A comparison of non-invasive and invasive acupuncture in preventing postoperative nausea and vomiting : a Bayesian network meta-analysis

Fu, Chengwei; Shu, Qing; Jiao, Yang; Wu, Tong; Song, Aiqun; Zhu, Qiaochu; Zhang, Weiping

doi:10.37766/inplasy2020.6.0108

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A total of 1286 articles related to eight conditions were searched (Table 1). After reviewing the abstract and full text of the article, 17 systematic reviews and meta-analyses of the six conditions that met the inclusion criteria were finally included [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29], and articles related to allergic rhinitis and chemotherapy-induced nausea and vomiting (CINV) did not meet the criteria for inclusion (Table 1).…”

Section: Results Of the Searchmentioning

confidence: 99%

“…However, the quality of evidence for acupuncture therapy in preventing PONV is moderate, low, and very low. None of the acupuncture therapy was regarded as high-quality evidence [25]. The results indicated that acupuncture was effective in reducing postoperative vomiting, both during the first 4 h (low quality) and within 24 h postoperatively (low quality); acupuncture was effective in reducing the first 4-h (moderate quality) and 0-24-h postoperative vomiting (moderate quality) when performed before and during anesthesia, respectively.…”

Section: Current Quality Of Evidencementioning

confidence: 99%

See 1 more Smart Citation

The Use of Evidence-Based Acupuncture: Current Evidence

Ardinata¹

2022

Complementary Therapies

View full text Add to dashboard Cite

Evidence-based medicine (EBM), which emphasizes that medical decisions must be based on the most recent best evidence, is gaining popularity. Individual clinical expertise is combined with the best available external clinical evidence derived from systematic research in the practice of EBM. The key and core of EBM is the hierarchical system for categorizing evidence. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system divides evidence quality into four categories: high, moderate, low, and very low. GRADE is based on the lowest quality of evidence for any of the outcomes that are critical to making a decision, reducing the risk of mislabeling the overall evidence quality, when evidence for a critical outcome is lacking. This principle is also used in acupuncture as a complementary and integrative treatment modality, but incorporating scientific evidence is more difficult due to a number of factors. The goal of this chapter is to discuss how to establish a clinical evidence system for acupuncture, with a focus on the current quality of evidence for a variety of conditions or diseases.

show abstract

Section: Results Of the Searchmentioning

confidence: 99%

Section: Current Quality Of Evidencementioning

confidence: 99%

The Use of Evidence-Based Acupuncture: Current Evidence

Ardinata¹

2022

Complementary Therapies

View full text Add to dashboard Cite

show abstract

“…In addition, the use of preventive antiemetics, an opioid-sparing strategy combined with multimodal analgesia techniques, is also available. [ 29 , 30 ] Overall, the use of strategies to lower the baseline risk of PONV (decreasing water deprivation time, reducing opioid usage, and multimodal analgesia) will reduce the likelihood of patients developing PONV.…”

Section: Discussionmentioning

confidence: 99%

Preventing nausea and vomiting after gynecological laparoscopic surgery by patient-controlled intravenous analgesia with a naloxone admixture: A randomized controlled trial

Yang¹,

Gu²,

Xu³

et al. 2022

Medicine

View full text Add to dashboard Cite

Background: Opioid-induced nausea and vomiting are common side effects of patient-controlled intravenous analgesia (PCIA). This study aimed to explore the inhibitory effect of a naloxone admixture on the incidence of sufentanil-induced postoperative nausea and vomiting (PONV). Methods: A total of 132 Uyghur American Society of Anesthesiologists I and II patients scheduled to undergo elective gynecological laparoscopic surgery were recruited; among these, 120 patients were enrolled and randomly allocated into 4 groups: patients receiving PCIA but no naloxone were included in the control group (group A); patients receiving PCIA with a low-dose naloxone admixture at 0.2 μg·kg−1·h−1 were included in group B; patients receiving PCIA with naloxone admixture at 0.4 μg·kg−1·h−1 were included in group C; patients receiving PCIA with naloxone admixture at 0.6 μg·kg−1·h−1 were included in group D. All patients were administered sufentanil at 0.04 kg−1·h−1, butorphanol at 2 kg−1·h−1, and dexmedetomidine at 0.08 kg−1·h−1 using a PCIA device within 2 days of surgery. The occurrence of nausea and vomiting, visual analogue scores for pain intensity, mean arterial pressure, heart rate, oxygen saturation, pruritus, lethargy, respiratory depression, etc, was recorded at 2, 8, 12, 24, and 48 hours postoperatively. Results: There was a significant difference in the PONV scores between the groups at 8, 12, and 24 hours after surgery (P < 0.01). At 8 and 12 hours, the score of group C/D was significantly lower than that of group A/B (P < 0.01). At 24 hours after surgery, the PONV score of group B/C/D was significantly lower than that of group A (P < 0.01). No significant difference was observed in the general data and visual analogue scores for postoperative pain between the 4 groups. Conclusion: Naloxone admixture administered at 0.4 to 0.6 μg·kg−1·h−1 can exert an effective inhibitory effect on the incidence and intensity of PONV in gynecological laparoscopic surgery.

show abstract

A comparison of non-invasive and invasive acupuncture in preventing postoperative nausea and vomiting : a Bayesian network meta-analysis

Cited by 2 publications

References 0 publications

The Use of Evidence-Based Acupuncture: Current Evidence

The Use of Evidence-Based Acupuncture: Current Evidence

Preventing nausea and vomiting after gynecological laparoscopic surgery by patient-controlled intravenous analgesia with a naloxone admixture: A randomized controlled trial

Contact Info

Product

Resources

About