A comparison of Ondansetron and P6 Point Acupuncture Stimulation in Prevention of Carboprost Induced Nausea and Vomiting in Patients Undergoing Cesarean Section under Subarachnoid Block. | [Anaesthesia, Pain and Intensive Care • 2015]

Author(s):

1. SaleemA Wani: Department of Anesthesiology, Northern Railway Central Hospital, Basant Lane, New Delhi, India

2. Mamta Chadha: Department of Anesthesiology, Northern Railway Central Hospital, Basant Lane, New Delhi, India

3. A Prakash: Department of Anesthesiology, Northern Railway Central Hospital, Basant Lane, New Delhi, India

4. Shipra Aggarwal: Department of Anesthesiology, Northern Railway Central Hospital, Basant Lane, New Delhi, India

Abstract:

Objective: Carboprost is used to prevent postpartum hemorrhage in pregnant patients but is associated with severe nausea and vomiting .This a study was done to compare ondansetron and P6 point acupuncture stimulation for prevention of carboprost induced nausea and vomiting. Methodology: Fifty ASA class I and II full term pregnant patients scheduled for elective cesarean section were randomly allocated into Group-O (n=25) and Group-P (n=25). Subarachnoid block (SAB) was administered in both groups using inj.0.5% hyperbaric bupivacaine in L3-L4 interspace to achieve a level between T4 to T6. Inj.carboprost 250 mcg was given intramuscularly after the delivery of anterior shoulder in both groups. In addition Group-O inj. Ondansetron was given and in Group-P acupuncture was applied at P6 acupoint. Mean arterial pressures were maintained within 20% of baseline. Both groups were observed for nausea and vomiting for two hours postoperatively. Results: Overall incidence of nausea and vomiting was significantly less in Group-P than in Group-O, however, there was no significant difference in incidence of nausea and vomiting among the two groups when considered individually. Conclusion: We conclude that stimulation of P6 point by acupuncture in comparison to ondansetron decreases the overall incidence of carboprost induced nausea and vomiting in the immediate postoperative period.

Page(s): 24-27

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 19, Issue: 1, Year: 2015

Keywords:

Keywords are not available for this article.

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