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Comparison of laser acupuncture and metoclopramide in PONV prevention in children
Author(s) -
Butkovic Diana,
Toljan Sanja,
Matolic Martina,
Kralik Sandra,
Radešić Ljerka
Publication year - 2005
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2004.01388.x
Subject(s) - medicine , metoclopramide , anesthesia , postoperative nausea and vomiting , vomiting , acupuncture , retching , saline , nausea , antiemetic , sevoflurane , surgery , alternative medicine , pathology
Summary Background : Postoperative nausea and vomiting (PONV) are frequent side effects of general anesthesia in children. The aim of this study was to compare the effectiveness of laser acupuncture with metoclopramide in prevention of PONV in children after sevoflurane anesthesia. Methods : A total of 120 children ASA I and II, scheduled for hernia repair, circumcision or orchidopexy were randomly assigned into three groups: group I, received laser acupuncture on P6 point and saline infusion; group II, metoclopramide 0.1 mg·kg −1 i.v. and sham laser; group III had sham laser and saline infusion. Anesthesia was maintained with sevoflurane and N 2 O/O 2 . Patients were monitored for any symptoms of retching and vomiting at 2, 6 and 24 h postoperatively. Results : The incidence of vomiting was higher in the control group in the first 2 h postoperatively ( P < 0.001), compared with the other groups. There was no statistically significant difference between acupuncture and metoclopramide groups in occurrence and timing of vomiting ( P < 0.001). Conclusion : Laser acupuncture is equally effective as metoclopramide in preventing PONV in children.