THE ACUPUNCTURE ANESTHESIA OF He Gu (LI-4), NEI GUAN (P-6), BiNao (LI-14) AND JIAN LIAO (TB-14) REDUCE DEMAND FOR GENERAL ANESTHETICS ON THE MODIFIED RADICAL MASTECTOMY

The acupuncture has a sedative and analgesic effect's that can reduce the need ofgeneral anesthesia. The acupuncture maybe an adjunct for the better post-operative outcome. A randomized controlled trial on 60 patients underwent a modified radical mastectomy divided into two groups. In General Anesthesia or Non-Acupuncture (Group NA, n=30). The Acupuncture group (Group A, n=30) treated using 10 Hz electric power supply for bilateral acupuncture points of He Gu (LI-4), Neiguan (P-6), Binao (LI-14) and Jianliao (TB-14), provided 30 minutes before induction of anesthesia until the operation ended. The anaesthetic induction started with the injection of 2 mcg/kg fentanyl followed by propofol 1 mg/kg titrated every 30 seconds until negative eyelash reflex, continued with assisted ventilation of isoflurane, N2O and O2. Atracurium 0.5 mg/kg given, then laryngoscopy intubation. Blood pressure, pulse rate, O2 saturation, PRST score, Bispectral Index (BIS) score, end-tidal isoflurane, recorded every 15 minutes started from induction of anesthesia until operation completed. Visual analog scale (VAS) pain score, Ramsay sedation and Utrecht vomiting score observed postoperatively. Data analysed by t-test, Mann Whitney, and Multiple Analysis of Variance (MANOVA). Group A needed 60 mg propofol, Group NA 106.7 mg (p= 0.000); Group A fentanyl 122.3 µg, group NA 213.3 µg (p= 0.000); the mean end-tidal isoflurane of Group A 1.5vol%, Group NA 1.7 vol% (p= 0.000). Groups A and NA had the median VAS pain scored 2 and 4, Ramsay sedation and Utrecht vomiting scored 0 (p > 0.05, no statistical difference). The acupuncture as adjuvant lowering the need for anesthetic gas and analgesics. It was no statistical difference between the Acupuncture group and General Anesthesia group.