Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting

Lee, Anna; Fan, Lawrence T. Y.

doi:10.1002/14651858.cd003281.pub3

Cited by 166 publications

(117 citation statements)

References 84 publications

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“…Die Daten zu Verfahren, die sich der Stimulation von Akupunkturpunkten (insbesondere Pericard 6 oder "Neikuan") bedienen, zeigen für Akupunktur-und Akupressurverfahren besonders in der frühen postoperativen Phase antiemetische Effekte und vermögen Übelkeit zu reduzieren [50,51]. Es finden sich in den publizierten Daten [50] jedoch eine beträcht-liche Heterogenität der Effekte einerseits, der Verfahren andererseits sowie insbesondere für die gesamte Beobachtungsphase und in den Untersuchungen an Kindern geringe bis keine Effekte.…”

Section: Nichtmedikamentöse Verfahrenunclassified

Übelkeit und Erbrechen in der postoperativen Phase

et al. 2007

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There are no consensus guidelines for the management of postoperative nausea and vomiting (PONV) in German speaking countries. This meeting was intended to develop such guidelines on which individual health care facilities can derive their specific standard operating procedures (SOPs). Anesthesiologists reviewed published literature on key topics which were subsequently discussed during two meetings. It was emphasized that recommendations were based on the best available evidence. The clinical relevance of individual risk factors should be viewed with caution since even well proven risk factors, such as the history of PONV, do not allow the identification of patients at risk for PONV with a satisfactory sensitivity or specificity. A more useful approach is the use of simplified risk scores which consider the presence of several risk factors simultaneously. Most individual antiemetic interventions for the prevention of PONV have comparable efficacy with a relative risk reduction of about 30%. This appears to be true for total intravenous anesthesia (TIVA) as well as for dexamethasone and other antiemetics; assuming a sufficiently high, adequate and equipotent dosage which should be weight-adjusted in children. As the relative risk reduction is context independent and similar between the interventions, the absolute risk reduction of prophylactic interventions is mainly dependent on the patient's individual baseline risk. Prophylaxis is thus rarely warranted in patients at low risk, generally needed in patients with a moderate risk and should include a multimodal approach in patients at high risk for PONV. Therapeutic interventions of PONV should be administered promptly using an antiemetic which has not been used before. The group suggests algorithms where prophylactic interventions are mainly dependent on the patient's risk for PONV. These algorithms should provide evidence-based guidelines allowing the development of SOPs/policies which take local circumstances into account.

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Section: Nichtmedikamentöse Verfahrenunclassified

Übelkeit und Erbrechen in der postoperativen Phase

et al. 2007

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“…Zu den bekanntesten gehören die Ausschüttung von Neurotransmittern, die Aktivierung spinaler und supraspinaler antinozizeptiver Hemmsysteme sowie die Aktivierung spezifischer Hirnareale während und nach Akupunktur. Im Bereich der klinischen Forschung existiert eine Vielzahl randomisierter kontrollierter Studien zur Akupunkturwirksamkeit, vorwiegend bei Schmerzen, aber auch zu Sucht, Allergie, inneren Erkrankungen und weiteren Indikationen vor [9,13,19,26,29,31]. Der Einsatz von Akupunktur in der Notfallmedizin ist bisher wenig untersucht.…”

Section: Grundlagenunclassified

“…Dieses Vorgehen wurde bereits als erfolgversprechend beschrieben [7,34]. Wirkungen des Punkts Pe 6 (Handgelenkbeugefalte, palmar) bei Übelkeit wurden in randomisierten kontrollierten Studie mehrfach bestätigt und sind auch im Fallbeispiel 7 anzunehmen [19,20].…”

Section: Symptomverbesserung Bzw -Auslöschung Nach Akupunkturunclassified

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Akupunktur in der Notfallmedizin

Fleckenstein¹,

Schottdorf²,

Kreimeier³

et al. 2011

Anaesthesist

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“…RCTs provide evidence that transcutaneous electrical acupoint stimulation using a TENS-like device reduces postoperative nausea and vomiting in noncancer patients [88 -90] and a Cochrane review of 24 RCT concluded that nonpharmacologic techniques such as TENS, acupuncture, and electroacupuncture were better than placebo [91]. In contrast, another Cochrane review concluded that noninvasive electrostimulation (TENS) was unlikely to have a clinically meaningful outcome for chemotherapyinduced nausea and vomiting [92].…”

Section: Tens For Cancer-related Nonpain Symptomsmentioning

confidence: 99%

Transcutaneous Electrical Nerve Stimulation and Acupuncture

Johnson

2010

Evidence‐Based Chronic Pain Management

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Stimulation of the wrist acupuncture point P6 for preventing postoperative nausea and vomiting

Cited by 166 publications

References 84 publications

Übelkeit und Erbrechen in der postoperativen Phase

Übelkeit und Erbrechen in der postoperativen Phase

Akupunktur in der Notfallmedizin

Transcutaneous Electrical Nerve Stimulation and Acupuncture

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