Wang 2010.
Methods | Parallel‐group randomized trial, conducted in China. Study dates not reported. | |
Participants | 80 people, aged 20 ‐ 60 years, undergoing supratentorial craniotomy. Excluded people were obese (BMI > 30), diabetic, had a history of motion sickness or recent PONV or smoked. | |
Interventions | Group 1: transcutaneous electrical acupoint stimulation at right wrist P6 acupoints 30 min before induction of anaesthesia, left on for 6 hours after surgery (n = 40). Group 2: sham transcutaneous electrical acupoint stimulation at non‐acupoint on dorsal side of the forearm 30 min before induction of anaesthesia, left on for 6 hours after surgery (n = 40). Ondansetron 4 mg IV given as routine antiemetic treatment for each participant before skin closure in both groups. |
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Outcomes | Nausea (0 ‐ 24 h), vomiting (0 ‐ 24 h), rescue antiemetic (metoclopramide 10 mg IV), side effects. | |
Notes | Authors reported that no adverse effects or complications occurred associated with treatment groups. No details about funding source or any declarations of interest among authors. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated random number table. |
Allocation concealment (selection bias) | Unclear risk | Insufficient details given. |
Blinding of patients (performance bias) All outcomes | Low risk | "None of the patients had experience with acupuncture electrodes." Patients were also "unaware whether the sensation was coming from an acupoint or a non‐acupoint." |
Blinding of healthcare providers (performance bias) All outcomes | Low risk | Attending anaesthetist was blinded to treatment allocation. "The screen on the unit was covered with an opaque tape in both groups, so that clinicians and observers were unaware whether the unit was at an acupoint or not." |
Blinding of outcome assessor (detection bias) All outcomes | Low risk | Trained nurse staff did the PONV and were blind to the position of the electrode. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 80 participants were randomized and all completed the study. |
Selective reporting (reporting bias) | Low risk | All expected outcomes reported. |
Other bias | Low risk | Demographic and perioperative characteristics in Table 1 were comparable between groups. |