Evaluation of the effects of P6 acupressure application on postoperative nausea and vomiting during laparoscopic cholecystectomy
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 9, Issue 1
Abstract
Background: Postoperative nausea and vomiting (PONV) are most common and distressing complication of anesthesia. Acupressure at P6 acupoint is non-pharmacological method which can reduce postoperative nausea and vomiting (PONV). The purpose of this study was to investigate the effectiveness of P6 acupressure in patients with known risk factors for PONV. Methods: Hundred patients of age group 25-50 years, ASA grade I and II undergoing laparoscopic cholecystectomy under general anaesthesia, were enrolled in this prospective, double-blind, randomized controlled trial. Patients were sub divided into two groups: group I and group II, 50 patients in each group II. Group I received Psi band and group II received sham band (dummy acupoint stimulation), on bilateral wrists. Ondansetron 4 mg given preoperatively and before completion of surgery, as an antiemetic prophylaxis. Fentanyl 1mc/kg administered at the end of surgery for postoperative pain management. Incidence and severity of postoperative nausea and vomiting, requirement of rescue treatment, additional antiemetic, and patient satisfaction were recorded for 24 h after operation. Results: Incidences of PONV and rescue treatment requirement were significantly lower in group I. Rate of PONV was 28% in group I and 52% in group II. Among them 11 patients (22%) required rescue treatment in group I and 23 patients (46%) in group II (p value < 0.05). Additional antiemetic required in 2 patients (4%) in group I and in 6 patients (12%) of group II. Mean NVS score was significantly higher (1.36 + 1.52) in group II compared with group I (0.66 + 1.17) (p value <0.05). Patient satisfaction score is better with group I, 2.38 + 0.66 vs. 1. 72 +0.67 in group II (p value < 0.05). Conclusion. Acupressure at P6 acupoint can reduce incidence and severity of PONV significantly in high risk patients undergoing laparoscopy cholecystectomy under general anaesthesia.
Authors and Affiliations
Mayuresh Pareek, Kanvee M Vania, Vandana S Parmar, Nirmalyo Lodh
Keywords
Related Articles
- EP ID EP440286
- DOI 10.26611/1015917
- Views 171
- Downloads 0
A prospective, randomized study to compare epidural bupivacaine 0.125% and ropivacaine 0.2% with fentanyl combination for post-operative analgesia in lower abdominal and lower limb surgeries
Background: A combination of local anesthetic agent with opioids like fentanyl administered in the epidural space provides effective postoperative analgesia in a lower dose to achieve the desired analgesic effect. Aim: T...
Study of post-operative analgesia after addition of opioids with intravenous regional anesthesia
Background: Intravenous regional anesthesia was first discovered by August Carl Gustav Bier. In 1908 came the first Bier’s paper in “Venous Anesthesia” which was natural outgrowth of his previous work with tourniquet and...
Dexmedetomidine as epidural adjuvant to Ropivacaine in elective lower limb surgeries
Epidural adjuvants are used to prolong the action of local anesthetic agent so as to have prolongation of motor and sensory block. Dexmedetomidine a newer α2 agonistic agent with predominant affinity to α2receptor, α2:α1...
Ultrasound guided tap block: Comparison of analgesic efficacy of levobupivacaine and ropivacaine
Study objective: Ultrasound guided transverse abdominis plane (TAP) block is an effective method of providing postoperative analgesia in patients undergoing abdominal surgeries. We compared the postoperative analgesic ef...
Anaesthetic management of patient with pheochromocytoma for laparoscopic adrenalectomy
Pheochromocytoma is a neuroendocrine tumor of the medulla of the adrenal glands (originating in the chromaffin cells), or extra-adrenal chromaffin tissue that failed to involute after birth,1 that secretes high amounts o...