Effects of P6 Stimulation on Postoperative Nausea and Vomiting in Laparoscopic Cholecystectomy Patients

Carr, Karen L.; Johnson, Faith E.; Kenaan, Charbel A.; Welton, John

doi:10.1016/j.jopan.2014.04.005

Cited by 10 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Over half of studies involved interventions that were delivered during the preoperative phase of care (n=41, 48%); 13 studies delivered interventions during the intraoperative phase (n = 13, 15%); 24 , 26 , 31 , 43 , 46 , 51 , 74 , 75 , 86 , 92 , 97 , 99 , 101 13 studies (15%) delivered interventions solely in the postoperative phase, 36 , 39 , 44 , 47 , 48 , 60 , 66 , 68 , 73 , 77 , 82 , 90 , 107 Supplementary file 3 ; eight studies (9%) were based on interventions that were delivered during multiple phases of the perioperative pathway. 34 , 35 , 42 , 56 , 61 , 76 , 85 , 96 Almost half of the included studies assessed outcomes at multiple phases of the perioperative pathway (n = 34, 40%), whilst 24 studies (28%) assessed postoperative outcomes extending beyond the immediate PACU phase.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies (13% of included studies) focused on the prevention or treatment of PONV. Six studies tested pericardium 6 (P6) acupressure; 29,43,64,69,73,89 two studies tested aromatherapy with or without additional therapies; 39,48 one study tested early hydration; 90 one study tested an individualised preoperative education intervention 40 and one study tested different doses of promethazine. 44…”

Section: Postoperative Nausea and Vomiting (Ponv) Prevention And Treamentioning

confidence: 99%

“…34,35,42,56,61,76,85,96 Almost half of the included studies assessed outcomes at multiple phases of the perioperative pathway (n = 34, 40%), whilst 24 studies (28%) assessed postoperative outcomes extending beyond the immediate PACU phase. 26,27,34,35,39,40,41,43,45,48,51,55,61,62,64,66,69,73,89,90,92,99,102,109 Five studies (6%) assessed outcomes only during the preoperative phase, 57,58,71,103,106 whilst only four studies assessed outcomes at a single phase of intraoperative care (n=4, 6%), 33,46,56,59,74 and seven studies assessed outcomes during PACU care only (n=7, 8%). 24,44,47,68,82,100,…”

Section: Phases Of Carementioning

confidence: 99%

See 2 more Smart Citations

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

View full text Add to dashboard Cite

Purpose: Nurses provide care at each phase of the complex, perioperative pathway and are well placed to identify areas of care requiring investigation in randomized controlled trials. Yet, currently, the scope of nurse-led randomized controlled trials conducted within the perioperative setting are unknown. This scoping review aims to identify areas of perioperative care in which nurse-led randomized controlled trials have been conducted, to identify issues impacting upon the quality of these trials and identify gaps for future investigation. Methods: This scoping review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Searches were conducted in PubMed, Embase, Cumulative Index for Nursing and Allied Health Literature and the Cochrane Central Register of Controlled Trials, with a date range of 2014-19. Sources of unpublished literature included Open Grey, and ProQuest Dissertation and Theses, Clinical Trials.gov and the Australian and New Zealand Clinical Trials Registry. After title and abstract checking, full-text retrieval and data extraction, studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklists for randomized controlled trials. Data were synthesized according to the main objectives. Key information was tabulated. Results: From the 86 included studies, key areas where nurses have led randomized controlled trials include patient or caregiver anxiety; postoperative pain relief; surgical site infection prevention: patient and caregiver knowledge; perioperative hypothermia prevention; postoperative nausea and vomiting; in addition to other diverse outcomes. Issues impacting upon quality (including poorly reported randomization), and gaps for future investigation (including a focus on vulnerable populations), are evident. Conclusion: Nurse-led randomized controlled trials in the perioperative setting have focused on key areas of perioperative care. Yet, opportunities exist for nurses to lead experimental research in other perioperative priority areas and within different populations that have been neglected, such as in the population of older adults undergoing surgery.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Postoperative Nausea and Vomiting (Ponv) Prevention And Treamentioning

