• Paediatric anaesthesia · Jan 2005

    Randomized Controlled Trial Comparative Study Clinical Trial

    Comparison of laser acupuncture and metoclopramide in PONV prevention in children.

    • Diana Butkovic, Sanja Toljan, Martina Matolic, Sandra Kralik, and Ljerka Radesić.
    • Department of Anesthesiology, Reanimatology and Intensive Care, Children's Hospital Zagreb, Zagreb 10 000, Croatia. diana.butkovic1@zg.htnet.hr
    • Paediatr Anaesth. 2005 Jan 1; 15 (1): 37-40.

    BackgroundPostoperative nausea and vomiting (PONV) are frequent side effects of general anesthesia in children. The aim of this study was to compare the effectiveness of laser acupuncture with metoclopramide in prevention of PONV in children after sevoflurane anesthesia.MethodsA total of 120 children ASA I and II, scheduled for hernia repair, circumcision or orchidopexy were randomly assigned into three groups: group I, received laser acupuncture on P6 point and saline infusion; group II, metoclopramide 0.1 mg.kg(-1) i.v. and sham laser; group III had sham laser and saline infusion. Anesthesia was maintained with sevoflurane and N(2)O/O(2). Patients were monitored for any symptoms of retching and vomiting at 2, 6 and 24 h postoperatively.ResultsThe incidence of vomiting was higher in the control group in the first 2 h postoperatively (P < 0.001), compared with the other groups. There was no statistically significant difference between acupuncture and metoclopramide groups in occurrence and timing of vomiting (P < 0.001).ConclusionLaser acupuncture is equally effective as metoclopramide in preventing PONV in children.

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