Description Acupuncture needles were placed bilaterally at Ho-Ku(LI-4),Chu-Chih(LI-11), and Tsu-San-Li(St-36).
Experimental Description
The second patient was a 45-year-old woman who had contacted one of the authors and requested that a rhinoplasty be performed under acupuncture anesthesia.
Sample Count
1
Indicator
PulseBlood pressure(BP)
Auxiliary Medication
When the nasal bones were to be fractured, the patient reported being quite uncomfortable, and 1 ml of 1%lidocaine with 1:200,000 epinephrine was injected on each side.
Stimulation Method
EA
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
-
-
1-200 Hz
-
9 V
20 min
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
-
-
-
Description None of the patients received any form of premedication. Patients were given acupuncture along traditional meridians appropriate for the site of operation, using neeles stimlate eletially it a stimulator capable of producing up to 9 volts at a frequency of 1 to 200 Hz. In general, current intensity and frequency were usually adjusted to the patient's tolerance. Acupuncture induction time was a minimum of 20 minutes.
Forty-two patients who were to undergo plastic surgical procedures were asked whether they would accept acupuncture as a substitute for local anesthesia. Eight patients agreed to acupuncture; one of these had 2 operative procedures with acupuncture. Five of the 9 procedures were successful; the remaining 4 required conversion to local anesthesia. After interviewing the patients, we felt that the success of ""acupuncture anesthesia"" was largely dependent on patient motivation, and that a patient may experience pain during surgical procedures without any change in facial expression or vital signs. We concluded that ""acupuncture anesthesia"" is of little value in our patient population at present. Its results are unpredictable; therefore, we anticipate that patient acceptance will be small."
