Metaanalysis of Acustimulation Effects on Postoperative Nausea and Vomiting in Children

Dune, Linda S.; Shiao, S. Pamela K.

doi:10.1016/j.explore.2006.04.004

Cited by 44 publications

(31 citation statements)

References 32 publications

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“…1 2 Meta-analyses indicate that acupuncture may reduce postoperative nausea and vomiting in adults and children. [3][4][5] Opponents of acupuncture contend that acupuncture is not effective beyond a placebo effect. 6 7 The placebo effect may be defined as "a beneficial effect in a patient following a particular treatment that arises from the patient's expectations concerning the treatment rather than Editor's choice Scan to access more free content from the treatment itself ".…”

Section: Introductionmentioning

confidence: 99%

Acupuncture versus Usual Care for Postoperative Nausea and Vomiting in Children after Tonsillectomy/Adenoidectomy: A Pragmatic, Multicentre, Double-Blinded, Randomised Trial

et al. 2015

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Objectives To investigate the effect of a standardised acupuncture on nausea and vomiting in children after tonsillectomy with or without adenoidectomy when possible placebo effects were precluded. Methods A pragmatic, multicentre, doubleblinded, randomised controlled trial. The study was conducted over 10 months in 2012-2013 at three ambulatory clinics. Two hundred and eighty-two children, age 1-11 years, American Society of Anesthesiologists grade ≤II, were included. To equalise expectancy effects, all parents were told that their child would receive acupuncture. However, children were randomly allocated to perioperative bilateral needling acupuncture at PC6, depth 7 mm, mean time 17 min (SD 5-45) during anaesthesia plus usual care, or to usual care only. The regional ethics committee approved this approach. Primary endpoints were nausea and vomiting 24 h postoperatively. Results This study did not demonstrate any effect of acupuncture (95% CI) compared with standard care. The overall vomiting in the acupuncture and usual-care groups was 44.2% and 47.9%, respectively. Nausea was experienced by 31.7% in the acupuncture group and by 32.6% in the usual-care group. The test power was acceptable for comparisons of vomiting. Conclusions The findings suggest that when controlling for possible placebo effects standardised PC6 acupuncture needling during anaesthesia without further stimulation of PC6 is not effective in reducing nausea and vomiting in children after tonsillectomy with or without adenoidectomy. Future studies should investigate acupuncture treatment which balances adequate dose and technique and a feasible, child-friendly acupuncture treatment. Trial registration number ClinicalTrials.gov NCT01729052.

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Section: Introductionmentioning

confidence: 99%

Acupuncture versus Usual Care for Postoperative Nausea and Vomiting in Children after Tonsillectomy/Adenoidectomy: A Pragmatic, Multicentre, Double-Blinded, Randomised Trial

et al. 2015

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“…10 Others have demonstrated that acupuncture is more effective than acupressure in reducing vomiting for children. 12 The objective of this study was to investigate the effectiveness of perioperative acupuncture and postoperative acupressure as supplements to standard treatment for POV in children undergoing tonsillectomy and/or adenoidectomy.…”

Section: Introductionmentioning

confidence: 99%

Perioperative Acupuncture and Postoperative Acupressure Can Prevent Postoperative Vomiting following Paediatric Tonsillectomy Or Adenoidectomy: A Pragmatic Randomised Controlled Trial

Liodden

Howley²,

Grimsgaard

et al. 2011

Acupunct Med

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Objective To investigate the effectiveness of acupuncture and acupressure as supplements to standard treatment for postoperative vomiting in children undergoing tonsillectomy and/or adenoidectomy. Methods A pragmatic, open, block-randomised controlled trial. The results were analysed according to the intention-to-treat principle. The study was conducted without extra resources in a normal setting at the day-surgery department of Lovisenberg Diakonale Hospital in Oslo. 154 children with an American Society of Anesthesiologists grade 1-2, weighing at least 10 kg, were included. Children with concomitant gastrointestinal diseases, emesis or antiemetic treatment <24 h preoperatively, rash or local infection over the actual acupuncture points were excluded together with patients whose parents' informed consent could not be obtained. The intervention group received acupuncture at pericardium 6 bilaterally, at a depth of approximately 0.7 cm with a median of 21 min during anaesthesia, followed by acupressure wristbands for 24 h and standard treatment. The control group received standard treatment. The primary end point was the occurrence of vomiting or retching during 24 h postoperatively. Results Children in the acustimulation group experienced less retching and vomiting than the control group-46.8% versus 66.2% (p=0.015). The effect of acustimulation was specifi cally pronounced in girls and children aged 1-3 years. Conclusion This trial indicates the effectiveness of acustimulation as an adjunct to standard treatment. The results should encourage and promote the implementation of acustimulation for postoperative vomiting in children undergoing adenoidectomy or tonsillectomy.

