Postoperative nausea and vomiting after capsicum plaster at the P6 acupoint after laparoscopic cholecystectomy according to gender.
10.17085/apm.2015.10.4.261
- Author:
Kyu Nam KIM
1
;
Kyo Sang KIM
;
Hee Jong LEE
;
Song Yee OH
Author Information
1. Department of Anesthesiology and Pain Medicine, Hanyang University School of Medicine, Seoul, Korea. kimks@hanyang.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Acupuncture;
Capsaicin;
Gender;
Laparoscopic cholecystectomy;
Nausea and vomiting
- MeSH:
Acupuncture;
Acupuncture Points*;
Anesthesia;
Antiemetics;
Capsaicin;
Capsicum*;
Cholecystectomy, Laparoscopic*;
Double-Blind Method;
Female;
Humans;
Incidence;
Male;
Nausea;
Postoperative Nausea and Vomiting*;
Prospective Studies;
Vomiting
- From:Anesthesia and Pain Medicine
2015;10(4):261-266
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Postoperative nausea and vomiting (PONV) has a remarkably high reported incidence (70%) in female patients after anesthesia. This study aims to evaluate the clinical effect of capsicum plaster at the P6 acupoint with respect to gender in preventing PONV after laparoscopic cholecystectomy. METHODS: A prospective, placebo-controlled, double-blind study was conducted with 120 patients undergoing laparoscopic cholecystectomy and who were randomly assigned to four groups (n = 30 each): Group MC = male patients with capsicum plaster at the P6 acupoint; Group MP = male patients with placebo tape at the P6 acupoint; Group FC = female patients with capsicum plaster at the P6 acupoint; Group FP = female patients with placebo tape at the P6 acupoint. The treatment tape was applied before the induction of anesthesia and was removed eight hours after the operation. RESULTS: The incidence of nausea was reduced in both genders with application of capsicum plaster at P6 acupoint. No change in vomiting or use of anti-emetics was observed. Satisfaction scores with PONV control were improved with this intervention. No gender difference was observed which actually the initial objective of this study was. CONCLUSIONS: The application of capsicum plaster at the P6 acupoint is a proven antiemetic method in both gender after laparoscopic cholecystectomy, however there are no intergender differences.
