Wu Yuefeng (Department of Surgery, Beijing Children's Hospital)
152 cases of upper abdominal operation, among children and infants, performed under electro-auricular acupuncture anesthesia with intra-muscular sodium pentothal hypnosis are reported. 32 cases were operated upon under electro-ear-needling plus pentothal basal anesthesia and 120 cases under ear-root ring electrode plus pentothal basal anesthesia. Analysis of the clinical data revealed that these kinds of combined anesthesia produced a light central depression and an adequate analgesia. Patients slept soundly. Any stronger stimulation, e.g. cold (iodinealcohol preparation of the skin) or punctures (venepuncture at the head and extremities), induced frowning, slight movement of hands and feet, groaning, or swallowing etc., but generally did not lead to laryngeal spasm or vomiting. These indicated that the patient's central nervous system was not depressed deeply. Meanwhile, every procedure, e.g. incision of the abdomen, exploration and traction of the viscerae as well as the closure of the abdominal wound could be accomplished smoothly. Results of the anesthesia were compared between these two methods (ear-needling and ear-root ring technique). The excellent and good results of ear-needling were 81.2% and 9.4% failed (switched to general anesthesia); the results of ear-root ring were excellent and good in 78.3% and 8.3% failed. Statistically, there was no significant difference between these two groups (P>0.05). These procedures are simple and easy to practice. No post-anesthetic complication occurred particularly with the ear-root ring method which is non-traumatic.
152 cases of upper abdominal operation, among children and infants, performed under electro-auricular acupuncture anesthesia with intra-muscular sodium pentothal hypnosis are reported. 32 cases were operated upon under electro-ear-needling plus pentothal basal anesthesia and 120 cases under ear-root ring electrode plus pentothal basal anesthesia. Analysis of the clinical data revealed that these kinds of combined anesthesia produced a light central depression and an adequate analgesia. Patients slept soundly. Any stronger stimulation, e.g. cold (iodinealcohol preparation of the skin) or punctures (venepuncture at the head and extremities), induced frowning, slight movement of hands and feet, groaning, or swallowing etc., but generally did not lead to laryngeal spasm or vomiting. These indicated that the patient's central nervous system was not depressed deeply. Meanwhile, every procedure, e.g. incision of the abdomen, exploration and traction of the viscerae as well as the closure of the abdominal wound could be accomplished smoothly. Results of the anesthesia were compared between these two methods (ear-needling and ear-root ring technique). The excellent and good results of ear-needling were 81.2% and 9.4% failed (switched to general anesthesia); the results of ear-root ring were excellent and good in 78.3% and 8.3% failed. Statistically, there was no significant difference between these two groups (P>0.05). These procedures are simple and easy to practice. No post-anesthetic complication occurred particularly with the ear-root ring method which is non-traumatic.
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