The use of antiemetic agents preoperatively can help reduce the discomfort and postoperative complications experienced by canine surgery patients. The goal of this randomized blinded controlled clinical trial was to determine if dry needle stimulation at acupoints PC-6, ST-36 and LI-4 could reduce the incidence of nausea and vomiting in healthy dogs receiving an acepromazine and morphine injection prior to elective surgical procedures. Twenty-nine clinically healthy dogs were randomly divided into two groups. Ten minutes prior to receiving an acepromazine maleate and morphine sulphate injection, the Test Group received dry needle acupuncture stimulation at LI-4, PC-6 and ST-36 and the Control Group received sham acupuncture at LU-5, BL-36 and BL-40. The outcomes measured included the presence or absence of lip-licking, nausea or vomiting occurring within 10 minutes after receiving acepromazine/morphine premedication. Twelve out of 15 (80%) subjects in the Control Group exhibited vomiting after receiving acepromazine/morphine injection, whereas only 3 out of 14 (21.4%) subjects in the Test Group exhibited vomiting (p = 0.0028). To a lesser degree, and not achieving statistical significance under the sample size of this study, a 15% trend toward nausea reduction (11/14 test versus 14/15 control) was exhibited in the Test Group. The study concluded there was a statistically significant anti-emetic effect of presurgical acupuncture treatment at PC-6, ST-36 and LI-4 . These findings support the use of these acupoints by clinicians to reduce vomiting induced by acepromazine/morphine injection in healthy dogs undergoing an elective surgical procedure.
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