Acupressure Treatment for Prevention of Postoperative Nausea and Vomiting

Fan, Chin-Fu; Tanhui, Eduardo; Joshi, Sanjoy; Trivedi, Shivang; Hong, Yiyan; Shevde, Ketan

doi:10.1213/00000539-199704000-00023

Cited by 81 publications

(6 citation statements)

References 17 publications

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“…The precise etiology of IONV remains unknown and various factors have been implicated [10]. Hypotension is probably the most important cause of IONV that occurs during CS under spinal anesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…This zone communicates with the vomiting center, to initiate vomiting [9]. It should be noted that if the CTZ was stimulated, its deactivation would be difficult [10], so we decided to start injection of studied drugs early, in contrast to many lecturers that started antiemetics after umbilical cord clamping. In our study the rate of successful prevention of IONV in ketamine group when compared to dexamethazone group (77.8% versus 71.2%) which was statistically insignificant, but significant reduction in both groups when compared with control group (48.9%).…”

Section: Discussionmentioning

confidence: 99%

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Effect of low dose ketamine versus dexamethasone on intraoperative nausea and vomiting during cesarean section under spinal anesthesia

Hassanein

Mahmoud

2015

Egyptian Journal of Anaesthesia

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Objectives: The purpose of our study was to evaluate the prophylactic use of low dose ketamine and comparing it to dexamethasone for reducing intraoperative nausea and vomiting (IONV) during cesarean section under spinal anesthesia. Methods: The study was performed in 135 full term parturient women of ASA I & II (American Society of Anesthesiology Grade I & II), aged between 20 and 40 years with uncomplicated pregnancies. The group I (n = 45) received 0.4 mg/kg ketamine, group II (n = 45) received 8 mg dexamethasone while control group III (n = 45) received 5 ml normal saline, slowly IV immediately after spinal anesthesia and before surgical incision. The number of episodes of nausea and vomiting was recorded, as well as any other adverse effects. Results: The results of this study showed that the rate of nausea and vomiting was lower in patients who received 0.4 mg/kg ketamine and 8 mg dexamethasone than in the placebo group with significant reduction in hypotensive episodes in ketamine group (P = 0.02). Conclusion: Low dose ketamine is effective as dexamethasone in prevention of IONV during cesarean section under spinal anesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of low dose ketamine versus dexamethasone on intraoperative nausea and vomiting during cesarean section under spinal anesthesia

Hassanein

Mahmoud

2015

Egyptian Journal of Anaesthesia

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“…14 Nausea, vomiting, and retching are associated with chemotherapy, before, during and after treatment [15][16][17][18][19][20] and remain problematic despite improved pharmacological treatment. [21][22][23][24] Completing a chemotherapy regimen is positively correlated with breast cancer survival, 25,26 but fear of nausea and vomiting causes 10%-15% of breast cancer patients to refuse or delay chemotherapy. 27 Research indicates that coping strategies 28 such as massage can enhance comfort, sleep, and relaxation, 9 and reduce pain, symptom distress, 29 and pain medication use.…”

Section: Introductionmentioning

confidence: 99%

Effects of Therapeutic Massage on the Quality of Life Among Patients with Breast Cancer During Treatment

Sturgeon¹,

Wetta‐Hall

Hart

et al. 2009

The Journal of Alternative and Complementary Medicine

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“…The acupuncture point can be stimulated using various methods. Application of pressure onto the pericardium 6 (P6) area (acupoint pressure), needling of the P6 point (acupuncture), and transcutaneous electrical nerve stimulation (TENS) are some of the techniques described (8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of P6 acupoint electrical stimulation in preventing postoperativenausea and vomiting following laparoscopic surgery

Yeoh¹,

Tang²,

Manap³

et al. 2016

Turk J Med Sci

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Background/aim: The effects of pericardium 6 (P6) electrical stimulation in patients at risk of postoperative nausea and vomiting (PONV) following laparoscopic surgery were evaluated. Materials and methods:Eighty patients for laparoscopic surgery with at least one of the determined risks (nonsmoker, female, previous PONV/motion sickness, or postoperative opioid use) were randomized into either an active or sham group. At the end of surgery, Reletex electrical acustimulation was placed at the P6 acupoint. The active group had grade 3 strength and the sham group had inactivated electrodes covered by silicone. It was worn for 24 h following surgery. PONV scores were recorded. Results:The active group had significantly shorter durations of surgery and lower PONV incidence over 24 h (35.1% versus 64.9%, P = 0.024) and this was attributed to the lower incidence of nausea (31.4% versus 68.6%, P = 0.006). The overall incidence of vomiting was not significantly different between the groups, but it was higher in the sham group of patients with PONV risk score 3 (23.9%, P = 0.049). Conclusion:In patients at high risk for PONV, P6 acupoint electrical stimulation lowers the PONV incidence by reducing the nausea component. However, this reduction in nausea is not related to increasing PONV risk scores.

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Acupressure Treatment for Prevention of Postoperative Nausea and Vomiting

Cited by 81 publications

References 17 publications

Effect of low dose ketamine versus dexamethasone on intraoperative nausea and vomiting during cesarean section under spinal anesthesia

Effect of low dose ketamine versus dexamethasone on intraoperative nausea and vomiting during cesarean section under spinal anesthesia

Effects of Therapeutic Massage on the Quality of Life Among Patients with Breast Cancer During Treatment

Effectiveness of P6 acupoint electrical stimulation in preventing postoperativenausea and vomiting following laparoscopic surgery

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