conditions with promising evidence may represent key areas of focus for future research.

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Acupuncture in Preterm Babies during Minor Painful Procedures

Cited by 39 publications

References 25 publications

Near-Infrared Spectroscopy for Objectifying Cerebral Effects of Laser Acupuncture in Term and Preterm Neonates

Near-Infrared Spectroscopy for Objectifying Cerebral Effects of Laser Acupuncture in Term and Preterm Neonates

Laser acupuncture reduces pain in pediatric kidney biopsies: a randomized controlled trial

Acupuncture for Pediatric Conditions: A Narrative Review

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