confidence: 99%

Section: Phases Of Carementioning

confidence: 99%

See 1 more Smart Citation

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

View full text Add to dashboard Cite

show abstract

“…described the use of P-6 acupoint stimulation for PONV as superior to non-acupoint or sham treatments in reducing PONV and need for rescue antiemetic treatment in the postoperative period 328 . Acupuncture at ear acupoint alone or in combination with stimulation at the wrist (P-6 acupoint) has been found to be an effective treatment to reduce PONV 329 – 331 . Similar results with dry cupping at the P-6 acupoint 332 and preoperative electro-acupuncture 333 were found.…”

Section: Nonpharmacologic Therapies For Ponv and Pdnvmentioning

confidence: 99%

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review

et al. 2020

View full text Add to dashboard Cite

Postoperative nausea and vomiting (PONV) and postdischarge nausea and vomiting (PDNV) remain common and distressing complications following surgery. The routine use of opioid analgesics for perioperative pain management is a major contributing factor to both PONV and PDNV after surgery. PONV and PDNV can delay discharge from the hospital or surgicenter, delay the return to normal activities of daily living after discharge home, and increase medical costs. The high incidence of PONV and PDNV has persisted despite the introduction of many new antiemetic drugs (and more aggressive use of antiemetic prophylaxis) over the last two decades as a result of growth in minimally invasive ambulatory surgery and the increased emphasis on earlier mobilization and discharge after both minor and major surgical procedures (e.g. enhanced recovery protocols). Pharmacologic management of PONV should be tailored to the patient’s risk level using the validated PONV and PDNV risk-scoring systems to encourage cost-effective practices and minimize the potential for adverse side effects due to drug interactions in the perioperative period. A combination of prophylactic antiemetic drugs with different mechanisms of action should be administered to patients with moderate to high risk of developing PONV. In addition to utilizing prophylactic antiemetic drugs, the management of perioperative pain using opioid-sparing multimodal analgesic techniques is critically important for achieving an enhanced recovery after surgery. In conclusion, the utilization of strategies to reduce the baseline risk of PONV (e.g. adequate hydration and the use of nonpharmacologic antiemetic and opioid-sparing analgesic techniques) and implementing multimodal antiemetic and analgesic regimens will reduce the likelihood of patients developing PONV and PDNV after surgery.

show abstract

“…151 For PONV, we will categorize a participant at risk for nausea/vomiting following surgery for up to 24 hours. 153 Table 4 details the participant timeline.…”

Section: Baseline and Final Interviewmentioning

confidence: 99%

Acupressure to Reduce Treatment-Related Symptoms for Children With Cancer and Recipients of Hematopoietic Stem Cell Transplant: Protocol for a Randomized Controlled Trial

Lown

Banerjee

Vittinghoff

et al. 2019

Glob Adv Health Med

View full text Add to dashboard Cite

Background: We describe the study design and protocol of a pragmatic randomized controlled trial (RCT) Acupressure for Children in Treatment for a Childhood Cancer (ACT-CC). Objective: To describe the feasibility and effectiveness of an acupressure intervention to decrease treatment-related symptoms in children in treatment for cancer or recipients of a chemotherapy-based hematopoietic stem cell transplant (HSCT). Design: Two-armed RCTs with enrollment of 5 to 30 study days. Setting: Two pediatric teaching hospitals. Patients: Eighty-five children receiving cancer treatment or a chemotherapy-based HSCT each with 1 parent or caregiver. Intervention: Patients are randomized 1:1 to receive either usual care plus daily professional acupressure and caregiver delivered acupressure versus usual care alone for symptom management. Participants receive up to 20 professional treatments. Main Outcome: A composite nausea/vomiting measure for the child.

show abstract

Effects of P6 Stimulation on Postoperative Nausea and Vomiting in Laparoscopic Cholecystectomy Patients

Cited by 10 publications

References 8 publications

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review

Acupressure to Reduce Treatment-Related Symptoms for Children With Cancer and Recipients of Hematopoietic Stem Cell Transplant: Protocol for a Randomized Controlled Trial

Contact Info

Product

Resources

About