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- Title
Evaluation of capsaicin ointment at the Korean hand acupressure point K-D2 for prevention of postoperative nausea and vomiting.
- Authors
Agarwal, A.; Dhiraaj, S.; Tandon, M.; Singh, P. K.; Singh, U.; Pawar, S.
- Abstract
The K-D2 point is the Korean hand acupressure point in Koryo Hand Therapy for prevention of postoperative nausea and vomiting. We evaluated the efficacy of capsaicin ointment at the K-D2 point in 186 patients undergoing laparoscopic cholecystectomy in a randomised, prospective, double-blind and placebo-controlled study. Patients were randomised to have either placebo ointment or capsaicin ointment applied to the K-D2 point of both hands 1 h before surgery under standardised anaesthesia. The ointment was removed 8 h later. Postoperative nausea and vomiting was evaluated 6 and 24 h following surgery. The incidence of postoperative nausea and vomiting was lower in the capsaicin group, with an absolute risk reduction (ARR) of 21%, a relative risk reduction (RRR) of 50% and a number-needed-to-treat (NNT) of 5 at 0–6 h (p = 0.001), and an ARR of 11%, a RRR of 85% and a NNT of 9 at 6–24 h (p = 0.003). The need for rescue anti-emetic treatment was also lower at 0–6 h (3 (3%) vs 11 (12%); p = 0.04) and at 6–24 h (5 (5%) vs 0; p = 0.02).
- Subjects
CAPSAICIN; NAUSEA treatment; VOMITING treatment; ACUPUNCTURE points; ALTERNATIVE medicine; THERAPEUTICS
- Publication
Anaesthesia, 2005, Vol 60, Issue 12, p1185
- ISSN
0003-2409
- Publication type
Article
- DOI
10.1111/j.1365-2044.2005.04402.x