Pediatric Laser Acupuncture and Renal Biopsy
Maneno muhimu
Kikemikali
Maelezo
At University of California San Francisco, there are approximately 100 pediatric renal biopsies per year. All of these patients receive sedation, which is prescribed and supervised by the pediatric pain and palliative care team, with either ketamine or fentanyl and versed. Child life is involved; however, many children still experience anxiety and/or pain with the procedure. Use of a modality such as aculaser which may decrease these symptoms could enhance their experience.
The term "laser" stands for light amplification by stimulated emission of radiation. In laser acupuncture, a low power, cold light produced by a low-level laser diode is used to stimulate an acupuncture point. As it is non-invasive, laser acupuncture is thought to be safer than needle acupuncture, especially in the setting of patients with blood-borne infectious diseases. In a systematic review analyzing the evidence to support the effectiveness of laser acupuncture, randomized control trials in which adults with soft tissue injury, acute or chronic pain condition, or any systemic illness were included. This review reports moderate level of evidence for treatment of myofascial pain and post-operative nausea/vomiting and limited evidence of the clinical effectiveness of treating chronic tension headaches. Of note, no complications of the use of aculaser were reported in this review (1).
1. Baxter GD, Bleakley C, McDonough S. Clinical effectiveness of laser acupuncture: a systematic review. J Acupunct Meridian Stud. 2008 Dec;1(2):65-82.
Tarehe
Imethibitishwa Mwisho: | 12/31/2019 |
Iliyowasilishwa Kwanza: | 06/12/2013 |
Uandikishaji uliokadiriwa Uliwasilishwa: | 06/12/2013 |
Iliyotumwa Kwanza: | 06/17/2013 |
Sasisho la Mwisho Liliwasilishwa: | 01/12/2020 |
Sasisho la Mwisho Lilichapishwa: | 01/21/2020 |
Tarehe ya matokeo ya kwanza yaliyowasilishwa: | 10/23/2016 |
Tarehe ya matokeo ya kwanza ya QC yaliyowasilishwa: | 01/12/2020 |
Tarehe ya matokeo ya kwanza kuchapishwa: | 01/21/2020 |
Tarehe halisi ya kuanza kwa masomo: | 06/30/2013 |
Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 10/31/2015 |
Tarehe ya Kukamilisha Utafiti: | 10/31/2015 |
Hali au ugonjwa
Uingiliaji / matibabu
Device: Aculaser applied to kidney points
Device: Aculaser applied to sham points
Awamu
Vikundi vya Arm
Mkono | Uingiliaji / matibabu |
---|---|
Sham Comparator: Aculaser applied to sham points The patient will receive aculaser, performed by licensed acupuncturist, to "sham" acupuncture sites. In addition, the patient will still receive standard pain control protocols with anesthetic medications like lidocaine plus ketamine or fentanyl and versed during the biopsy, along with pain management after the procedure. | Device: Aculaser applied to sham points The patient will receive aculaser, performed by licensed acupuncturist, to "sham" acupuncture sites. In addition, the patient will still receive standard pain control protocols with anesthetic medications like lidocaine plus ketamine or fentanyl and versed during the biopsy, along with pain management after the procedure. |
Experimental: Aculaser applied to kidney points The patient will receive aculaser, performed by licensed acupuncturist, to known kidney acupuncture sites. In addition, the patient will still receive standard pain control protocols with anesthetic medications like lidocaine plus ketamine or fentanyl and versed during the biopsy, along with pain management after the procedure. | Device: Aculaser applied to kidney points The patient will receive aculaser, performed by licensed acupuncturist, to known kidney acupuncture sites. In addition, the patient will still receive standard pain control protocols with anesthetic medications like lidocaine plus ketamine or fentanyl and versed during the biopsy, along with pain management after the procedure. |
Vigezo vya Kustahiki
Zama zinazostahiki Kujifunza | 7 Years Kwa 7 Years |
Jinsia Inastahiki Kujifunza | All |
Hupokea Wajitolea wa Afya | Ndio |
Vigezo | Inclusion Criteria: - older than 6 years old - admitted for a transplant or native kidney biopsy performed by pediatric nephrology Exclusion Criteria: - Prisoners - Pregnant females - Those who are unable to participate with the visual analog scale |
Matokeo
Hatua za Matokeo ya Msingi
1. Patient Pain/Anxiety [1 day]
Hatua za Matokeo ya Sekondari
1. Parent Perception of Patient Pain Report [1 day]