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“…39 The motility in the intestinal tract and the gastric acid secretion increased or decreased depending on which points were needled. 29 30 32 45 46 In human adults [47][48][49] and children 50 acupuncture had a benefi cial effect on visceral symptoms like nausea. Acupuncture increased bowel movement in children, 51 altered gastric motility 52 and affected gastric emptying in adults with motility disorders 53 but caused no effect on gastric motility in healthy individuals.…”

Section: Possible Mechanisms and Explanationsmentioning

confidence: 99%

Acupuncture reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study

Landgren

Kvorning

Hallström

et al. 2011

Deutsche Zeitschrift für Akupunktur

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Objective To investigate whether acupuncture reduces the duration and intensity of crying in infants with colic. Patients and methods 90 otherwise healthy infants, 2-8 weeks old, with infantile colic were randomised in this controlled blind study. 81 completed a structured programme consisting of six visits during 3 weeks to an acupuncture clinic in Sweden. Parents blinded to the allocation of their children met a blinded nurse. The infant was subsequently given to another nurse in a separate room, who handled all infants similarly except that infants allocated to receive acupuncture were given minimal, standardised acupuncture for 2 s in LI4. Results There was a difference (p=0.034) favouring the acupuncture group in the time which passed from inclusion until the infant no longer met the criteria for colic. The duration of fussing was lower in the acupuncture group the fi rst (74 vs 129 min; p=0.029) and second week (71 vs 102 min; p=0.047) as well as the duration of colicky crying in the second intervention week (9 vs 13 min; p=0.046) was lower in the acupuncture group. The total duration of fussing, crying and colicky crying (TC) was lower in the acupuncture group during the fi rst (193 vs 225 min; p=0.025) and the second intervention week (164 vs 188 min; p=0.016). The relative difference from baseline throughout the intervention weeks showed differences between groups for fussing in the fi rst week (22 vs 6 min; p=0.028), for colicky crying in the second week (92 vs 73 min; p=0.041) and for TC in the second week (44 vs 29 min; p=0.024), demonstrating favour towards the acupuncture group. Conclusions Minimal acupuncture shortened the duration and reduced the intensity of crying in infants with colic. Further research using different acupuncture points, needle techniques and intervals between treatments is required. INTRODUCTIONTen per cent of newborn children in the Western world experience colic.1 2 The aetiology is unclear but gastrointestinal factors and allergy to cow's milk protein have been suggested as possible causes. 3 Another suggestion is that colic is a behavioural condition resulting from unfavourable parent-infant interaction. 3 In three meta-analyses current medical treatments are evaluated as either ineffi cient (simethicone) or as having serious side effects like seizures, asphyxia and death [3][4][5] (dicyclomine, presently withheld by the manufacturer). In spite of the good prognosis of infantile colic with full spontaneous recovery, 6 colic inhibits optimal family relations [7][8][9] and increases the risk of child abuse. [10][11][12] Acupuncture is widely used and discussed in infantile colic. However, few articles have been published on this subject. Two uncontrolled studies report positive outcomes after acupuncture in children with night crying. 13 14 One qualitative study 15 and one randomised controlled study 16 also indicate that acupuncture has an effect on infants' crying. The objective of this study was to further investigate whether minimal acupuncture reduces the durat...

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Metaanalysis of Acustimulation Effects on Postoperative Nausea and Vomiting in Children

Cited by 44 publications

References 32 publications

Acupuncture versus Usual Care for Postoperative Nausea and Vomiting in Children after Tonsillectomy/Adenoidectomy: A Pragmatic, Multicentre, Double-Blinded, Randomised Trial

Acupuncture versus Usual Care for Postoperative Nausea and Vomiting in Children after Tonsillectomy/Adenoidectomy: A Pragmatic, Multicentre, Double-Blinded, Randomised Trial

Perioperative Acupuncture and Postoperative Acupressure Can Prevent Postoperative Vomiting following Paediatric Tonsillectomy Or Adenoidectomy: A Pragmatic Randomised Controlled Trial

Acupuncture reduces crying in infants with infantile colic: a randomised, controlled, blind clinical study

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