Journal of PeriAnesthesia Nursing
Volume 23, Issue 4 , Pages 247-261 , August 2008

The Effects of Stimulation of Acupressure Point P6 on Postoperative Nausea and Vomiting: A Review of Literature

  • Christy Nunley, MSN, CRNA
    • ,
  • Judith Wakim, EdD, RN, CNE

      Affiliations

    • Corresponding Author InformationAddress correspondence to Judith Wakim, EdD, RN, Professor, University of Tennessee at Chattanooga, 615 McCallie Ave, Dept. 1051, Chattanooga, TN 37403
    • ,
  • Cherry Guinn, EdD, RN

References 

  1. Chernyak G, Sessler C. Perioperative acupuncture and related techniques. Anesthesiology. 2005;102:1031–1049
  2. American Society of Perianesthesia Nurses . ASPAN's evidence based clinical practice guideline for the prevention and/or management of PONV/PDNV. J Perianesth Nurs. 2006;21:230–250
  3. National Certification Commission for Acupuncture and Oriental Medicine. State license information. Available at: http://www.nccaom.org/states.html. Accessed June 10, 2007.
  4. Mamaril ME, Windle PF, Burkard JF. Prevention and management of postoperative nausea and vomiting: A look at complementary techniques. J Perianesth Nurs. 2006;21:404–410
  5. White PF, Issioui T, Hu J, et al. Comparative efficacy of acustimulation (ReliefBand) versus ondansetron (Zofran) in combination with droperidol for preventing nausea and vomiting. Anesthesiology. 2002;97:1075–1081
  6. Noble KA. Stop the spinning world: Postoperative nausea and vomiting. J Perianesth Nurs. 2006;21:431–435
  7. Kovac A. Update on prophylaxis and treatment of postoperative nausea and vomiting. Cur Rev Nurs Anesth. 2003;26:131–144
  8. Stoelting RK. Pharmacology and Physiology in Anesthetic Practice. 3rd ed.. Philadelphia: Lippincott Williams & Wilkins; 1999;
  9. Couture DJ, Maye JP, O'Brien D, et al. Therapeutic modalities for the prophylactic management of postoperative nausea and vomiting. J Perianesth Nurs. 2006;21:398–403
  10. Habib AS, Itchon-Ramos N, Phillips-Bute B, et al. and the Duke Women's Anesthesia (DWA) Research Group Transcutaneous acupoint electrical stimulation with the ReliefBand for the prevention of nausea and vomiting during and after cesarean delivery under spinal anesthesia. Anesth Analg. 2006;102:581–584
  11. Golembiewski J, Chernin E, Chopra T. Prevention and treatment of postoperative nausea and vomiting. Am J Health Sys Pharm. 2005;62:1247–1260
  12. Silva AC, O'Ryan F, Poor DB. Postoperative nausea and vomiting (PONV) after orthognathic surgery: A retrospective study and literature review. J Oral Maxillofac Surg. 2006;64:1385–1397
  13. Murphy MJ, Hooper VD, Sullivan E, et al. Identification of risk factors for postoperative nausea and vomiting in the perianesthesia adult patient. J Perianesth Nurs. 2006;21:377–384
  14. Ouellette SM. Newer trends in the prevention or treatment of postoperative nausea and vomiting. CRNA Clin Forum Nurs Anesth. 1999;101:24–33
  15. Gan TJ. Postoperative nausea and vomiting: Can it be eliminated?. JAMA. 2002;287:1233–1236
  16. Golembiewski J, Tokumaru S. Pharmacological prophylaxis and management of adult post-operative/post-discharge nausea and vomiting. J Perianesth Nurs. 2006;21:385–397
  17. Bisgaard T, Klarskov B, Kehlet H, et al. Preoperative dexamethasone improves surgical outcome after laparoscopic cholecystectomy: A randomized double-blind placebo-controlled trial. Ann Surg. 2003;238:651–660
  18. Wang TJ, Ho ST, Lee SC, et al. The use of dexamethasone for preventing postoperative nausea and vomiting in females undergoing thyroidectomy: A dose-ranging study. Anesth Analg. 2000;91:1404–1407
  19. Morgan GE, Mikhail MS, Murray MJ. Clinical Anesthesiology. 3rd ed.. New York: McGraw-Hill Companies; 2002;
  20. Habib AS, Gan TJ. Evidence-based management of postoperative nausea and vomiting: A review. Can J Anesth. 2004;51:326–341
  21. Chan MTV, Choi KC, Gin T, et al. The additive interactions between ondansetron and droperidol for preventing postoperative nausea and vomiting. Anesth Analg. 2006;103:1155–1162
  22. Fortney JT, Gan TJ, Graczyk S, et al. A comparison of the efficacy, safety, and patient satisfaction of ondansetron versus droperidol as antiemetics for elective outpatient surgical procedures. Anesth Analg. 1998;86:731–738
  23. Domino KB, Anderson EA, Polissar NL, et al. Comparative efficacy and safety of ondansetron, droperidol, and metoclopramide for preventing postoperative nausea and vomiting: A meta-analysis. Anesth Analg. 1999;88:1370–1379
  24. Kranke P, Morin AM, Roewer N, et al. The efficacy and safety of transdermal scopolamine for the prevention of postoperative nausea and vomiting: A quantitative systematic review. Anesth Analg. 2002;95:133–143
  25. White PF, Tang J, Song D, et al. Transdermal scopolamine: An alternative to ondansetron and droperidol for the prevention of postoperative and postdischarge emetic symptoms. Anesth Analg. 2007;104:92–96
