AI Summary & Key Takeaways
AI InsightIn group RB and group M, the amount of antiemetic drug consumption was less than that of group C at the 2nd, 6th and 24th hours (p
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Abstract
The purpose of our study to compare the effect of Reliefband applied to the P6 acupuncture point, with metoclopramide on nausea-vomiting related to the postoperative morphine use by patient controlled analgesia in major orthopedic surgery. 42 patients between the ages of 18-70, were randomly allocated into 3 groups. İn group Reliefband (GroupRB), active RB (25mA, 4Hz) to the P6 acupuncture point of the right forearm and 2 cc iv saline 3 times daily; in group metoclopramide (Group M) inactive RB and iv l0 mg metoclopramide 3 times daily; in group control (Group C), inactive RB and 2 cc iv saline was given 15 minutes before induction. In all groups induction was performed with thiopental sodium 5-7 mg kg-1, 1 µg kg-1 fentanyl and vecuronium bromide 0.1 mg kg-1. Anaesthesia was maintained with 1.5 % isoflurane in 50 % O2 and 50 % N2O with a flow rate of 6L.There were no significant differences between the group RB and group M in terms of nausea-vomiting but the incidence of nausea in both groups was less than that of group C (p0.05). In group RB and group M, the amount of antiemetic drug consumption was less than that of group C at the 2nd, 6th and 24th hours (p
Özet
Çalışmamızın amacı, majör ortopedik cerrahilerde, postoperatif hasta kontrollü analjezide kullanılan morfinin neden olduğu bulantı ve kusmada, ReliefBandın etkinliğini değerlendirmektir.18-70 yaşlarında 42 hasta çalışmaya alınarak, randomize olarak 3 gruba ayrıldı. İndüksiyondan 15 dk. önce antiemetik yöntem olarak, Reliefband grubuna (Grup RB) sağ önkol P6 akupunktur noktasına aktif Reliefband (25mA, 4Hz) ile günde 3 defa 2 cc iv salin, metoklopramid grubuna (Grup M) günde 3 defa iv 10 mg metoklopramid ile inaktif Reliefband, kontrol grubuna (Grup K) inaktif Reliefband ile günde 3 defa 2 cc iv salin uygulandı. Tüm gruplarda indüksiyon 5-7 mg kg-1 tiyopental sodyum, 1 µg kg-1 fentanil, 0.1 mg kg-1 veküronyum bromid, idame % 50 O2 + % 50 N2O ve % 1.5 izofluran ile sağlandı. Tüm dönemlerde RB ile M grupları arasında bulantı ve kusma yönünden anlamlı fark yokken, bulantı sayısı kontrol grubuna göre daha azdı (p0.05). Tüm dönemlerde RB ve M gruplarında antiemetik ilaç gereksinimi K grubundan daha azdı (p