Postoperative Nausea and Vomiting Clinical Trial
Official title:
Efficacy of P6 Acupressure Band For Prevention of Postoperative Nausea and Vomiting In Children: A Randomized Controlled Trial
Verified date | September 2023 |
Source | Universiti Kebangsaan Malaysia Medical Centre |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Nausea and vomiting after surgery are one of the most common side effects of general anaesthesia. Pressure at P6 acupuncture point around wrist area using acupressure band has been proven to reduce nausea and vomiting in adult. We would like to see if this acupressure band can reduce nausea and vomiting in children after surgery. Prior to operation, we will apply an elastic band at the P6 acupoint on your child's both hands. Your child will undergo anaesthesia as per usual and surgery as planned, with the elastic band onboard. Upon completion of surgery, your child will be required to wear the band and should not be removed. Your child will be monitored for up to 24 hours for episodes of nausea and vomiting. If so, rescue antivomit medication will be given. After 24 hours, we will record your level of satisfaction with the regimen provided
Status | Completed |
Enrollment | 64 |
Est. completion date | July 1, 2023 |
Est. primary completion date | July 1, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 3 Years to 12 Years |
Eligibility | Inclusion Criteria: - General surgery including open and laparoscopic hernia, orchidopexy surgery, orthopaedic and ENT surgery - Duration of surgery of more than 30 mins and less than 4 hour - ASA I or II Exclusion Criteria: - Inflammation over the relevant acupressure point and abnormal upper limb anatomy - Planned admission to PACU/ICU post-operative or requiring mechanical ventilation post-operative - Patient on antiemetic prior to surgery - Known allergy to metoclopramide - Suspected circulation or vascular problem of upper limb - Upper limb surgery - strabismus surgery |
Country | Name | City | State |
---|---|---|---|
Malaysia | Hospital Canselor Tuanku Muhriz | Kuala Lumpur | Wilayah Persekutuan Kuala Lumpur |
Lead Sponsor | Collaborator |
---|---|
Universiti Kebangsaan Malaysia Medical Centre |
Malaysia,
Chernyak GV, Sessler DI. Perioperative acupuncture and related techniques. Anesthesiology. 2005 May;102(5):1031-49; quiz 1077-8. doi: 10.1097/00000542-200505000-00024. — View Citation
Eberhart LHJ, Geldner G, Kranke P, Morin AM, Schauffelen A, Treiber H, Wulf H. The development and validation of a risk score to predict the probability of postoperative vomiting in pediatric patients. Anesth Analg. 2004 Dec;99(6):1630-1637. doi: 10.1213/01.ANE.0000135639.57715.6C. — View Citation
Lee A, Chan SK, Fan LT. Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting. Cochrane Database Syst Rev. 2015 Nov 2;2015(11):CD003281. doi: 10.1002/14651858.CD003281.pub4. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Complications | Incident of complications related to accupressure band such as pain and redness | up to 24 hours post surgery | |
Other | Parental satisfaction | Degree of parental satisfaction by likert scale, 1 of very unsatisfied, 3 neutral and 5 very satisfied | up to 24 hours post surgery | |
Primary | Incident of nausea and vomiting within 24 hours post operatively | Incident of nausea and vomiting will be recorded in recovery area and hourly until 24H | up to 24 hours post surgery | |
Secondary | Numbers of rescue antiemetic needed | Dosage and frequency of rescue antiemetic prescribed postoperatively will be recorded | up to 24 hours post surgery |
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