The effectiveness of dry-cupping in preventing post-operative nausea and vomiting by P6 acupoint stimulation A randomized controlled trial

Farhadi, K. and Choubsaz, M. and Setayeshi, K. and Kameli, M. and Bazargan-Hejazi, S. and Zadie, Z. H. and Ahmadi, A. (2016) The effectiveness of dry-cupping in preventing post-operative nausea and vomiting by P6 acupoint stimulation A randomized controlled trial. Medicine (United States), 95 (38).

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Background: Postoperative nausea and vomiting (PONV) is a common complication after general anesthesia, and the prevalence ranges between 25 and 30. The aim of this study was to determine the preventive effects of dry cupping on PONV by stimulating point P6 in the wrist. Methods: This was a randomized controlled trial conducted at the Imam Reza Hospital in Kermanshah, Iran. The final study sample included 206 patients (107 experimental and 99 controls). Inclusion criteria included the following: female sex; age>18 years; ASA Class I-II; type of surgery: laparoscopic cholecystectomy; type of anesthesia: general anesthesia. Exclusion criteria included: change in the type of surgery, that is, from laparoscopic cholecystectomy to laparotomy, and ASA-classification III or more. Interventions are as follows: pre surgery, before the induction of anesthesia, the experimental group received dry cupping on point P6 of the dominant hand's wrist with activation of intermittent negative pressure. The sham group received cupping without activation of negative pressure at the same point. Main outcome was that the visual analogue scale was used to measure the severity of PONV. Results: The experimental group who received dry cupping had significantly lower levels of PONV severity after surgery (P<0.001) than the control group. The differences in measure were maintained after controlling for age and ASA in regression models (P<0.01). Conclusion: Traditional dry cupping delivered in an operation room setting prevented PONV in laparoscopic cholecystectomy patients. © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved.

Item Type: Article
Additional Information: Cited By :6 Export Date: 16 February 2020 CODEN: MEDIA Correspondence Address: Ahmadi, A.; Department of Anesthesiology, Critical Care and Pain Management, Imam Reza Hospital, Kermanshah University of Medical SciencesIran; email:
Uncontrolled Keywords: Cupping Laparoscopic cholecystectomy PONV atracurium besilate isoflurane midazolam morphine ondansetron oxygen pethidine sufentanil thiopental acupuncture adult anesthesia induction Article clinical effectiveness controlled study disease severity dry cupping experimental study female general anesthesia human Iran major clinical study male medical procedures nausea outcome assessment P6 acupoint stimulation postoperative nausea and vomiting priority journal randomized controlled trial sham procedure surgical patient surgical technique visual analog scale adverse effects alternative medicine middle aged procedures single blind procedure treatment outcome wrist Acupuncture Points Anesthesia, General Cholecystectomy, Laparoscopic Complementary Therapies Humans Single-Blind Method
Subjects: WZ History of Medicine
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib4 lib4
Date Deposited: 02 Mar 2020 10:54
Last Modified: 02 Mar 2020 10:54

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