Journal List > J Korean Acad Nurs > v.43(2) > 1002902

TOOLS
Jung and Park: Combination Effects of Capsicum Plaster at the Korean Hand Acupuncture Points K-D2 with Prophylactic Antiemetic on Postoperative Nausea and Vomiting after Gynecologic Laparoscopy
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2013; 43(2): 215-224.

Published online: 30 April 2013

DOI: https://doi.org/10.4040/jkan.2013.43.2.215

Combination Effects of Capsicum Plaster at the Korean Hand Acupuncture Points K-D2 with Prophylactic Antiemetic on Postoperative Nausea and Vomiting after Gynecologic Laparoscopy

Hyun Jung Jung1, Sang Youn Park2

1Department of Nursing, Cheongju University, Cheongju, Korea.

2College of Nursing, Kyungpook National University, Daegu, Korea.

Address reprint requests to: Park, Sang Youn. College of Nursing, Kyungpook National University, 101 Dongin-dong, Jung-gu, Daegu 700-422, Korea. Tel: +82-53-420-4929, Fax: +82-53-421-2758, syepark@knu.ac.kr

Received 7 September 2012       Accepted 7 December 2012

© 2013 Korean Society of Nursing Science

Abstract

Purpose

This study was done to evaluate the combination effects of capsicum plaster at the Korean hand acupuncture points K-D2 with prophylactic antiemetic on Postoperative Nausea and Vomiting (PONV).

Methods

An experimental research design (a randomized, a double-blinded, and a placebo-control procedure) was used. The participants were female patients undergoing gynecologic laparoscopy; the control group (n=34) received intravenous prophylactic ramosetron 0.3mg, while the experimental group (n=34) had Korean Hand Therapy additionally. In the experimental group, capsicum plaster was applied at K-D2 of both 2nd and 4th fingers by means of Korean Hand Therapy for a period of 30 minutes before the induction of anesthesia and removed 8 hours after the laparoscopy.

Results

The occurrence of nausea, nausea intensity and need for rescue with antiemetic in the experimental group was significantly less than in the control group 2 hours after surgery.

Conclusion

Results of the study show capsicum plaster at K-D2 is an effective method for reducing PONV in spite of the low occurrence of PONV because of the prophylactic antiemetic medication.

Keywords: Postoperative nausea and vomiting, Gynecology, Laparoscopy, Acupuncture points, Capsicum plaster

Figures and Tables

Figure 1
Theoretical framework of this study based on Korean hand therapy and meridian theory.
jkan-43-215-g001
Figure 2
Location of the Korean hand acupuncture point K-D2. In the experimental group, capsicum plaster (5×5mm2) was applied at the K-D2 points of both 2nd and 4th fingers. Patients of both groups were dressed with an inactive tape for a period of 30 minutes before the induction of anesthesia and removed 8 hours after laparoscopy.
jkan-43-215-g002
Table 1
Homogeneity Test for Characteristics of Participants related to Postoperative Nausea and Vomiting (N=68)
jkan-43-215-i001

Exp.=Experimental group; Cont.=Control group; PONV=Postoperative nausea and vomiting.

Table 2
Homogeneity Test for Characteristics related to Anesthesia and Surgery (N=68)
jkan-43-215-i002

Exp.=Experimental group; Cont.=Control group; IV=Intravenous; PCA=Patient controlled analgesia; ASA=American society of anesthesiologist.

Table 3
Comparisons of Postoperative Nausea and Vomiting after Laparoscopy (N=68)
jkan-43-215-i003

*Mann-Whitney test; †Fisher's exact test;

Exp.=Experimental group; Cont.=Control group.

Notes

This manuscript is a revision of the first author's doctoral dissertation from Kyungpook National University.

