Recently, nonpharmaceutical therapies have been evaluated for use in the treatment of postoperative nausea (PON). Aromatherapy is promising as an inexpensive, noninvasive treatment for PON that can be administered and controlled by patients as needed. On the basis of our results, future research further evaluating aromatherapy is warranted. The hypothesis that aromatherapy would be effective as a treatment for PON was supported. The number of antiemetic medications requested after aromatherapy was also significantly reduced with ginger or blend aromatherapy versus saline ( P = 0.002 and P < 0.001, respectively). The change in nausea level was significant for the blend ( P < 0.001) and ginger ( P = 0.002) versus saline but not for alcohol ( P < 0.76). RESULTS:Ī total of 1151 subjects were screened for inclusion 303 subjects reporting nausea were enrolled (26.3%), and 301 meeting protocol were analyzed (26.2%). Prophylactic and postnausea antiemetics were given as ordered by physicians or as requested by the patient. Patients with a nausea level of 1 to 3 on a verbal descriptive scale (0–3) received a gauze pad saturated with a randomly chosen aromatherapy agent and were told to inhale deeply 3 times nausea (0–3) was then measured again in 5 minutes.
Before surgery, demographic and risk factors were collected. Eligibility criteria were adult, able to give consent, and no history of coagulation problems or allergy to the aromatherapy agents. METHODS:Ī randomized trial of aromatherapy with patients who reported nausea in the postanesthesia care unit was conducted at one ambulatory surgical center. Our secondary hypothesis was that the effectiveness of aromatherapy will depend upon the agent used. Our primary hypothesis was that in comparison with inhaling a placebo, PON will be reduced significantly by aromatherapy with (1) essential oil of ginger, (2) a blend of essential oils of ginger, spearmint, peppermint, and cardamom, or (3) isopropyl alcohol.
We examined aromatherapy as a treatment for patients experiencing PON after ambulatory surgery.
Antiemetic medication for higher-risk patients may reduce but does not reliably prevent PON. Postoperative nausea (PON) is a common complication of anesthesia and surgery.
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