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The specific aim of this study is to determine the incidence of post-operative nausea and vomiting (PONV) in the pediatric population undergoing outpatient middle ear surgery.
The specific aim of this study is to determine the incidence of post-operative nausea and vomiting (PONV) in the pediatric population undergoing outpatient middle ear surgery receiving our institution's standard dual prophylactic antiemetic therapy in combination with intraoperative acupuncture and postoperative acupressure compared to those receiving only the standard dual prophylactic antiemetic therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupuncture/Acupressure Group | Experimental | Bilateral P6 point acupuncture will be performed intra-operatively by the PI, who has UC Davis Medical Center privilege for this specific acupuncture, while the patient is under anesthesia. Patient will be sent home with an acupressure band, which is to remain on for 24 hours post operatively. |
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| Control Group | Sham Comparator | Bilateral sham point acupuncture will be performed intra-operatively. Patient will be sent home with a wrist sham band matching in appearance of acupressure bands without the acupressure function, which is to remain on for 24 hours post operatively. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acupressure Band | Other | These bands use pressure to stimulate the P6 acupuncture point. |
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| Measure | Description | Time Frame |
|---|---|---|
| The evaluation of post operative nausea and vomiting at different time points during and after hospital stay. | number of emesis events | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| number of antiemetics administered during the study period, | number of antiemetics administered | 24 hrs |
| time to oral intake tolerance | time measured in minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California Davis Medical Center | Sacramento | California | 95817 | United States |
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| ID | Term |
|---|---|
| D009325 | Nausea |
| D014839 | Vomiting |
| D020250 | Postoperative Nausea and Vomiting |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
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| Sham Band | Other | These sham bands are used to make it seem like the band is using pressure to stimulate the P6 acupuncture point. |
|
| 24 hrs |
| duration of recovery room stay | time measured in minutes | 24 hours |
| nausea requiring admission to hospital, emergency room or another medical care providers | Desc: number of events requiring ER visit, hospitalization or care from another medical care provider | 24 hrs |
| D010335 | Pathologic Processes |