Description using acupuncture point PC6 bilaterally
Experimental Description
One hundred and fifty-four children were included. Numbers of allocated children were 77 in the intervention group and 77 in the control group.
Sample Count
154
Age
1月11日
Control
Std
control group(n=77)
Experiment
intervention group(n=77)
Indicator
Postoperative Nausea and Vomiting(PONV)
Auxiliary Medication
Sevoflurane 8% in 30% oxygen and 70% nitrous oxide was administered by mask for the induction of anaesthesia. When sufficient depth was attained, sevoflurane was regulated to 3%, an intravenous cannula was inserted and an infusion of 500 ml of Ringer’s acetate started at a non-standardised rate. An orotracheal tube secured the airway. Before the gag was put in place, a bolus dose of 2.5 mg/kg propofol was given intravenously, followed by a maintenance infusion of 12–15 mg/kg/h and remifentanil 0.3-0.7 mg/kg/min. Once the gag was in place, sevoflurane and nitrous oxide were discontinued. Paracetamol 15 mg/kg and ketobemidone hydrochloride-a strong synthetic opioid analgesic not generally available outside Scandinavia-0.1 mg/kg were given intravenously, and if required, alfentanil 25 μg/kg. All children were given dexamethasone 4 mg intravenously as an anti-inflammatory and prophylactic antiemetic.
Stimulation Method
MS
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
-
-
-
-
-
≥ 20 min
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
0.2×15 mm
‘Seirin’ needles no 3
7 mm
Description Acupuncture with 'Seirin' needles no 3 (0.20×15 mm) to a depth of approximately 7 mm. The intended acupuncture time was ≥20 min.
Anesthesia Method
AAA
Clinical Trial Type
A pragmatic, open, block-randomised controlled trial.
Adverse Effects
The primary end point was the occurrence of vomiting or retching during 24 h postoperatively. Secondary end points were the effect of acupuncture point stimulation with regard to associations with possible factors of predisposition to PONV.
Contraindications
Inflammation over the relevant acupuncture points
Effector
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 specifically pronounced in girls and children aged 1-3 years.
Perioperative acupuncture and postoperative acupressure can prevent postoperative vomiting following paediatric tonsillectomy or adenoidectomy: a pragmatic randomised controlled trial.
Abstract
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 specifically 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."
Souce
Acupunct Med. 2011 Mar;29(1):9-15. doi: 10.1136/aim.2010.002915. Epub 2010 Dec 18.
