A Malaysian retrospective study of acupuncture-assisted anesthesia in breast lump excision

Acupunct Med. 2021 Feb;39(1):64-68. doi: 10.1177/0964528420920307. Epub 2020 Jun 15.

Abstract

Introduction: The objective of this retrospective study was to evaluate the effectiveness and safety of acupuncture-assisted anesthesia (AAA) in breast lump excision.

Methods: The medical records of all patients who underwent breast lump excision under AAA in combination with electrical stimulation at traditional acupuncture points in 2016 were examined. All of them (n = 17) received electrostimulation (2-4 Hz) using single needles inserted at bilateral LI4 and PC6. They also underwent insertion of four acupuncture needles at the lump site, which were electrically stimulated at 30 Hz frequency.

Results: All surgical procedures were successful with minimal use of analgesics and local anesthetic. The median pain score reported was 1/10 (interquartile range (IQR) = 2/10) at the first hour, and slightly increased to 2/10 (IQR = 2/10) between 24 and 48 h of the surgery. No major postoperative adverse events were documented, except for drowsiness in one case.

Conclusion: AAA was found to be generally safe and effective for anaesthesia and analgesia in breast lump excision. However, a large-scale randomized controlled study is required to verify the findings.

Keywords: acupuncture; anesthesia; electroacupuncture, breast lump excision, retrospective study.

MeSH terms

  • Acupuncture Analgesia*
  • Acupuncture Points
  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms / surgery*
  • Electroacupuncture
  • Female
  • Humans
  • Malaysia
  • Middle Aged
  • Retrospective Studies