British Journal of Anaesthesia, Vol 82, Issue 3 387-390, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia
D. Harmon, J. Gardiner, R. Harrison and A. Kelly
The efficacy of currently available antiemetics remains poor. Concern with
their side effects and the high cost of the newer drugs has led to renewed
interest in non-pharmacological methods of treatment. We have studied the
efficacy of acupressure at the P6 point in the prevention of nausea and
vomiting after laparoscopy, in a double-blind, randomized, controlled study
of acupressure vs placebo. We studied 104 patients undergoing laparoscopy
and dye investigation. The anaesthetic technique and postoperative
analgesia were standardized. Failure of treatment was defined as the
occurrence of nausea and/or vomiting within the first 24 h after
anaesthesia. The use of acupressure reduced the incidence of nausea or
vomiting from 42% to 19% compared with placebo, with an adjusted risk ratio
of 0.24 (95% CI 0.08-0.62; P = 0.005). Other variables were similar between
groups.
CLINICAL INVESTIGATIONS
Acupressure and the prevention of nausea and vomiting after laparoscopy
Department of Anaesthesia and Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland; Department of Community Health and General Practice, Trinity College, Dublin, Ireland
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