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. 2015 Nov 2;2015(11):CD003281. doi: 10.1002/14651858.CD003281.pub4

Turgut 2007.

Methods Parallel‐group randomized trial, conducted in Turkey. Study dates not reported.
Participants 102 women aged 40 ‐ 65 years, with no previous experience of acupressure bands, undergoing elective gynaecological surgery (total abdominal hysterectomy and bilateral salpingo‐oophorectomy). 1 participant in acupressure group and 1 in sham group withdrew because of swelling and erythema in treated hand and protocol violation respectively.
 Exclusion criteria: obesity (BMI > 30), diabetes, history of motion sickness, PONV, or smoking.
Interventions Acupressure group: wristband with plastic bead positioned at P6 point on both wrists, 30 min before induction of general anaesthesia. Wristbands left on for 24 h (n = 51).
Sham group: wristband with plastic bead positioned at non‐acupoint site on the dorsal surface of both forearms, 30 min before induction of general anaesthesia. Wristbands left on for 24 h (n = 51).
Both groups were educated on the use of participant‐controlled analgesia before surgery. Participants received participant‐controlled analgesia containing morphine in the postanaesthetic care room, and continued for 24 h.
Outcomes Nausea (0 ‐ 24 h), vomiting (0 ‐ 24 h), rescue antiemetic drug use, adverse effects of wristbands.
Notes Risks of nausea and vomiting on arrival in recovery room reported. No adverse effects or complications were observed due to acupressure wristbands, except for 1 participant in the acupressure group who withdrew due to swelling and erythema of the treated hand. Rescue antiemetic was metoclopramide 10 mg IV.
No details about funding source or any declarations of interest among authors.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information.
Allocation concealment (selection bias) Unclear risk Insufficient information.
Blinding of patients (performance bias) 
 All outcomes Low risk Authors took adequate steps to make interventions appear similar.
Blinding of healthcare providers (performance bias) 
 All outcomes Low risk "The anaesthesiologists caring for the patients were not aware of group assignment".
Blinding of outcome assessor (detection bias) 
 All outcomes Low risk "The study was observer‐blinded".
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Reasons for withdrawal given. No missing data reported for 100 participants analysed.
Selective reporting (reporting bias) Low risk All expected outcomes reported.
Other bias Low risk "Patients of both groups were comparable with regard to age, weight, height, ASA physical status and duration of surgery".