Antiemetic efficacy of capsicum plaster on acupuncture points in patients undergoing thyroid operation.
10.4097/kjae.2013.65.6.539
- Author:
Min Seok KOO
1
;
Kyo Sang KIM
;
Hee Jong LEE
;
Ji Seon JEONG
;
Jung Won LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, National Medical Center, Seoul, Korea.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Acupuncture;
Capsaicin;
Nausea and vomiting;
Thyroid surgery
- MeSH:
Acupuncture Points*;
Acupuncture*;
Anesthesia;
Antiemetics;
Asian Continental Ancestry Group;
Capsaicin;
Capsicum*;
Hand;
Humans;
Incidence;
Methods;
Nausea;
Pericardium;
Postoperative Nausea and Vomiting;
Shoulder;
Thyroid Gland*;
Vomiting
- From:Korean Journal of Anesthesiology
2013;65(6):539-543
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Postoperative nausea and vomiting (PONV) occurs in up to 63-84% of patients after thyroid surgery. This study aims to assess the effects of using a capsicum plaster to reduce PONV after thyroid surgery at either the Chinese acupuncture point (acupoint) Pericardium 6 (P6) or Korean hand acupuncture point K-D2. METHODS: One-hundred eighty-four patients who underwent thyroid surgery were randomized in four groups (n = 46 each): control group = inactive tape at P6 acupoints and on both shoulders as a nonacupoint; P6 group = capsicum plaster at P6 points and inactive tape on both shoulders; K-D2 group = capsicum plaster at K-D2 acupoints and inactive tape on both shoulders; Sham group = capsicum plaster on both shoulders and inactive tape at P6 acupoints. The capsicum plaster was applied before the induction of anesthesia and removed at 8 hr after surgery. RESULTS: The incidence and severity of nausea and vomiting and the need for rescue antiemetics were decreased in the patients in the P6 and K-D2 groups compared to the patients in the control and sham groups (P < 0.001). The patients in the P6 and K-D2 groups also reported that they were more satisfied (P < 0.05). CONCLUSIONS: We conclude that the capsicum plaster at the P6 and K-D2 acupoint was a promising antiemetic method for the patients undergoing thyroid surgery.
