Monitoring of Neuromuscular Blockade at the P6 Acupuncture Point Reduces the Incidence of Postoperative Nausea and Vomiting

Arnberger, Michael; Stadelmann, Karin; Alischer, Petra; Ponert, Regina; Melber, Andrea; Greif, Robert

doi:10.1097/01.anes.0000290617.98058.d9

Cited by 70 publications

(46 citation statements)

References 35 publications

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“…The incidence of nausea decreased significantly from 56% in the control group to 40% in the P6 group during the first 6 hours postoperatively but emesis was not significantly reduced in this period, from 25% to 16%. During the 24-hour analysis, overall incidence of nausea was significantly reduced from 56% to 40% by the P6 group but the incidence of emesis was not statistically different, 28% to 23%, in control and P6 groups, respectively [34].…”

Section: Discussionmentioning

confidence: 77%

A Randomized Controlled Trial Comparing the Efficacy of P6 Acupuncture Plus Ondansetron versus Ondansetron or P6 Acupuncture in the Prevention of Nausea and Vomiting after Bupivacaine-Morphine Spinal Anesthesia

Yin¹,

Bráz²,

Colares³

et al. 2017

OJAnes

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Objective: To compare P6 acupuncture plus ondansetron with either ondansetron or P6 acupuncture in the prevention of postoperative nausea and vomiting (PONV) in patients submitted to spinal anesthesia. Methods: A randomized controlled trial was performed with 90 patients undergoing orthopedic surgery under spinal anesthesia with bupivacaine, 15 to 17.5 mg, and morphine, 100 μg. They were assigned to one of the three groups: Group Ondansetron (n = 30), patients were given ondansetron, 8 mg intravenously, before spinal block was performed; Group P6 acupuncture (n = 30), patients were subjected to bilateral electrical stimulation of P6 acupoint for 30 minutes before anesthesia; and Group P6 acupuncture plus ondansetron (n = 30), the exact combination of the groups Ondansetron and P6 acupuncture. Results: In the post anesthesia care unit, the incidence of nausea and vomiting ranged from 13.3% to 26.7% and from 6.7% to 13.3%, respectively, with no significant differences among groups (p > 0.05). Ondansetron group had the highest incidence of nausea (73.3%) (p < 0.001) and vomiting (43.3%) (p < 0.001) at the ward from 0 to 24 hours, followed by P6 acupuncture (33.3% and 26.7%) and P6 acupuncture plus ondansetron groups (16.0% and 0%). Conclusion: Preoperative stimulation of P6 acupoint in combination with ondansetron has higher efficacy than either P6 acupoint stimulation or the administration of

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Section: Discussionmentioning

confidence: 77%

A Randomized Controlled Trial Comparing the Efficacy of P6 Acupuncture Plus Ondansetron versus Ondansetron or P6 Acupuncture in the Prevention of Nausea and Vomiting after Bupivacaine-Morphine Spinal Anesthesia

Yin¹,

Bráz²,

Colares³

et al. 2017

OJAnes

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show abstract

“…6,8,9 The aim of this double-blinded study was to evaluate the effect of electrical stimulation of P6 on PONV occurrence in a highly emetogenic model, female patients undergoing laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

“…6 Both groups received muscle relaxants for neuromuscular blockade with rocuronium, which was reversed at the end of the procedure. The control group did not receive P6 stimulation.…”

Section: Methodsmentioning

confidence: 99%

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

Carr

Johnson

Kenaan³

et al. 2015

Journal of PeriAnesthesia Nursing

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“…First, although a TENS machine may not be readily available in all institutions, a peripheral nerve stimulator (PNS) can easily be procured from operating theatres to provide acupoint electrostimulation. A PNS has been successfully used as an alternative to a TENS machine for stimulating PC - 6 acupoint (9). Thus, the use of this type of electrostimulation modality would not incur any new expenditure on the institution.…”

Section: Discussionmentioning

confidence: 99%

Neiguan and Jianshi Acupoint Stimulation Aids Hemodynamic Stability in a Cervical Cord Trauma Patient

et al. 2012

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A 36-year-old male patient with posttraumatic cervical cord damage and resultant quadriparesis, demonstrated hypotension and periods of bradycardia. For most of his two-month stay in the Intensive Care Unit (ICU), he was dependent on dopamine support to maintain hemodynamic stability. Keeping in mind evidence from the literature, that electrostimulation of acupoints Neiguan (PC - 6) and Jianshi (PC - 5) has therapeutic efficacy in restoring hypotension, we treated this patient with two six-hour periods of electrostimulation at these acupoints. We noted beneficial hemodynamic effects, with a resultant successful withdrawal of dopamine support lasting for up to 48 hours. This case report demonstrates the therapeutic efficacy of electrostimulation of PC - 5 and PC - 6 acupoints to wean a patient off chronic dopamine support, and this warrants further investigation.

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Monitoring of Neuromuscular Blockade at the P6 Acupuncture Point Reduces the Incidence of Postoperative Nausea and Vomiting

Abstract: Intraoperative P6 acupuncture point stimulation with a conventional nerve stimulator during surgery significantly reduced the incidence of PONV over 24 h. The efficacy of P6 stimulation is similar to that of commonly used antiemetic drugs in the prevention of PONV.

Cited by 70 publications

References 35 publications

A Randomized Controlled Trial Comparing the Efficacy of P6 Acupuncture Plus Ondansetron versus Ondansetron or P6 Acupuncture in the Prevention of Nausea and Vomiting after Bupivacaine-Morphine Spinal Anesthesia

A Randomized Controlled Trial Comparing the Efficacy of P6 Acupuncture Plus Ondansetron versus Ondansetron or P6 Acupuncture in the Prevention of Nausea and Vomiting after Bupivacaine-Morphine Spinal Anesthesia

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

Neiguan and Jianshi Acupoint Stimulation Aids Hemodynamic Stability in a Cervical Cord Trauma Patient

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