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BJA Advance Access originally published online on April 1, 2005
British Journal of Anaesthesia 2005 95(1):77-81; doi:10.1093/bja/aei125
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org

REVIEW ARTICLE

Recent advances in the non-pharmacological management of postoperative nausea and vomiting

D. J. Rowbotham*

University Division of Anaesthesia, Critical Care Pain and Pain, University of Leicester, Victoria Building, Leicester Royal Infirmary, Leicester LE1 5WW, UK

* E-mail: djr8@le.ac.uk

Keywords: acupuncture; vomiting, nausea, postoperative

The first 150 words of the full text of this article appear below.


   Introduction
 
Acupuncture is available worldwide for the treatment of many conditions and complaints. In recent years, clinical and laboratory investigations have been conducted in an attempt to provide an evidence-base in support of this technique. Although in some cases the quality of the data is poor, systematic reviews have been published describing the use of acupuncture in chronic pain (e.g. back, neck, arthritis, headache, fibromyalgia), weight reduction, addiction, temporomandibular joint disorders, asthma, smoking cessation, emesis, stroke, and tinnitus.18 The nature, quality, and implications of the data are often fiercely debated. However, it is generally accepted that there is clear evidence that acupuncture can be effective for nausea and vomiting associated with pregnancy, chemotherapy, and the postoperative period.6 18 21 23

The mechanism of action of acupuncture is still uncertain. It may be that low frequency stimulation of the skin activates A-ß and A-{delta} fibres, which may influence neurotransmission in the dorsal horn or higher . . . [Full Text of this Article]


   Acupressure wristbands
 

   Acustimulation
 

   Acupuncture injections
 

   Electroacupuncture
 

   Korean hand acupressure
 

   Conclusions
 

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This article has been cited by other articles:


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Cost effectiveness of non-pharmacological management of postoperative nausea and vomitingin low risk
Anwar K Rashid
British Journal of Anaesthesia, 29 Jun 2005 [Full text]