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Safety of Noninvasive Electrical Stimulation of Acupuncture Points During a Routine Neonatal Heel Stick

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Abstract

Background

Hospitalized infants may undergo frequent painful procedures with inadequate pain relief. Alternative pain relief interventions are needed.

Objective

The aim of this research was to determine the safety of noninvasive electrical stimulation of acupuncture points (NE-SAP) in neonates who were receiving routine heel sticks.

Design

This was a descriptive study performed to assess the safety of using a transcutaneous electrical nerve stimulation (TENS) unit to deliver NESAP to neonates.

Setting/Subjects

The subjects were healthy newborn infants < 3 days old before hospital discharge.

Intervention

The intervention was NESAP delivered via a TENS unit, administered before, during, and after heel stick. The electrodes of the TENS unit were applied at four acupuncture points. Settings were gradually increased: 6 infants received 1.0 mA, 2 Hz; the second 6 infants received 2.0 mA, 10 Hz; and the last 18 infants received 3.5 mA, 10 Hz.

Main Outcome Measures

Three main measures were used: (1) skin assessment (2) vital signs; (3) pain scores using the Premature Infant Pain Profile (PIPP).

Results

There were no significant changes in vital signs during and after NESAP. There were no changes in PIPP scores in the first 12 infants after initiation of NESAP. A slight but non-significant increase in PIPP scores (from 2.65 to 3.5 on a scale of 0–18) occurred in the last 18 infants. There were no adverse events during or after NESAP.

Conclusions

NESAP is safe for infants with low settings on a TENS unit.

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Literatur

  1. http://www.awmf.org/uploads/tx_szleitlinien/024-012l_S2k_Neugeborenenscreening_2011-12.pdf

  2. Beggs S, Currie G, Salter MW, Fitzgerald M, Walker SM. Priming of adult pain responses by neonatal pain experience: maintenance by central neuroimmune activity. Brain. 2012;135(Pt 2):404–17. doi:10.1093/brain/awr288

    Article  Google Scholar 

  3. Walker SM. Neonatal pain. Paediatric Anaesthesia, 2014; 24,1:39–48. doi:10.1111/pan.12293

    Article  Google Scholar 

  4. Walker SM. Biological and neurodevelopmental implications of neonatal pain Clin Perinatol, 2013;40,3:471–491. doi:10.1016/j.clp.2013.05.002

    PubMed  Google Scholar 

  5. Carbajal R, Chauvet X, Couderc S, Olivier-Martin M. Randomised trial of analgesic effects of sucrose, glucose, and pacifiers in term neonates. BMJ. 1999 Nov 27;319(7222):1393–7

    Article  CAS  Google Scholar 

  6. Stevens B, Johnston CC, Petryshen P, Taddio A. Premature Infant Pain Profile: Development and initial validation. Clin J Pain. 1996;12,1:13–22

    Article  CAS  Google Scholar 

  7. Bille B, A 40-year follow-up of school children with migraine, Cephalalgia. 1997 Jun;17,4:488–91; discussion 487

    Article  CAS  Google Scholar 

  8. Bille B, Migraine and tension-type headache in children and adolescents, Cephalalgia. 1996 Apr;16,2:78

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Physical Therapy, University of Central Arkansas, Conway, AR, USA

    L. M. Lowe

  2. Department of Neurobiology, Center for Translational Neuroscience, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    C. Yates & R. W. Hall

  3. Department of Nursing, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    A. J. Mitchell

  4. Department of Pediatrics and Neonatology, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    R. W. Hall

  5. Am Dorfanger 31, D-16278, Mark Landin, Deutschland

    Roland Kracht

Authors
  1. C. Yates
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  2. A. J. Mitchell
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  3. L. M. Lowe
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  4. A. Lee
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  5. R. W. Hall
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  6. Roland Kracht
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Corresponding author

Correspondence to Roland Kracht.

Additional information

Medical Acupuncture 25,4;2013:285–90. DOI: 10.1089/acu.2012.0952

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Yates, C., Mitchell, A.J., Lowe, L.M. et al. Safety of Noninvasive Electrical Stimulation of Acupuncture Points During a Routine Neonatal Heel Stick. Dtsch Z Akupunkt 58, 29–30 (2015). https://doi.org/10.1016/S0415-6412(15)60011-X

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  • DOI: https://doi.org/10.1016/S0415-6412(15)60011-X

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