A non-pharmacological intervention effective in reducing PONV involves stimulation of the P6 (Neiguan) acupoint. This point is located:
- A On the dorsum of the hand between the first and second metacarpals
- B On the lateral aspect of the leg, one fingerbreadth anterior to the fibular head
- C On the inner forearm, 2 cun proximal to the wrist crease between the palmaris longus and flexor carpi radialis tendons ✓
- D On the medial aspect of the leg, 6 cun above the tip of the medial malleolus
Correct answer: C. On the inner forearm, 2 cun proximal to the wrist crease between the palmaris longus and flexor carpi radialis tendons
Explanation
The P6 (Neiguan) point is located on the inner forearm, 2 cun proximal to the wrist crease, between the tendons of palmaris longus and flexor carpi radialis. Stimulation via acupuncture, acupressure, or electrical stimulation has Level A evidence for PONV prophylaxis. The other points described are Hegu (LI4), Zusanli (ST36), and Sanyinjiao (SP6).
Reference: Miller's Anesthesia, 9th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.