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Comparison of laser acupuncture and metoclopramide in PONV prevention in children

Background: postoperative nausea and vomiting ( PONV) are frequent side effects of general anesthesia in children.The aim of this study was to compare the effectiveness of laser acupuncture with metoclopramide in prevention of PONV in children after sevoflurane anesthesia.Methods: A total of 120 children ASA I and Ii scheduled for hernia repair, circumcision or orchidopexy were randomly assigned into three groups . group i received laser acupuncture on P6 point and saline infusion, group II metoclopramide 0.1 mg/kg i.v. and sham laser, group III had sham laser and saline infusion.Anesthesia was maintained with sevoflurane and N2O/O2.patients were monitored for any symptoms of retching and vomiting at 2, 6 and 24 hours postoperatively.Results. The incidence of vomiting was higher in the control group in the first 2h postoperatively( P<0.0019 compared with the other groups.There was no statistically significant difference between acupuncture and metoclopramide groups in occurence and timing of vomiting(P<0.001).Conclusion:laser acupuncture is equally effective as metoclopramide in preventing PONV in children

laser acupuncture; metoclopramide; PONV; children

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