Shanghai First Hospital of Tuberculosis
Of 56 patients of pulmonary resections, 45 patients were under acupuncture anaesthesia, among them 20 being accompanied with tracheal intubations and 11 patients under general anaesthesia during the same period were taken successively for comparison without selection. Before, during and immediately after operation examination of blood showed acidification and increase of PCO[2] to various degrees in all the patients under acupuncture anaesthesia as well as those under general anaesthesia. In spite of the presence of lung collapse over the operative side and open pneumothorax, the arterial oxygen of the acupunctual cases without tracheal intubation remained at a high level under the administration of oxygen, through face mask so far as the spontaneous respiration and pertinency of respiratory tract maintained. Whenever there were profuse bronchial secretions during operation, interference of respiration due to surgical stimulation and inhibition of the ventilation with the result of aggravating CO[2] retension, after the use of anaesthetic analgetics, active measures should be taken. These conditions may be avoid or alleviated when the patient were encouraged to take deep and slow abdominal breathing so as to increase the alveolar ventilation. For the aged patients with massive bronchial secretions and poor respiratory function, tracheal intubation should be used to clear the secretion at time and control ventilation to facilitate oxygen supply and exhalation of CO[2].
Of 56 patients of pulmonary resections, 45 patients were under acupuncture anaesthesia, among them 20 being accompanied with tracheal intubations and 11 patients under general anaesthesia during the same period were taken successively for comparison without selection. Before, during and immediately after operation examination of blood showed acidification and increase of PCO[2] to various degrees in all the patients under acupuncture anaesthesia as well as those under general anaesthesia. In spite of the presence of lung collapse over the operative side and open pneumothorax, the arterial oxygen of the acupunctual cases without tracheal intubation remained at a high level under the administration of oxygen, through face mask so far as the spontaneous respiration and pertinency of respiratory tract maintained. Whenever there were profuse bronchial secretions during operation, interference of respiration due to surgical stimulation and inhibition of the ventilation with the result of aggravating CO[2] retension, after the use of anaesthetic analgetics, active measures should be taken. These conditions may be avoid or alleviated when the patient were encouraged to take deep and slow abdominal breathing so as to increase the alveolar ventilation. For the aged patients with massive bronchial secretions and poor respiratory function, tracheal intubation should be used to clear the secretion at time and control ventilation to facilitate oxygen supply and exhalation of CO[2].
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