E-POSTERS SESSION I ACUTE PAIN I P 01 COMPARISON OF ACUPUNCTURE AND PEROS TRAMADOL IN THE RELIEF OF POSTOPERATIVE PAIN IN SURGICAL DENTISTRY G. Papakitsos, A. Kapsali, E. Papakitsou. Anaesthetic Department, General Hospital Arta, Greece. Background: Tramadol is a racemic mixture. R-isomer has activity at the Îź receptor. Recently published guidelines support the use of acupuncture for treating postoperative pain in surgical dentistry. Aim: To compare the efficacy and safety of acupuncture and peros Tramadol in the postoperative pain relief in a clinical setting. Patients were treated at private clinic. Methods: A double-blind randomized trial involving 67 patients undergoing surgical removal of a single mandibular third molar. Those who developed moderate pain within 4h of the procedure were allocated to: acupuncture (Group A, n=22), peros Tramadol 100mg (Group T, n=24), or placebo (Group P, n=21). Participants monitored pain intensity for 24h using visual analogue scales. Paracetamol 500mg peros was used as the rescue analgesic. Statistical analysis was based on the intention-to-treat analysis. Acupuncture applied from a rehabilitation specialist. Results: Both groups were significantly better compared with placebo, over the 0-24h period. Rescue analgesia was required by only 2 out of 22 subjects in Group A, 1 out of 24 subjects in Group T and 18 out of 21 in Group P. The median times to use of rescue medication were 20h (Group A-VAS=3), 21h (Group T-VAS=2) and 2h (Group P-VAS=8). There were no important adverse events. Results, which achieved due to the protocol mentioned above are comparable to those mentioned in international literature. Conclusions: A has a shorter duration of action, but gave adequate analgesia in comparison with T. Patients in Group A needed more rescue analgesia than Group T. This study provides some evidence to support acupuncture as more effective, than no treatment, but no conclusions can be drawn about its effectiveness over other treatment modalities as the evidence is conflicting. P 02 EFFECT OF PELVIC TILT BY USING BIRTH BALL ON ACTIVE PHASE OF PHYSIOLOGIC LABOR: A RANDOMIZED CONTROL TRIAL STUDY Taavoni S. 1,2, Abdolahian S.1, Haghani H.1 1. Tehran University of Medical Sciences 2. Member of Research Institute for Islamic & Complementary Medicine (RICM, TUMS) Labor pain management is intrapartum care major goal and by some of complementary therapy could manage it. Aims: To evaluate the effect of pelvic tilt by using birth ball on Physiologic labor pain. Materials & Methods: In this randomized control trial study, which had done in one of the large public hospitals of Tehran University of Medical Sciences (TUMS) and approved by ethics Committee of TUMS (Year 2009- 2010), 60 healthy volunteer 18- 35 years old primiparas after signing informed consent, randomly divided into two groups: 1) Pelvic tilt by using Birth ball, 2) Control group, whom received routine care of Physiologic labor/ delivery during active phase. Tool had three main parts of personal characterizes, check list of