References

1. Agarwal A, Dhiraaj S, Tandon M, Singh PK, Singh U, Pawar S. Evaluation of capsaicin ointment at the Korean hand acupressure point K-D2 for prevention of postoperative nausea and vomiting. Anaesthesia. 2005. 60(12):1185–1188. http://dx.doi.org/10.1111/j.1365-2044.2005.04402.x.
2. Apfel CC, Kranke P, Katz MH, Goepfert C, Papenfuss T, Rauch S, et al. Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: A randomized controlled trial of factorial design. Br J Anaesth. 2002. 88(5):659–668.
3. Apfel CC, Läärä E, Koivuranta M, Greim CA, Roewer N. A simplified risk score for predicting postoperative nausea and vomiting: Conclusions from cross-validations between two centers. Anesthesiology. 1999. 91(3):693–700.
4. Bailey PL, Streisand JB, Pace NL, Bubbers SJ, East KA, Mulder S, et al. Transdermal scopolamine reduces nausea and vomiting after outpatient laparoscopy. Anesthesiology. 1990. 72(6):977–980.
5. Berkley KJ, Robbins A, Sato Y. Functional differences between afferent fibers in the hypogastric and pelvic nerves innervating female reproductive organs in the rat. J Neurophysiol. 1993. 69(2):533–544.
6. Boehler M, Mitterschiffthaler G, Schlager A. Korean hand acupressure reduces postoperative nausea and vomiting after gynecological laparoscopic surgery. Anesth Analg. 2002. 94(4):872–875. table of contents.
7. Chi JG. Medical dictionary: English-Korean, Korean-English. 2006. Anyang: Academya.
8. Dundee JW, Ghaly RG, Bill KM, Chestnutt WN, Fitzpatrick KT, Lynas AG. Effect of stimulation of the P6 antiemetic point on postoperative nausea and vomiting. Br J Anaesth. 1989. 63(5):612–618.
9. Eo HJ. The effect of oral cryotherapy on postoperative nausea and vomiting after laparoscopic surgery. 2010. Seoul: Ewha Womans University;Unpublished master's thesis.
10. Gan TJ, Glass PS, Sigl J, Sebel P, Payne F, Rosow C, et al. Women emerge from general anesthesia with propofol/alfentanil/nitrous oxide faster than men. Anesthesiology. 1999. 90(5):1283–1287.
11. Gan TJ, Meyer T, Apfel CC, Chung F, Davis PJ, Eubanks S, et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg. 2003. 97(1):62–71.
12. Iitomi T, Toriumi S, Kondo A, Akazawa T, Nakahara T. Incidence of nausea and vomiting after cholecystectomy performed via laparotomy or laparoscopy. Masui. 1995. 44(12):1627–1631.
13. Jung SH, Jeon YH. Antiemetic effect of midazolam added to patient-controlled analgesia after total abdominal hysterectomy. Korean J Anesthesiol. 2006. 51(5):591–597.
14. Kim EJ, Ko JS, Kim CS, Lee SM, Choi DH. Combination of antiemetics for the prevention of postoperative nausea and vomiting in high-risk patients. J Korean Med Sci. 2007. 22(5):878–882.
15. Kim KS, Koo MS, Jeon JW, Park HS, Seung IS. Capsicum plaster at the Korean hand acupuncture point reduces postoperative nausea and vomiting after abdominal hysterectomy. Anesth Analg. 2002. 95(4):1103–1107.
16. Kim MW. Postoperative nausea and vomiting. Dongguk J Med. 2004. 11(1):151–156.
17. Kim NC, Yoo JB, Cho MS, Shin EJ, Hahm TS. Effects of Nei-Guan acupressure on nausea, vomiting and level of satisfaction for gynecological surgery patients who are using a patient-controlled analgesia. J Korean Acad Nurs. 2010. 40(3):423–432. http://dx.doi.org/10.4040/jkan.2010.40.3.423.
18. Kim TS, Choi SE, Won RS. Undesirable symptoms of patients in the postanesthesia recovery situations. Korean J Anesthesiol. 2001. 40(5):619–624.
19. Kovac AL. Prevention and treatment of postoperative nausea and vomiting. Drugs. 2000. 59(2):213–243.
20. Marston A. Responses of the splanchnic circulation to ischaemia. J Clin Pathol Suppl (R Coll Pathol). 1977. 11:59–67.
21. Namsan Sŭim. Plaster therapy of miracle. 1999. Seoul: Myung Sang.
22. Ogata A, Yamada Y, Sugiura M, Takayanagi R, Sawada Y, Iga T. Analysis of 5-HT3 receptor antagonist, ramosetron hydrochloride, based on receptor occupancy considering its active metabolite. Yakugaku Zasshi. 2001. 121(11):793–798.
23. Oh SY, Park KS, Hwang YY. The effect of ethanol inhalation on postoperative nausea in patients using patient controlled analgesia. J Korean Acad Adult Nurs. 2009. 21(4):379–390.
24. Park HH, Park KS, Lee SY, Cho OG, Kim JH, Kim JS, et al. The effects of prophylactic metoclopramide and induction with propofol on postoperative nausea and vomiting. Korean J Anesthesiol. 2006. 50(2):179–183.
25. Schlager A, Boehler M, Puhringer F. Korean hand acupressure reduces postoperative vomiting in children after strabismus surgery. Br J Anaesth. 2000. 85(2):267–270.
26. Suh JK, Bae DJ, Cho SY, Jeon WJ. The assessment of postoperative nausea and vomiting (PONV) using rhodes index in PONV high risk group. Korean J Anesthesiol. 2008. 54(3):278–282. http://dx.doi.org/10.4097/kjae.2008.54.3.278.
27. Watcha MF, White PF. Postoperative nausea and vomiting. Its etiology, treatment, and prevention. Anesthesiology. 1992. 77(1):162–184.
28. White PF, O'Hara JF, Roberson CR, Wender RH, Candiotti KA. The impact of current antiemetic practices on patient outcomes: A prospective study on high-risk patients. Anesth Analg. 2008. 107(2):452–458. http://dx.doi.org/10.1213/ane.0b013e31817b842c.
29. Yang SY, Kim YH, Kang PS, Yoon SH. The effect of anaesthetic technique on postoperative nausea and vomiting in patients undergoing gynecologic laparoscopy. Korean J Anesthesiol. 2003. 45(3):332–338.
30. Yoo TW. Seokeum therapy lecture. 2008. Seoul: Koryo Sooji Chim.
TOOLS
Similar articles