Pediatric Laser Acupuncture and Renal Biopsy
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Anxiety, Chronic Pain |
| Therapuetic Areas: | Musculoskeletal, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 7 - 25 |
| Updated: | 10/14/2017 |
| Start Date: | July 2013 |
| End Date: | June 2016 |
Efficacy of Laser Therapy as an Adjuvant Treatment During Kidney Biopsies to Decrease Anxiety and Pain.
The purpose of this study is to test if treatment with laser therapy in pediatric patients
undergoing renal biopsies will improve patient satisfaction of the overall procedure. In this
study, the participant will receive a laser acupuncture treatment targeting either kidney
acupoints or targeting "sham" points not associated with the kidney; the participant will not
get both. Both treatment sessions are given by a certified medical acupuncturist. 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. All medication will be administered without regard for which group the participant
has been randomized, as the treatment team will also be blinded.
Hypothesis:
We will test the hypothesis that treatment with laser acupuncture in patients undergoing
renal biopsies will improve patient satisfaction of the overall procedure.
Specific Aims:
Specific Aim 1: Determine whether the use of laser acupuncture improves patient's overall
satisfaction of renal biopsy.
Specific Aim 2: Determine whether the use of laser acupuncture decreases the amount of
sedative medication given during renal biopsy.
undergoing renal biopsies will improve patient satisfaction of the overall procedure. In this
study, the participant will receive a laser acupuncture treatment targeting either kidney
acupoints or targeting "sham" points not associated with the kidney; the participant will not
get both. Both treatment sessions are given by a certified medical acupuncturist. 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. All medication will be administered without regard for which group the participant
has been randomized, as the treatment team will also be blinded.
Hypothesis:
We will test the hypothesis that treatment with laser acupuncture in patients undergoing
renal biopsies will improve patient satisfaction of the overall procedure.
Specific Aims:
Specific Aim 1: Determine whether the use of laser acupuncture improves patient's overall
satisfaction of renal biopsy.
Specific Aim 2: Determine whether the use of laser acupuncture decreases the amount of
sedative medication given during renal biopsy.
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.
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.
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
We found this trial at
2
sites
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