Description Acupuncture points GB-3, GB-14, GB- 19, and GB-20 were used
Sample Count
1
Age
65
Indicator
Computed tomography(CT)
Auxiliary Medication
Prior to the incision, local anesthesia with lignocaine was used only to infiltrate the skin (lignocaine 2 mg/kg). No general anesthesia was Used throughout the surgery.
Stimulation Method
EA
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
Hwato 6-channel Needle Stimulator
Hwato,Suzhou Medical Appliances Co., Ltd., Suzhou, China
50 Hz
-
12 mA
1 h
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
0.25×40 mm
-
-
Description firstly, the patient was taken into the operation theater and placed in the supine position. Acupuncture points GB-3, GB-14, GB- 19, and GB-20 were used, and acupuncture needles with a 0.25 mm diameter and a 40 mm length were inserted under aseptic conditions (Fig.2). Next, the needles were attached to an electronic acupuncture treatment instrument (Hwato 6-channel Nee- dle Stimulator; Fig. 3). The patient's Scalp incision was marked. Then, the operative field was cleaned and draped. The device Was set at a frequency of 50 Hz, a pulse duration of 50 ms, and an intensity of 12 mA. Second Was the surgical procedure (Fig. 4). The operation took about 1 hour, and the electro- acupuncture stimulation Was terminated once the skin had been closed.
Anesthesia Method
AA
Clinical Trial Type
Case report
Adverse Effects
He did not complain of any pain throughout his sur_x005fgery; neither did he complain of any immediate complications such as nausea or vomiting. Postoperatively, the patient recovered without complications.
Effector
Overall, the patient tolerated the procedure well. He did not complain of any pain throughout his surgery; neither did he complain of any immediate Complications such as nausea or vomiting. Postoperatively, the patient recovered without Complications. A repeat computed tomography brain scan postoperatively showed near complete evacuation of the subdural hemorrhage. The patient, who was satisfied with the overall procedure, was discharged without incident on postoperative Day 2.
Electroacupuncture-Assisted Craniotomy on an Awake Patient.
Abstract
Although acupuncture has existed for over 2000 years, its application as an anesthetic aid began in the 1950s in China. The first surgical procedure performed under acupuncture anesthesia was a tonsillectomy. Soon thereafter, major and minor surgical procedures took place with electroacupuncture alone providing the anesthesia. The procedures performed were diverse, ranging from cardiothoracic surgery to dental extractions. Usage of acupuncture anesthesia, specifically in neurosurgery, has been well documented in hospitals across China, especially in Beijing, dating back to the 1970s. We present a case of a 65-year-old man who presented with right-sided body weakness. He had a past medical history of uncontrolled diabetes mellitus, hypertension, and obstructive sleep apnea requiring use of a nasal continuous positive airway pressure device during sleep. We performed a computed tomography brain scan, which revealed a left-sided acute on chronic subdural hemorrhage. Due to his multiple comorbidities, we decided to perform the surgical procedure under electroacupuncture anesthesia. The aim of this case report is to describe a craniotomy performed under electroacupuncture on an elderly patient with multiple comorbidities who was awake during the procedure and in whom this procedure, if it had been performed under general anesthesia, would have carried high risk."
