Journal of Korean Academy of Nursing

Original Articles

Combination Effects of Capsicum Plaster at the Korean Hand Acupuncture Points K-D2 with Prophylactic Antiemetic on Postoperative Nausea and Vomiting after Gynecologic Laparoscopy: Hyun Jung Jung, Sang Youn Park; J Korean Acad Nurs 2013;43(2):215-224. Published online April 30, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.2.215

Purpose

This study was done to evaluate the combination effects of capsicum plaster at the Korean hand acupuncture points K-D2 with prophylactic antiemetic on Postoperative Nausea and Vomiting (PONV).

Methods

An experimental research design (a randomized, a double-blinded, and a placebo-control procedure) was used. The participants were female patients undergoing gynecologic laparoscopy; the control group (n=34) received intravenous prophylactic ramosetron 0.3mg, while the experimental group (n=34) had Korean Hand Therapy additionally. In the experimental group, capsicum plaster was applied at K-D2 of both 2nd and 4th fingers by means of Korean Hand Therapy for a period of 30 minutes before the induction of anesthesia and removed 8 hours after the laparoscopy.

Results

The occurrence of nausea, nausea intensity and need for rescue with antiemetic in the experimental group was significantly less than in the control group 2 hours after surgery.

Conclusion

Results of the study show capsicum plaster at K-D2 is an effective method for reducing PONV in spite of the low occurrence of PONV because of the prophylactic antiemetic medication.

Citations

Citations to this article as recorded by

Interleukin-31 Serum And Pruritus Dimension After Acupuncture Treatment In Hemodialysis Patients: A Randomized Clinical Trial
Dedi Ardinata, Rozaimah Zain-Hamid, Irma. D. Roesyanto-Mahadi, Hasan Mihardja
Open Access Macedonian Journal of Medical Sciences.2021; 9(B): 196. CrossRef
Effects of Korean hand acupressure on opioid-related nausea and vomiting, and pain after caesarean delivery using spinal anaesthesia
Na Young Ahn, Hye-Ja Park
Complementary Therapies in Clinical Practice.2017; 28: 101. CrossRef
Effects of Preoperative Dehydration on Postoperative Nausea and Vomiting in Gynecological Surgery Patients
Yunjeong Hwang, SoMi Park
Korean Journal of Women Health Nursing.2015; 21(1): 23. CrossRef
Herbs as Adjuncts to Surgery
Eric Yarnell, Kathy Abascal
Alternative and Complementary Therapies.2014; 20(5): 270. CrossRef
Postoperative nausea and vomiting: pharmacologic and nonpharmacologic therapies
Soo Kyung Lee
Korean Journal of Anesthesiology.2013; 65(6): 491. CrossRef

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Effect of Ondansetron combined with Dexamethasone on Postoperative Nausea & Vomiting and Pain of Patients with Laparoscopic Hysterectomy: Miok Nam, Haesang Yoon; J Korean Acad Nurs 2009;39(1):44-52. Published online February 17, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.1.44

Abstract PDF

Purpose:

The purpose of this study was to compare the effects of ondansetron combined with dexamethasone on Post-Operative Nausea and Vomiting (PONV) and pain with ondansetron alone in patients with laparoscopy assisted vaginal hysterectomy under general anesthesia.

Methods:

Data were collected from April 1 through September 30, 2005 using a double blind method. Ondansetron 4 mg and dexamethasone 10 mg were administered to the experimental group (25 patients), and ondansetron 4 mg only to the control group (25 patients). The medications were administered through an intravenous line at the beginning peritoneum suture. PONV by Index of Nausea Vomiting and Retching (INVR), nausea by Visual Analogue Scale (VAS), and pain (VAS) were assessed at postoperative 1 hr, 3 hr, 6 hr, 24 hr, and 48 hr. Data were analyzed using repeated measures ANOVA, and Bonferroni methods.

Results:

The experimental group that received ondansetron combined with dexamethasone had less PONV (p=.048), and nausea (p=.012) than control group that received ondansetron alone. However, there was no difference in pain (p=.557) between the patients in the two groups.

Conclusion:

We conclude that the administration of ondansetron combined with dexamethasone is more effective than the administration of ondansetron alone to reduce PONV in patients with laparoscopic hysterectomy.

Citations

Citations to this article as recorded by

Analgesia for Gynecologic Oncologic Surgeries: A Narrative Review
Kaiwal Patel, Sukhman Shergill, Nalini Vadivelu, Kanishka Rajput
Current Pain and Headache Reports.2022; 26(1): 1. CrossRef
Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis
Stephanie Weibel, Gerta Rücker, Leopold HJ Eberhart, Nathan L Pace, Hannah M Hartl, Olivia L Jordan, Debora Mayer, Manuel Riemer, Maximilian S Schaefer, Diana Raj, Insa Backhaus, Antonia Helf, Tobias Schlesinger, Peter Kienbaum, Peter Kranke
Cochrane Database of Systematic Reviews.2020;[Epub] CrossRef
Pain management after laparoscopic hysterectomy: systematic review of literature and PROSPECT recommendations
Philipp Lirk, Juliette Thiry, Marie-Pierre Bonnet, Girish P Joshi, Francis Bonnet
Regional Anesthesia & Pain Medicine.2019; 44(4): 425. CrossRef
Comparing Effects of Two Different Types of Nei-Guan Acupuncture Stimulation Devices in Reducing Postoperative Nausea and Vomiting
Hanna Oh, Bo Hwan Kim
Journal of PeriAnesthesia Nursing.2017; 32(3): 177. CrossRef
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Anirban Som, Sulagna Bhattacharjee, Souvik Maitra, Mahesh K Arora, Dalim Kumar Baidya
Anesthesia & Analgesia.2016; 123(6): 1418. CrossRef
Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy
Sung-Hee Lee, Sung-Jung Hong, Hwa Sun Kim, Younghoon Jeon
Korean Journal of Adult Nursing.2015; 27(5): 481. CrossRef
Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA
Sung-Jung Hong, Eunjoo Lee
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(2): 137. CrossRef
Impact of perioperative dexamethasone on postoperative analgesia and side-effects: systematic review and meta-analysis
N.H. Waldron, C.A. Jones, T.J. Gan, T.K. Allen, A.S. Habib
British Journal of Anaesthesia.2013; 110(2): 191. CrossRef

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