Title: Comparison of Ondansetron versus Acupressure on Pressure Point Neiguan (P-6) to Prevent Post Operative Nausea and Vomiting after Middle Ear Surgery: A Randomized Double Blind Study
Authors: Sanjeev Kumar, Chandrakant Prasad, Rajnish Kumar, Kishore4, Ravi Anand, Rakesh Kumar Singh, K. H. Raghwendra
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.119
Abstract
Aim: The aim of this study was to compare the efficacy of intravenous ondansetron with P6 acupuncture stimulation in prevention of post-operative nausea and vomiting after middle ear surgery.
Materials and Methods: After obtaining institutional research and ethical committee approval. 90 Patients of ASA physical status I & II, aged 20 to 60 years, posted for middle ear surgery under general anaesthesia were randomly allocated into two groups by computer generated random number method into Group A (n=45) - acupressure on Pressure point P-6 & Group B (n=45) ondansetron 0.1 / kg after endotracheal intubation. Balanced general anaesthesia was given as per preset protocol and intraoperative vitals were recorded at regular intervals. The incidence of nausea and vomiting was recorded every 6 hours for a period of 24 hours by direct questioning to the patient or to his attendant. Nausea and vomiting were evaluated on a three point scale.
Results: There was no significant difference in number of patients having nausea or vomiting at any interval in both the groups i.e., p-value > 0.05 at all intervals.
Conclusion: We conclude that P6 acupuncture stimulation is almost equally effective as to intravenous ondansetron in prevention of post-operative nausea and vomiting after middle ear surgery.
Keywords: P-6 pressure point, acupuncture, ondansetron, middle ear surgery, post-operative, nausea and vomiting.
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