  26. Jones S, Strobl R, Crosby D, et al. The effect of transdermal scopolamine on the incidence and severity of postoperative nausea and vomiting in a group of high-risk patients given prophylactic intravenous ondansetron. AANA J. 2006;74:127–132
  27. Wang TJ, Ho ST, Tzeng JI, et al. The effect of timing of dexamethasone administration on its efficacy as a prophylactic antiemetic for postoperative nausea and vomiting. Anesth Analg. 2000;91:136–139
  28. Hirayama T, Ishii F, Yago K, et al. Evaluation of the effective drugs for the prevention of nausea and vomiting induced by morphine used for postoperative pain: A quantitative systematic review. Yakugaku Zasshi. 2001;121:179–185
  29. Coloma M, White PF, Murkowitz SD, et al. Dexamethasone in combination with dolasetron for prophylaxis in the ambulatory setting. Anesthesiology. 2002;96:1346–1350
  30. Rothenberg DM, McCarthy RJ, Peng CC, et al. Nausea and vomiting after dexamethasone versus droperidol following outpatient laparoscopy with a propofol-based general anesthetic. Acta Anaesthiol Scand. 1998;42:637–642
  31. Gan TJ, Meyer T, Apfel CC, et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg. 2003;97:62–71
  32. Hill RP, Lubarsky DA, Phillips-Bute B, et al. Cost-effectiveness of prophylactic antiemetic therapy with ondansetron, droperidol, or placebo. Anesthesiology. 2000;92:958–967
  33. Gan TJ, Sloan F, Dear GL, et al. How much are patients willing to pay to avoid postoperative nausea and vomiting. Anesth Analg. 2001;92:393–400
  34. Greif R, Laciny S, Rapf B, et al. Supplemental oxygen reduces the incidence of postoperative nausea and vomiting. Anesthesiology. 1999;91:1246–1252
  35. Purhonen S, Turunen M, Ruohoaho UM, et al. Supplemental oxygen does not reduce the incidence of postoperative nausea and vomiting after ambulatory gynecologic laparoscopy. Anesth Analg. 2003;96:91–96
  36. Goll V, Akca O, Greif R, et al. Ondansetron is no more effective than supplemental intraoperative oxygen for prevention of postoperative nausea and vomiting. Anesth Analg. 2001;92:112–117
  37. Winston AW, Rinehart RS, Riley GD, et al. Comparison of inhaled isopropyl alcohol and intravenous ondansetron for treatment of postoperative nausea. AANA J. 2003;71:127–132
  38. Merritt BA, Okyere CO, Jasinski DM. Isopropyl alcohol inhalation: Alternative treatment of postoperative nausea and vomiting. Nurs Res. 2002;51:125–128
  39. Ernst E, Pittler MH. Efficacy of ginger for nausea and vomiting: A systematic review of randomized clinical trials. Br J Anaesth. 2000;84:367–371
  40. Eberhart LH, Mayer R, Betz O, et al. Ginger does not prevent postoperative nausea and vomiting after laparoscopic surgery. Anesth Analg. 2003;96:995–998
  41. Lee A, Done ML. The use of non-pharmacologic techniques to prevent postoperative nausea and vomiting: A meta-analysis. Anesth Analg. 1999;88:1362–1369
  42. Wang SM, Kain ZN. P6 acupoint injections are as effective as droperidol in controlling early postoperative nausea and vomiting in children. Anesthesiology. 2002;97:359–366
  43. Rusy LM, Hoffman GM, Weisman SJ. Electroacupuncture prophylaxis of postoperative nausea and vomiting following pediatric tonsillectomy with or without adenoidectomy. Anesthesiology. 2002;96:300–305
  44. Zarate E, Mingus M, White PF, et al. The use of transcutaneous acupoint electrical stimulation for preventing nausea and vomiting after laparoscopic surgery. Anesth Analg. 2001;92:629–635
  45. Coloma M, White PF, Ogunnaike BO, et al. Comparison of acustimulation and ondansetron for the treatment of established postoperative nausea and vomiting. Anesthesiology. 2002;97:1387–1392
  46. Stein DJ, Birnbach DJ, Danzer BI, et al. Acupressure versus intravenous metoclopramide to prevent nausea and vomiting during spinal anesthesia for cesarean section. Anesth Analg. 1997;84:342–345
  47. Turgut S, Ozalp G, Dikmen S, et al. Acupressure for postoperative nausea and vomiting in gynecological patients receiving patient-controlled analgesia. Eur J Anaesth. 2007;24:87–91
  48. Fan C, Tanhui E, Joshi S, et al. Acupressure treatment for prevention of postoperative nausea and vomiting. Anesth Analg. 1997;84:821–825
  49. Mirsa MN, Pullani AJ, Mohamed ZU. Prevention of PONV by acustimulation with capsicum plaster is comparable to ondansetron after middle ear surgery. Can J Anesth. 2005;52:485–489
  50. Shenkman Z, Holzman RS, Kim C, et al. Acupressure-acupuncture antiemetic prophylaxis in children undergoing tonsillectomy. Anesthesiology. 1999;90:1311–1316

PII: S1089-9472(08)00195-0

doi: 10.1016/j.jopan.2008.05.001

Journal of PeriAnesthesia Nursing
Volume 23, Issue 4 , Pages 247-261 , August 2008

Article Tools

* Image Usage & Resolution