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Title

COMPARING THE EFFICACY OF ACUPRESSURE AND METOCLOPRAMIDE IN THE PREVENTION OF POSTOPERATIVE NAUSEA AND VOMITING AFTER LAPAROSCOPIC CHOLECYSTECTOMY

Pages

  12-18

Abstract

 Background: POSTOPERATIVE NAUSEA and VOMITING (PONV) is frequent in patients undergoing general anesthesia. The incidence of PONV may be as high as 60-70%, and is influenced by various factors. P6, a Chinese meridian point is used for treatment of NAUSEA and VOMITING.Purpose: To compare the efficacy of ACUPRESSURE wrist bands and metoclopramide for the prevention of POSTOPERATIVE NAUSEA and VOMITING (PONV).Materials and methods: One hundred fifty ASA I-II  patients undergoing elective laparoscopic cholecystectomy were included in a randomized, prospective, double-blind and placebo-controlled study. Patients were divided into three groups of 50. Group I was the control; Group II received metoclopramide 0.2 mg/kg IV just prior to the end of anesthesia; in Group III ACUPRESSURE wrist bands were applied at the P6 points. ACUPRESSURE wrist bands were placed inappropriately in Groups I and II .The ACUPRESSURE wrist bands were applied 30 min prior to the induction of anesthesia and removed in the recovery room. Anesthesia was standardized. PONV, was evaluated separately as none, mild, moderate or severe within recovery room and two and six hrs after patients' arrival in the postanesthesia care unit and then 24 hrs after surgery by a blinded observer. If patients vomited more than once, they were given 0.2 mg/kg metoclopramide IV as the rescue antiemetlc. Results were analyzed by Z test. A p-value 0.05 was taken as significant.Results: The incidence of PONV and the requirement of rescue medication were significantly lower in both the ACUPRESSURE and metoclopramide groups during the first six hours.Conclusion: ACUPRESSURE at P6 causes a significant reduction in the incidence of PONV and the requirement for rescue medication in the first six hours following laparoscopic cholecystectomy, similar to that of metoclopramide given 0.2 mg/kg IV.

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    APA: Copy

    NOURAEI, NAVID, RADPEY, B.A.Z., & HASANI BARZI, S.M.. (2007). COMPARING THE EFFICACY OF ACUPRESSURE AND METOCLOPRAMIDE IN THE PREVENTION OF POSTOPERATIVE NAUSEA AND VOMITING AFTER LAPAROSCOPIC CHOLECYSTECTOMY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 29(58), 12-18. SID. https://sid.ir/paper/63174/en

    Vancouver: Copy

    NOURAEI NAVID, RADPEY B.A.Z., HASANI BARZI S.M.. COMPARING THE EFFICACY OF ACUPRESSURE AND METOCLOPRAMIDE IN THE PREVENTION OF POSTOPERATIVE NAUSEA AND VOMITING AFTER LAPAROSCOPIC CHOLECYSTECTOMY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2007;29(58):12-18. Available from: https://sid.ir/paper/63174/en

    IEEE: Copy

    NAVID NOURAEI, B.A.Z. RADPEY, and S.M. HASANI BARZI, “COMPARING THE EFFICACY OF ACUPRESSURE AND METOCLOPRAMIDE IN THE PREVENTION OF POSTOPERATIVE NAUSEA AND VOMITING AFTER LAPAROSCOPIC CHOLECYSTECTOMY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 29, no. 58, pp. 12–18, 2007, [Online]. Available: https://sid.ir/paper/63174/en

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