Can perioperative acupuncture reduce the pain and vomiting experienced after tonsillectomy? A meta‐analysis

Cho, Hye‐Kyung; Park, In Joon; Jeong, Yeon Min; Lee, Yeon Ji; Hwang, Se Hwan

doi:10.1002/lary.25721

Cited by 33 publications

(26 citation statements)

References 34 publications

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“…Ondansetron is a serotoniergic antagonist and is generally tolerated quite well in children. But, it is expensive and has serious adverse effects including headache, fever, dizziness, abdominal cramps, transient elevation in plasma aminotransferase and bilirubin levels, and anaphylactic or anaphylactoid reactions . It is believed that serotoniergic antagonists are partially effective as most of them block only one type of receptor.…”

Section: Discussionmentioning

confidence: 99%

“…Many treatment modalities have been used as an effective means to control postoperative morbidities in children after tonsillectomy. However, there is no agreement on any particular medication, technique, or tool .…”

Section: Introductionmentioning

confidence: 99%

“…However, nowadays, because of the increasing awareness of quality in healthcare, perioperative usage of nonpharmacological treatment including acupuncture and related techniques (acustimulation) in children undergoing tonsillectomy are increasing in popularity . Their simplicity, lack of major side events, and low cost may provide advantages over modern therapies .…”

Section: Introductionmentioning

confidence: 99%

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Could acupuncture be an adequate alternative to dexamethasone in pediatric tonsillectomy?

Moeen

2016

Pediatric Anesthesia

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Could acupuncture be an adequate alternative to dexamethasone in pediatric tonsillectomy?

Moeen

2016

Pediatric Anesthesia

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“…A number of other articles have also shown some perceived pain relief without significant adverse effects due to acupuncture. [136,137]…”

Section: The Mind–body Approach To Painmentioning

confidence: 99%

A Mind–Body Approach to Pediatric Pain Management

2017

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Pain is a significant public health problem that affects all populations and has significant financial, physical and psychological impact. Opioid medications, once the mainstay of pain therapy across the spectrum, can be associated with significant morbidity and mortality. Centers for Disease and Control (CDC) guidelines recommend that non-opioid pain medications are preferred for chronic pain outside of certain indications (cancer, palliative and end of life care). Mindfulness, hypnosis, acupuncture and yoga are four examples of mind–body techniques that are often used in the adult population for pain and symptom management. In addition to providing significant pain relief, several studies have reported reduced use of opioid medications when mind–body therapies are implemented. Mind–body medicine is another approach that can be used in children with both acute and chronic pain to improve pain management and quality of life.

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“…Acupuncture may also activate endogenous pain inhibitory pathways [9]. Clinical studies have shown that acupuncture is a useful adjuvant treatment in post-operative pain [9], including post-tonsillectomy pain [7,8]. However in a home situation, the large majority of patients would be reluctant to needle themselves or their families.…”

Section: Acupuncturementioning

confidence: 99%

Auricular Acupuncture for Post-Operative Tonsillectomy Pain Management

Bartley¹

2017

JOENTR

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Battlefield acupuncture is a quickly taught auricular acupuncture technique, where semi-permanent acupuncture needles are placed on five specific points on the ear for acute pain relief. Pain management after tonsillectomy can be problematic. Postoperative pain restricts drinking and eating, and increases postoperative morbidity slowing recovery. Increasing evidence indicates that acupuncture has a role in post-operative tonsillectomy pain management. With auricular acupuncture, specific auricular acupuncture points are stimulated using a variety of methods that can include small needles, seeds and magnets. These devices can be left temporarily in place using adhesive tape. The patient or parent can then repeatedly apply pressure to the acupoints for several minutes a day for ongoing pain relief, which allows the patient to have continued acupuncture benefits in a home environment. Acupuncture has the advantages of low cost, few complications and minimal adverse side effects. Auricular acupuncture could potentially decrease analgesic consumption and its potential adverse effects, promoting early recovery. Auricular acupuncture could add a further option to post-tonsillectomy surgical pain management.

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Can perioperative acupuncture reduce the pain and vomiting experienced after tonsillectomy? A meta‐analysis

Abstract: NA. Laryngoscope, 126:608-615, 2016.

Cited by 33 publications

References 34 publications

Could acupuncture be an adequate alternative to dexamethasone in pediatric tonsillectomy?

Could acupuncture be an adequate alternative to dexamethasone in pediatric tonsillectomy?

A Mind–Body Approach to Pediatric Pain Management

Auricular Acupuncture for Post-Operative Tonsillectomy Pain Management

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