title: Acupuncture therapy for infants: a preliminary report on reasons for consultation, feasibility, and tolerability.
abstract: OBJECTIVE
  The aim of this retrospective review was to determine the feasibility, safety, and potential therapeutic effects of acupuncture in an inpatient infant population and to obtain data that would support the design of a randomized, controlled trial of acupuncture in infants.
  
  
  BACKGROUND
  Hospitalized infants are often exposed to sedative and analgesic medications to facilitate intensive and invasive medical care. With increasing concern about the potential neurotoxic effects of common analgesic and sedative medications, minimizing an infant's exposure to such agents is desirable. Acupuncture can be therapeutic in adults and children, but data in infants are lacking.
  
  
  METHODS
  We performed a retrospective chart review of infants who received acupuncture during hospitalizations between 2008 and 2010. Demographic data, diagnoses, reason for acupuncture consult, ventilator settings, sedative/analgesic medication regimens, details of acupuncture therapy, and adverse effects were among data collected.
  
  
  RESULTS
  Ten infants were identified in this review, seven of whom had agitation issues, two of whom had feeding difficulties, and one had both symptoms. Six of the eight infants with agitation had a decrease in the use of sedative and analgesic medications over the acupuncture therapy period, and four of five initially requiring mechanical ventilation were successfully weaned. One of the three infants with oral aversion transitioned rapidly to oral intake. Acupuncture therapy was well tolerated, and there were no complications observed.
  
  
  CONCLUSIONS
  In this small group of hospitalized infants, acupuncture was found to be safe, well tolerated, and therapeutic. More studies are warranted to define the role of acupuncture in this population.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, Seattle, WA 98105, USA. katherine.gentry@seattlechildrens.org
authors.forename: Katherine R
authors.initials: KR
authors.lastname: Gentry
authors.forename: Kathleen L
authors.initials: KL
authors.lastname: McGinn
authors.forename: Anjana
authors.initials: A
authors.lastname: Kundu
authors.forename: Anne M
authors.initials: AM
authors.lastname: Lynn
mesh_terms: D015669:Acupuncture Points; D015670:Acupuncture Therapy / Q000009:adverse effects; D000700:Analgesics; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D018529:Nutritional Support; D011595:Psychomotor Agitation / Q000628:therapy; D012017:Referral and Consultation; D012189:Retrospective Studies; D016896:Treatment Outcome; D015300:Ventilator Weaning
chemical_list: D000700:Analgesics; D006993:Hypnotics and Sedatives