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Anesth Analg 2006;102:581-584
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000189217.19600.5c

OBSTETRIC ANESTHESIA

Transcutaneous Acupoint Electrical Stimulation with the ReliefBand® for the Prevention of Nausea and Vomiting During and After Cesarean Delivery Under Spinal Anesthesia

Ashraf S. Habib, MBBCh, MSc, FRCA, Nilda Itchon-Ramos, MD, Barbara G. Phillips-Bute, PhD, Tong J. Gan, MB, FRCA, FFARCS(I), and the Duke Women’s Anesthesia (DWA) Research Group

Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina

Address correspondence and reprint requests to Ashraf S. Habib, MBBCh, MSc, Department of Anesthesiology, Box 3094, Duke University Medical Center, Durham, NC, 27710. Address e-mail to habib001{at}mc.duke.edu.

We randomized 94 patients undergoing cesarean delivery with spinal anesthesia to receive transcutaneous acupoint electrical stimulation using the ReliefBand® at the P6 point (active group) or an active ReliefBand® applied to the dorsum of the wrist (sham control group). The ReliefBand® was applied 30–60 min preoperatively and left in place for 24 h. There was no statistically significant difference between the active and sham control groups in the incidence of intraoperative/postoperative nausea (30% versus 43%/23% versus 41%), vomiting (13% versus 9%/26 versus 37%), need for rescue antiemetics (23% versus 18%/34% versus 39%), or complete response (55% versus 57%/51% versus 34%). There was also no difference between the two groups in nausea scores, number of vomiting episodes, or patient satisfaction with postoperative nausea and vomiting management.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.