Description A.Ear Points (Fig.2)
1.Shen-Men(55)to Sympathicus (51)of the ear.
2.Heart (100)to Trachea (103).
3.29 to 26.
B.Body Points (Fig.3)
1.Ho-Ku(L1-4).Position:Interdigital space of thumb and index approximately at the midpoint of the 2nd metacarpal bone.
2.Ssu-Tu(TB-9).Position:Extensor side of the forearm at the border of middle to proximal third between ulna and radius.
3.Shuei-Tu(St-10).Position:Medial border of the sternocleidomastoid muscle at the height of the thyroid cartilage.
4.An-Men(New Point 28) over the groove between mastoid process and occipital bone at the height of the antitragus. A minimum of four and a maximum of six pairs of loci were used. For a median sternotomy usually Ear Points 1-3 and Body Points 1,2,and 4 were employed. For hypotensive patients, instead of point 4, An-Men, St-4 was preferred.
Experimental Description
More than 800 acupuncture anesthesia operations have been performed at the German Heart Center since 1974. After having gained some experience, a retrospective analysis of the anesthetic and post-anesthetic course of patients undergoing coronary artery surgery under acupuncture anesthesia was carried out and the results were compared with a group of patients having the same disease and having been operated on under neurolept anesthesia.
Sample Count
800
Indicator
Blood pressure(BP)Heart rate(HR)Postoperative morphine administrationIncidence of treatment with vasoactive substancesQuestionnaire
Auxiliary Medication
Ninety minutes before the expected time to begin anesthesia, 1.5-2 mg/kg pentobarbital,0.1-0.2 mg/kg morphine sulfate and, depending on the hemodynamic situation of the patient, 0.005-0.01 mg/kg atropine sulfate were injected intramuscularly. Anesthesia was induced after blood pressure cuff and ECG-electrodes had been secured to the patient, with 2-4 mg/kg thiopental and, more recently, with flunitrazepam (0.02-0.03 mg/kg). After precurarization with 1-2 mg pancuronium bromide, succinylcholine chloride (1-2 mg/kg) was given to facilitate tracheal intubation. After the succinylcholine effect had worn off, the patient was then paralyzed with 0.05-0.75 mg/kg pancuronium bromide; ventilation was controlled with a 50% nitrous oxide-oxygen mixture by means of an Engstroem volume controlled ventilator which was adjusted to keep arterial PaCO?with in normal range. 0.4-0.6 volume percent enflurane was added to the inspiratory gases.
Stimulation Method
EA
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
Type 71-3
-
15-20 Hz
asymmetrical biphasic impulses
6-10 mA(ear points), 15-50 mA(body points)
-
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
-
-
-
Description The needles were stimulated with asymmetrical biphasic impulses, a positive impulse of 0.5 msec followed by a negative impulse of 1.7-2 msec at a rate of 15-20 Hz and a voltage of 90 V (Fig.5) generated by the Chinese Acupuncture Analgesia Set Type 71-3 (Fig.6) or a German copy of the same stimulator. The latter allowed the measurement of the current amplitude. All stimulators were battery powered and every single output was independently adjustable. Ear points were stimulated with approximately 6-10 mA, and body points with 15-50 mA.
Anesthesia Method
AAA
Clinical Trial Type
Effector
In 800 patients studied using this type of combination of anesthetic techniques, it was found that this procedure can be successful for cardiac surgery and that it allows light planes of anesthesia with less interference to circulatory regulation. There is a certain advantage of using acupuncture anesthesia when compared with chemical anesthesia, as the pharmacological agents are not used and hence post no metabolic load for the patients. From the 800 patients studied,it seems justifiable to recommend this anesthetic procedure for cardiac surgery.
Acupuncture anesthesia for open heart surgery: a report of 800 cases.
Abstract
This article reports the utilization of acupuncture in combination with chemical anesthesia and neuromuscular relaxant for patients with cardiac surgery, including valvular disease and by-pass. In 800 patients studied using this type of combination of anesthetic techniques, it was found that this procedure can be successful for cardiac surgery and that it allows light planes of anesthesia with less interference to circulatory regulation. There is a certain advantage of using acupuncture anesthesia when compared with chemical anesthesia, as the pharmacological agents are not used and hence post no metabolic load for the patients. From the 800 patients studied, it seems justifiable to recommend this anesthetic procedure for cardiac surgery."
Souce
Am J Chin Med. 1979 Spring;7(1):77-90. doi: 10.1142/s0192415x79000064.
