Acupuncture vs metoclopramide in postoperative nausea and vomiting after general anesthesia among Filipinos
- Author:
Jamora Vanessa Chandra
- Publication Type:Clinical Trial
- MeSH:
Human;
Middle Aged;
Adult;
Young Adult;
ACUPUNCTURE;
POSTOPERATIVE NAUSEA AND VOMITING;
NAUSEA;
VOMITING;
SURGERY;
ANESTHESIA;
METOCLOPRAMIDE
- From:
Philippine Journal of Anesthesiology
2001;13(1):22-28
- CountryPhilippines
- Language:English
-
Abstract:
BACKGROUND: 8-92 percent of patients undergoing surgery may experience postoperative nausea and vomiting (PONV). This study was conducted to compare the efficacy of acupuncture and metoclopramide in preventing/decreasing the incidence and severity of postoperative nausea and vomiting
METHODS: A Single-blinded randomized trial was conducted using 88 ASA I Filipino patients, 15-60 years of age scheduled for elective surgery under general anesthesia. Patients taking drugs with emetic or antiemetic properties or those with medical conditions associated with nausea and vomiting were excluded. Patients were divided into 4 groups. Groups I and II received acupuncture at P.6 meridian point followed by ear acupuncture while groups III and IV received metoclopramide 10mg/IV. Groups II and IV received opioids perioperatively while groups I and III did not. The medical clerk monitoring the patient was blinded as to what group the patient belonged to. The vital signs, duration and severity of postoperative nausea and vomiting were recorded until 24 hours postoperatively. Incidence and severity of postoperative nausea and vomiting in groups I, II, III and IV were recorded.
RESULTS AND CONCLUSION: A total of 88 patients were enrolled in this study. Acupuncture was shown to be more effective than metoclopramide in preventing and decreasing the incidence and severity of postoperative nausea and vomiting. (Author)
