Assessing Acupoint Stimulation in Reducing Pediatric Postoperative Nausea and Vomiting: A Systematic Review
Item
Title
Assessing Acupoint Stimulation in Reducing Pediatric Postoperative Nausea and Vomiting: A Systematic Review
Author(s)
Journal Publication
Date
2014
volume
67
Research Type
Systematic Review
Keywords
Abstract
Background: Postoperative nausea and vomiting (PONV) is the most common complication occurring after surgical anesthesia in children. Postoperative vomiting (POV) remains a major cause of morbidity in children. Antiemetic drugs are the most common treatment but are not always effective and may cause side effects. Acupoint stimulation (AS) at P-6 is more effective than placebo in preventing PONV in adults; this has not been demonstrated in children. Objective: To assess the quality, comparability, and outcomes of randomized controlled trials (RCTs) of AS in reducing PONV in children. Methods: MEDLINE and EMBASE published between 1999 and 2012 were searched for RCTs of AS used to treat pediatric PONV, comparing AS with sham, standard treatment, pharmaceutical intervention, or no treatment. The two authors independently assessed trial quality and extracted data. Results: Seven trials involving 814 people ages one year through 18 years were included. Each trial used a distinct form of AS. Six provided AS to P-6, two of these also used CV-13, and one used the point K-K9. All studies gathered data on the incidence of vomiting postoperatively (POV). All but one showed a significant reduction in vomiting compared to either sham, placebo control, or standard treatment. Two of them gathered data on nausea (PON) and found a significant reduction in its incidence and a significant reduction in PONV. Study quality was high based on the Jadad Score and authors’ scoring.
doi
10.1097/GME.0b013e31829374e8
View on Pubmed
has health condition studied
Vomiting
has study population number
0