comment on electroacupuncture-assisted craniotomy on an awake patient英文.pdf

J Acupunct Meridian Stud 2018;11(4):123
Available online at , the patient was offered the “option of the article.
using electroacupuncture solely”. The operation was suc-
cessfully completed, and the authors advocate the use of Financial declaration
electroacupuncture during craniotomies.
The article is misleading as electroacupuncture was not
the sole form of surgical analgesia. The authors mention None.
that the scalp was infiltrated with lignocaine before inci-
sion. In addition, the operation was completed within References
1 hour. The duration of surgery falls well within the 1-to 2-
hour duration of the action of lignocaine [2]. Although not [1] Sidhu A, Murgahaya T, Narayanan V, Chandran H, Waran V.
specifically indicated in the article, scalp blocks often use a Electroacupuncture-assisted craniotomy on an awake patient.
mixture of lignocaine and 1:2000000 adrenaline. The addi- J Acupunct Meridian Stud 2017;10:45e8.
tion of adrenaline reduces scalp bleeding but, more [2] Miller RD, editor. Miller’s Anaesthesia, 8th ed, vol. 2. Phila-
significantly, prolongs the analgesic effect. delphia, Saunders: Elsevier Inc; 2015.
Given that the analgesic effect of lignocaine would be
expected to extend throughout surgery and into the early