Acupuncture and Acupressure for Postoperative Nausea and Vomiting in Children 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.

Inclusion Criteria:

- Healthy ASA 1 and 2 Patients

- Age 2 to 18 years old

- Undergoing Outpatient Middle ear surgery

Exclusion Criteria:

- ASA 3 and above

- Patients with underlying pro-emetogenic disease

- Patients currently taking antiemetic agents

- pregnant women

- Cognitively impaired adults

- prisoners

- History of bleeding disorder

- Age less than 2 or greater than 18