Wrist acupressure for post-operative nausea and vomiting (WrAP): A pilot study

Cooke, Marie, Rapchuk, Ivan, Doi, Suhail A, Spooner, Amy, Wendt, Tameka, Best, Jessica, Edwards, Melannie, O'Connell, Leanda, McCabe, Donna, McDonald, John, Fraser, John and Rickard, Claire (2015) Wrist acupressure for post-operative nausea and vomiting (WrAP): A pilot study. Complementary Therapies in Medicine, 23 3: 372-380. doi:10.1016/j.ctim.2015.03.007

Author Cooke, Marie
Rapchuk, Ivan
Doi, Suhail A
Spooner, Amy
Wendt, Tameka
Best, Jessica
Edwards, Melannie
O'Connell, Leanda
McCabe, Donna
McDonald, John
Fraser, John
Rickard, Claire
Title Wrist acupressure for post-operative nausea and vomiting (WrAP): A pilot study
Journal name Complementary Therapies in Medicine   Check publisher's open access policy
ISSN 1873-6963
Publication date 2015-06-01
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.ctim.2015.03.007
Volume 23
Issue 3
Start page 372
End page 380
Total pages 9
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Language eng
Abstract Post-operative nausea and vomiting are undesirable complications following anaesthesia and surgery. It is thought that acupressure might prevent nausea and vomiting through an alteration in endorphins and serotonin levels. In this two-group, parallel, superiority, randomised control pilot trial we aimed to test pre-defined feasibility outcomes and provide preliminary evidence for the efficacy of PC 6 acupoint stimulation vs. placebo for reducing post-operative nausea and vomiting in cardiac surgery patients. Eighty patients were randomly assigned to either an intervention PC 6 acupoint stimulation via beaded intervention wristbands group (n = 38) or placebo sham wristband group (n = 42). The main outcome was assessment of pre-defined feasibility criteria with secondary outcomes for nausea, vomiting, rescue anti-emetic therapy, quality of recovery and adverse events. Findings suggest that a large placebo-controlled randomised controlled trial to test the efficacy of PC 6 stimulation on PONV in the post-cardiac surgery population is feasible and justified given the preliminary clinically significant reduction in vomiting in the intervention group in this pilot. The intervention was tolerated well by participants and if wrist acupressure of PC 6 acupoint is proven effective in a large trial it is a simple non-invasive intervention that could easily be incorporated into practice.
Keyword Postoperative nausea and vomiting
Cardiac surgery
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
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