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Evaluation of acupuncture for anti-emetic prophylaxis
Sharma S, Goswami U
Journal of Anaesthesiology Clinical Pharmacology 2007;23(4):401-404
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND AND OBJECTIVES: Postoperative nausea and vomiting (PONV) are very common complications seen after general anesthesia and is experienced by up to 70% patients. This randomized prospective study was done to evaluate acupuncture as an anti-emetic prophylaxis as compared to pharmacologic prophylaxis. METHODS: 60 patients were divided into 3 groups of 20 each who received inj ondansetron 4 mg, acupuncture in bilateral P6 points, and both respectively. Incidence of nausea and vomiting were recorded postoperatively and statistical analysis was done with the Chi-square test (p < 0.05 significant). RESULTS: There was no significant difference between the groups regarding the incidence of nausea and vomiting (p > 0.05). Cost was lower in the acupuncture group for anti-emetic prophylaxis. No complication of acupuncture was seen. CONCLUSION: Acupuncture is as good a method for anti-emetic prophylaxis as IV ondansetron. It is also a cost effective method without any complications.

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