Capsicum plasters on acupoints decrease the incidence of emergence agitation in pediatric patients
Paediatric Anaesthesia, 05/10/2012
Acar HV et al. – Application of capsicum plasters on acupoints offers a valuable choice in the prevention of emergence agitation (EA) in children.
Fifty patients undergoing elective adenoidectomy and/or tonsillectomy who aged between 2 and 10 were included to the study.
Patients were divided into two groups, and capsicum plasters (acupuncture) or inactive plasters (sham) were applied on bilateral HT 7 points preoperatively.
Pain, emergence agitation, and side effects were evaluated for 15min postoperatively.
Incidence of EA (PAED scale) (28.0% vs 60.0) and postoperative side effects was lower in acupuncture group than in sham group while there was no significant difference in the severity of EA between groups.
Duration of recovery was shorter in acupuncture group.
Pain scores (CHEOPS scale) were comparable between groups.
EA patients were noted to have greater age and more retching than non-EA patients.
Postoperative side effects such as retching, laryngospasm, and vomiting were seen more frequently in the patients with EA.
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