Naslov
Acupressure and metoclopramide comparison in postoperative nausea and vomiting prevention on laparatomy patients

Autori
Hirš, Ivana ; Lukić, Anita ; Novak Fumić, Nina ; Kekić, Marko ; Kotaran, Jelena

Izvornik
Acupuncture and related therapies (2211-7660) 1 (2013), 4; 42-4

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Acupressure; Epidural analgesia; Metoclopramide; Postoperative nausea and vomiting

Sažetak
Objectives Incidence of postoperative nausea and vomiting (PONV) ranges from 20-30% in, routine procedures, up to 70-80% in high-risk patients. Prevention of PONV is usually based on, antiemetic drugs but pharmacological interventions are only partially effective, so we tested efficiency, of acupressure in PONV prevention. Design We included 180 patients American Society of Anaesthesiologists physical status classification, I and II, who underwent a laparotomy. The study was prospective, and placebo controlled. Nausea and, vomiting were separately monitored on patients with intravenous and epidural analgesia. Patients, were allocated in six groups, with 30 patients in each group: group I (epidural analgesia + acupressure), group II (epidural analgesia + metoclopramide), group III (epidural analgesia + sham acupressure), group IV (intravenous analgesia + acupressure), group V (intravenous analgesia + metoclopramide) and, group VI (intravenous analgesia + sham acupressure). Results Acupressure reduced PONV from 57 to 37% (P < 0.001) in patients with intravenous, postoperative analgesia, and from 63 to 20% (P < 0.001) in patients with epidural postoperative, analgesia compared to placebo. Metoclopramide has also reduced the incidence of PONV from 57 to, 40% (P = 0.003) in patients with intravenous postoperative analgesia and in patients with epidural, postoperative analgesia from 63 to 17% (P < 0.001) compared to placebo. Conclusions Our study confirmed positive effect of acupressure in PONV prevention in patients after, elective laparotomy, regardless of the type of postoperative analgesia, intravenous or epidural. Thus, since acupressure is a simple and inexpensive method of PONV prevention, without side effects, it, should be considered as standard for PONV prevention on laparatomy patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA