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Clinical case report

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Clinical case report

2016; 9(6): 325-329

Published online December 1, 2016 https://doi.org/10.1016/j.jams.2016.09.005

Copyright © Medical Association of Pharmacopuncture Institute.

Acupuncture in the Management of Intraoperative Nausea and Vomiting

Centro Hospitalar Vila Nova de Gaia-Espinho, Department of Anesthesiology, Portugal

Correspondence to:Francisco Gouveia

Received: May 30, 2016; Revised: August 31, 2016; Accepted: September 7, 2016

Abstract

Intraoperative and postoperative nausea and vomiting (IONV and PONV, respectively) are common complications of anesthesia with significant associated morbidity. Strategies for their prevention and treatment have been organized in pharmacological and nonpharmacological measures. Acupuncture at PC6 has demonstrated efficacy in randomized trials, although evidence regarding its efficacy in treating IONV and PONV has not yet been fully established. We present the case of a patient who underwent peripheral vascular surgery on a limb under a subarachnoid block and who developed IONV refractory to conventional pharmacological therapy. Acupuncture at the PC6 and the TF4 points proved to be an effective alternative treatment to conventional pharmacological treatment and resulted in almost immediate cessation of IONV.

Keywords: acupressure, acupuncture, anesthesia, nausea

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