Research: KLAIMAN and COLLEAGUES,

Listed in Issue 167

Abstract

KLAIMAN and COLLEAGUES,  Department of Anaesthesia, Wolfson Medical Center, Holon, affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel assessed the efficacy of magnetic acupressure in the prevention of postoperative nausea and vomiting.

Background

To assess the efficacy of magnetic acupressure in the prevention of postoperative nausea and vomiting (PONV).

Methodology

Fifty-eight patients were included in this randomized, double blind, preliminary prospective study. Thirty-three underwent ear, nose, and throat (ENT) procedures and twenty-five underwent gynaecological procedures. A magnet patch (M) or a placebo patch (P) was applied to patients in each group randomly. The patch was applied 15 min before surgery to P6 a point situated above the wrist, on the medial aspect of the arm between the palmaris longus and flexor carpi radicis (REF point). Anaesthesia was standardized for all patients. Primary study endpoints included PONV scores and number of rescue antiemetic administrations. Secondary endpoints included pain scores, percentage of patients who required rescue analgesics and satisfaction scores. Study variables were measured on arrival in the PACU and 8, 16 and 24 h after surgery.

Results

The global incidence of PONV was 50%. We found no significant difference in the incidence of PONV between ENT patients (46%) and gynaecology patients (56%), and no difference between patients who received magnet treatment (47%) and those that did not (54%). Patients receiving the magnet had a similar satisfaction level (75% satisfied) to those receiving placebo (73% satisfied). In addition, magnet-treated patients had similar pain and PONV scores, and a similar percentage of patients in each groups received postoperative rescue analgesics. Finally, there was no difference in the number of rescue antiemetic administrations between the two groups.

Conclusion

The use of magnetic acupressure as a prophylactic antiemetic treatment prior to ENT or gynaecology surgeries produced no benefit when compared to placebo.

References

Klaiman P, Sternfeld M, Deeb Z,  Roth Y, Golan A, Ezri T and Azamfirei L. Magnetic acupressure for management of postoperative nausea and vomiting: a preliminary study. Minerva Anestesiologica.  74(11): 635-42. Nov 2008.

Munro Hall Clinic 2019

IJCA 2018 New Skyscraper

Scientific and Medical Network 2

Cycle India 2020

Walk on the Wide Side Trek Kenya 2020

Big Heart Bike Ride South Africa 2020

Scientific and Medical Network 2021

top of the page