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Ann Thorac Surg 2009;88:537-542. doi:10.1016/j.athoracsur.2009.04.106
© 2009 The Society of Thoracic Surgeons
This Article
Original Articles: Adult Cardiac
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Efficacy of Acupuncture in
Prevention of Postoperative
Nausea in Cardiac Surgery
Patients
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Yuliya Korinenko, MDa, Ann Vincent, MDb,*,
Susanne M. Cutshall, CNSc, Zhuo Li, MSd, Thoralf
M. Sundt, III, MDe
a
Mayo Medical School, Mayo Clinic College of Medicine,
Rochester, Minnesota
b
Division of General Internal Medicine, Mayo Clinic College of
Medicine, Rochester, Minnesota
c
Department of Surgery, Mayo Clinic College of Medicine,
Rochester, Minnesota
d
Division of Biostatistics, Mayo Clinic College of Medicine,
Rochester, Minnesota
e
Division of Cardiovascular Surgery, Mayo Clinic College of
Medicine, Rochester, Minnesota
Accepted for publication April 27, 2009.
Address correspondence to Dr Vincent, Division of General
Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, MN
55905 (Email: vincent.ann@mayo.edu ).
*
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Anesthesia
Background: Coronary artery bypass graft and cardiac valve surgeries are frequently performed
in medical facilities in the United States, and postoperative nausea (PON) is a prevalent problem
in this patient population. The purpose of this study was to evaluate the efficacy of a single
preoperative acupuncture treatment in the prevention of PON in patients undergoing coronary
artery bypass graft or cardiac valve surgery, or both.
Methods: Ninety participants presenting for coronary artery bypass graft or cardiac valve
surgery, or both, were recruited for this study. Patients were randomly assigned to receive either
one preoperative acupuncture and standard postoperative care (acupuncture group) or solely
standard postoperative care (control group). Acupuncture was performed 0.5 to 3 hours before
surgery. The PON incidence and severity on postoperative day (POD) 2 and POD 3 were
measured with validated nausea tools.
Results: The acupuncture group had a significantly lower incidence of nausea compared with the
control group (POD 2, odds ratio [OR], 0.38; p = 0.05; and POD 3, OR, 0.26; p = 0.01). The
acupuncture group also had a significantly lower score of nausea severity than the control group
(POD 2, OR, 0.29; p = 0.01; and POD 3, OR, 0.25; p = 0.01). No adverse effects due to
acupuncture treatment were reported. Antiemetics, pain medications, and anesthetics
administered intraoperatively did not differ between the two groups and did not influence study
results.
Conclusions: A single preoperative acupuncture treatment decreased incidence and severity of
PON in patients undergoing coronary artery bypass graft or cardiac valve surgery, or both, and
caused no adverse effects.
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