P6 Acupressure Before Laparoscopic Cholecystectomy

Not Applicable

• Conditions: Postoperative Complications; Postoperative Nausea and Vomiting
• Interventions: Device: Placebo Acupressure Wrist Band; Device: Acupressure Wrist Band

• Registration Number: NCT02510183
• Lead Sponsor: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Brief Summary

This study is to evaluate the effect of preoperative acupressure application on Postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic cholecystectomy in terms of being in high risk group for PONV.

Detailed Description

Prevention of postoperative complications is one of the main tasks of nurses. However, there are limited nursing interventions that can be done to prevent PONV. The American Society of PeriAnesthesia Nurses suggest nurses to teach patients with a high risk of PONV about acupressure application on P6 acupoint or to apply acupressure wristbands preoperatively. However this suggestion has a low evidence.

Study Timeline

• Study Start: 2015-02
• Status Verified: 2015-06
• Study First Submitted: 2015-06-28
• Study First Submitted QC: 2015-07-26
• Last Update Submitted: 2015-07-26
• Study First Posted: 2015-07-29
• Last Update Posted: 2015-07-29
• Primary Completion: 2016-02
• Study Completion: 2016-04

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 111

Inclusion Criteria

• Patient undergoing elective laparoscopic cholecystectomy
• Patients who make their admission the day before surgery
• Patients with American Society of Anesthesiologists (ASA) physical status classification system I and II
• Patient who gave written consent to participate in the study

Exclusion Criteria

• Patient who undergone urgent laparoscopic cholecystectomy
• Patients who make their admission on the day of surgery
• Patients with who do not conform physical status of ASA I and II
• Patients who loss single or both upper extremity
• Patients with open wounds, scar tissue or infection on wrist in acupressure application area

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Placebo Wrist Band	Placebo Acupressure Wrist Band	Patient receive preoperative education a day before surgery, an placebo acupressure wrist band is applied in both wrist an hour before surgery
Acupressure Wrist Band	Acupressure Wrist Band	Patient receive preoperative education a day before surgery, education for acupressure application on the day of surgery, an acupressure wrist band is applied on P6 acupoint in both wrist an hour before surgery

Primary Outcome Measures

Name	Time	Method
Acupressure affect on Postoperative Nausea, Vomiting and medication need	24 hours postoperatively	Postoperative nausea, vomiting and medication need are assessed on 2nd, 6th and 24th hours postoperative. Nausea severity measured by 0-10 scoring (0- no nausea,10- nausea as bad as can be), and vomiting is assessed as episodes. Number of antiemetics and analgesics medications that are given (out of routine therapy) are also evaluated.

Secondary Outcome Measures

Name	Time	Method
Pain	24 hours postoperatively	Pain measured by 0-10 scoring (0- no pain,10- pain as bad as can be) on 2nd, 6th and 24th hours postoperative.
Perioperative Stress	48 hour	Perioperative Stress measured by State-Trait Anxiety Inventory (STAI) score on day before surgery and day after surgery