146489 - INTRAOP ACCU-STIMULATION OF P6 FOR PREVENTION OF PONV IN CRANIOTOMIES Author(s)
نویسندگان
چکیده
INTRODUCTION Post-operative nausea and vomiting (PONV) can impact recovery, with an average incidence of 38.3% (1). Predictors include: female gender, history of PONV, nonsmoker, perioperative opioids, and surgical procedure. Increases in intracranial pressure from Valsalva in craniotomies can result in tissue swelling, hemorrhage, or hematoma, compromising outcome (2). PONV the first 24 hours after craniotomy ranges from 10% to 74% (3).
منابع مشابه
P6 acupoint stimulation for prevention of postoperative nausea and vomiting in patients undergoing craniotomy: study protocol for a randomized controlled trial
BACKGROUND The incidence of postoperative nausea and vomiting (PONV) is 50 to 79% after neurosurgery. Our study is designed to evaluate the efficacy of pericardium 6 (P6; also known as Neiguan) acupoint stimulation versus placebo, and versus routine antiemetic for the prevention of PONV after craniotomy, as well as to compare the efficacy of invasive acupuncture with non-invasive transcutaneous...
متن کاملMonitoring of neuromuscular blockade at the P6 acupuncture point reduces the incidence of postoperative nausea and vomiting.
BACKGROUND Electrical stimulation of the P6 acupuncture point reduces the incidence of postoperative nausea and vomiting (PONV). Neuromuscular blockade during general anesthesia can be monitored with electrical peripheral nerve stimulation at the wrist. The authors tested the effect of neuromuscular monitoring over the P6 acupuncture point on the reduction of PONV. METHODS In this prospective...
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BACKGROUND Acupuncture and acupressure have previously been reported to possess antiemetic effect. We wanted to investigate the "true" and placebo effect of acupressure in prevention of postoperative nausea and vomiting (PONV). PATIENTS AND METHODS Sixty women undergoing outpatient minor gynaecological surgery were entered into a double-blind and randomised study. One group received acupressu...
متن کاملStimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting.
BACKGROUND Postoperative nausea and vomiting (PONV) are common complications following surgery and anaesthesia. Drugs to prevent PONV are only partially effective. An alternative approach is to stimulate the P6 acupoint on the wrist. This is an update of a Cochrane review first published in 2004. OBJECTIVES To determine the efficacy and safety of P6 acupoint stimulation in preventing PONV. ...
متن کاملPostoperative nausea and vomiting: pharmacologic and nonpharmacologic therapies
provided the original work is properly cited. CC Postoperative nausea and vomiting (PONV) is the one of the most distressing problems associated with anesthesia and surgery. It may be cause dehydration, electrolyte imbalance, tension on the surgical repair site, venous hypertension and increased perception of pain, and may be especially harmful after neurosurgery or orthognathic surgery [1]. Ma...
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