Nausées vomissements chir . Fan C 1997

Date: 1997
Auteurs: Fan CF, Tanhui E, Joshi S, Trivedi S, Hong Y, Shevde K
Titre: Acupressure tratment for prevention of postoperative nausea and vomiting. Anesth Anal 1997 Apr; 84(4): 821-825
Mots clés: acupressure, acupression, Per-6, MC-6, Nei Guan, postoperative, post opératoire, nausea, nausée, vomissement, vomiting
Contribution: article
Abstract: Postoperative nausea and vomiting are stll commn problemafte general anestgesia, especially in ambulatory surgery. Drug therapy is often complicated with central nervous system symptoms. We studied a nonpharmacological method of therapy -acupressure- at the Pericardium 6 (Per-6) (Nei Guan) meridian point. Two hundred consecutive heathly patients undergoing a variety of short surgical procedures were included in a randomized, double-blind study: 108 patients were in the acupressure group (Group 2). Spherical beads of acupressure bands were placed at the Per-6 points in the anterior surface of both forearms in Group 1 patients, while in Group 2 there were placed inappropriately on the posterior surface. Thz acupressure bands were placed before the induction of anesthesia and were removed 6 h postoperatively. There were covered with a soft cotton wrapping to conceal them from the blinded observer who evaluated the patients for presence of nausea and vomiting, and checked the order sheet for anyantiemetics prescribed. In both groups, the age, gender, height, weight, and type and uration of surgical procedures were all comarable without statistical difference. In Group 1, only 25 of 108 patients (23 %) had nausea and vomiting comppared to Group 2, in which 38 of 92 patients (41 %)had nausea and vomiting (P = 0,0058). We concluded that acupressure at the Per-6 (Nei Guan) point is an effective prophylaxis for postsurgical nausea and vomiting and therefore a good alternative to conventional antiemetic treatment

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