Complementary and alternative medicine interventions for perioperative symptoms: A comparative effectiveness study

Schiff, Elad; Attias, Samuel; Matter, Ibrahim; Sroka, Gideon; Nae, Bluma; Arnon, Zahi; Samuels, Noah; Grinberg, Ofra; Ben‐Arye, Eran

doi:10.1016/j.ctim.2019.03.003

Cited by 11 publications

(3 citation statements)

References 17 publications

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“…F I G U R E 6 Forest plot of virtual reality alleviating respiration rate. (Schiff et al, 2019), to co-manage preoperative anxiety in patients with higher anxiety levels.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of virtual reality in reducing preoperative anxiety in adults: A systematic review and meta‐analysis

Gao

Wang

Liu

2023

Journal of Advanced Nursing

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AimTo evaluate the impact of a virtual reality (VR) intervention on adult patients' preoperative anxiety, heart rate, respiration rate and blood pressure.DesignA systematic review and meta‐analysis of randomized controlled trials (RCTs).Data SourcesA librarian‐designed search of the Cochrane Library, PubMed, Web of Science, EMBASE, CINAHL, CBM, CNKI and Wanfang databases was conducted to identify research studies in English or Chinese on RCTs from their inception to 31 May 2022. Detailed search strategies and the checklist are provieded in Supplementary files S1 and S2.Review MethodsTwo researchers independently screened eligible studies. The Cochrane Handbook for Systematic Reviews of Interventions was used to assess the risk of bias in the included studies. A fixed‐ or random‐effects meta‐analysis model was used to determine the pooled mean difference based on the results of the heterogeneity test.ResultsThis study included 11 articles with a total of 892 participants. VR distraction comprised five studies, and VR exposure consisted of six studies. The results indicated that VR could reduce preoperative anxiety in adult patients and VR exposure seems to be more effective. The results also indicated that VR intervention can effectively reduce patients' heart rate and blood pressure compared to traditional intervention methods, but had no significant effect on respiration rate.ConclusionVR technology could relieve preoperative anxiety in adult patients through distraction or exposure. More well‐designed RCTs containing a wider range of surgical types are needed to verify our findings before we can make strong recommendations.ImpactOur systematic review and meta‐analysis show a positive effect of VR distraction and exposure interventions in reducing preoperative anxiety in adult patients. We suggest incorporating VR into preoperative procedures as an auxiliary way to reduce negative emotions in eligible patients.No Patient or Public ContributionOur paper is a systematic review and meta‐analysis and such details do not apply to our work.

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“…F I G U R E 6 Forest plot of virtual reality alleviating respiration rate. (Schiff et al, 2019), to co-manage preoperative anxiety in patients with higher anxiety levels.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, VR distraction alone might not be sufficient to significantly relieve adult anxiety. Accordingly, we suggest adding other effective interventions, such as music therapy (Bradt et al, 2013), reflexology and guided imagery (Schiff et al, 2019), to co‐manage preoperative anxiety in patients with higher anxiety levels.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of virtual reality in reducing preoperative anxiety in adults: A systematic review and meta‐analysis

Gao

Wang

Liu

2023

Journal of Advanced Nursing

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“…Acupuncture for pediatric/adolescent patients (n = 182) reduced pain [ 71 ]. The other study of perioperative adults (n = 1,127) treated with acupuncture resulted in reduced pain, nausea, and anxiety [ 72 ].…”

Section: Discussionmentioning

confidence: 99%

Acupuncture Therapy as an Evidence-Based Nonpharmacologic Strategy for Comprehensive Acute Pain Care: The Academic Consortium Pain Task Force White Paper Update

et al. 2022

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Background A crisis in pain management persists as does the epidemic of opioid overdose deaths, addiction, and diversion. Pain medicine is meeting these challenges by returning to its origins: the Bonica model of multidisciplinary pain care. The 2018 Academic Consortium White Paper detailed the historical context and magnitude of the pain crisis, and the evidence-base for nonpharmacologic strategies. Over 50% of chronic opioid use begins in the acute pain care setting. Acupuncture may be able to reduce this risk. Objective This paper updates the evidence-base of acupuncture therapy for acute pain with a review of systematic reviews and meta-analyses: post-surgical/peri-operative pain with opioid sparing, acute non-surgical/trauma pain including acute pain in the emergency department (ED). Methods To update reviews cited in the 2018 White Paper, electronic searches were conducted in PubMed, MEDLINE, CINAHL and Cochrane Central Register of Controlled Trials for ‘acupuncture’ and ‘acupuncture therapy’ and ‘acute pain’, ‘surgery’, ‘peri-operative’, ‘trauma’, ‘emergency department’, ‘urgent care’, ‘review(s)’, ‘systematic review’, ‘meta-analysis’ with additional manual review of titles, links, and reference lists. Results There are 22 systematic reviews, 17 with meta-analyses of acupuncture in acute pain settings, and a review for acute pain in the intensive care unit (ICU). There are additional studies of acupuncture in acute pain settings. Conclusion The majority of reviews find acupuncture therapy to be an efficacious strategy for acute pain with potential to avoid and/or reduce opioid reliance. Future multi-center trials are needed to clarify the dosage and generalizability of acupuncture for acute pain in the ED. With an extremely low risk profile, acupuncture therapy is an important strategy in comprehensive acute pain care.

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Intubated Patient in the Intensive Care Unit (ICU)

Schroeder

Kim

2020

Guide to the Inpatient Pain Consult

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Complementary and alternative medicine interventions for perioperative symptoms: A comparative effectiveness study

Cited by 11 publications

References 17 publications

Effectiveness of virtual reality in reducing preoperative anxiety in adults: A systematic review and meta‐analysis

Effectiveness of virtual reality in reducing preoperative anxiety in adults: A systematic review and meta‐analysis

Acupuncture Therapy as an Evidence-Based Nonpharmacologic Strategy for Comprehensive Acute Pain Care: The Academic Consortium Pain Task Force White Paper Update

Intubated Patient in the Intensive Care Unit (ICU)

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