Extra-1 acupressure for children undergoing anesthesia

Anesthesia and Analgesia
Shu-Ming WangZeev N Kain

Abstract

Acupuncture and related techniques have been used as adjuncts for perioperative anesthesia management. We examined whether acupressure in the Extra-1 (Yin-Tang) point would result in decreased preprocedural anxiety and reduced intraprocedural propofol requirements in a group of children undergoing endoscopic procedures. Fifty-two children were randomized to receive acupressure bead intervention either at the Extra-1 acupuncture point or at a sham point. A Bispectral Index (BIS) monitor was applied to all children before the onset of the intervention. Anxiety was assessed at baseline and before entrance to the operating room. Anesthetic techniques were standardized and maintained with IV propofol infusion titrated to keep BIS values of 40-60. We found that after the intervention, children in the Extra-1 group experienced reduced anxiety whereas children in the sham group experienced increased anxiety (-9% [-3 to -15] vs 2% [-6 to 7.4], P = 0.012). In contrast, no significant changes in BIS values were observed in the preprocedural waiting period between groups (P = ns). We also found that total intraprocedural propofol requirements did not differ between the two study groups (214 +/- 76 microg x kg(-1) x min(-1) vs 229 +/- 95 mi...Continue Reading

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Aug 24, 2005·Anesthesia and Analgesia·Shu-Ming WangZeev N Kain

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Citations

Dec 29, 2012·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·H Volkan AcarBayazit Dikmen
Jul 11, 2013·International Journal of Pediatrics·Evangeline LimJosephine Tan
Feb 20, 2016·Journal of Bodywork and Movement Therapies·Vitsarut ButtagatNattanan Rattanachan
Apr 11, 2014·International Review of Psychiatry·Barrie R Cassileth
Apr 12, 2013·Cancer·Barrie R CassilethClifford A Hudis
May 15, 2012·Complementary Therapies in Medicine·Vitsarut ButtagatPreeda Arayawichanon
Oct 5, 2015·Journal of Acupuncture and Meridian Studies·Jordan A GliedtAdam Wuollet
Aug 6, 2015·Explore : the Journal of Science and Healing·Aslıhan AbbasoğluAylin Tarcan
Sep 26, 2014·Evidence-based Complementary and Alternative Medicine : ECAM·Hyojeong BaeSeunghun Cho
Jul 3, 2016·Paediatric Anaesthesia·Meredith R Brooks, Brenda Golianu
Oct 7, 2015·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·Aslihan AbbasogluAylin Tarcan
Nov 21, 2019·American Journal of Audiology·Nicole HolmerSusan Norton
Jun 5, 2020·International Journal of Environmental Research and Public Health·Jacqueline S DrouinSeong Jung Kim
Jul 10, 2019·International Journal of Adolescent Medicine and Health·Somaye PouyYasaman Yaghobi
May 6, 2019·International Journal of Adolescent Medicine and Health·Milad BorjiBahram Naderi Nabi
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Jun 15, 2018·Medicines·Katharina MurgBerndt Urlesberger
Jul 9, 2009·Current Opinion in Anaesthesiology
Jan 19, 2021·BJA Education·C-J G AgbayaniZ N Kain

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