Eyüp HORASANLI, Burhanettin USTA, Muhammet GÖZDEMİR, Hüseyin SERT, R. İrem DEMİRCİOĞLU, Safinaz KARABAYIRLI

Akupunktur ve anestezi (Perioperatif akupunktur uygulamaları)

Akupunktur, 3000 yıldan daha uzun bir süredir Çin ve diğer uzak doğu ülkelerinde hastalıkların tedavisinde uygulanmıştır. Akupunktur anestezisi altındaki ilk cerrahi uygulama Çin’de başarılmıştır. Bu uygulamadan sonra, akupunktur yeniden keşfedildi, birçok batı ülkesinde özellikle de Avrupada ilgi arttı. Akupunktur üzerine 30 yılı aşkın süredir yapılan çalışmalara rağmen, nasıl etkili olduğu halen bilinmiyor. Klinik uygulamalarda akupunk-turun rolü hakkında halen pek çok bilinmeyen vardır. Perioperatif akupunktur ve ilgili teknikler; preoperatif sedasyon, intraoperatif opioid kullanımının azaltılması ve postoperatif ağrıyı önlemek amacıyla önerilmekte ancak intraoperatif dönemde akupunktur bütün normal duyu-sal, motor aktiviteyi ve derin duyuyu korumasından dolayı tam bir anestezi ve şuur kaybı sağlamamaktadır. Ayrıca volatil anesteziklerin gereksinimini klinik olarak azaltmadığı tespit edilmiştir. Rutin klinik uygulamada postoperatif bulantı kusmanın proflaksisi, postoperatif ileus, hemodinamik instabilite ve ekstübasyon sonrası laringospazmın önlenmesinde etkilidir.

Acupuncture and anesthesia (Peroperative acupuncture applications)

Acupuncture has been applied for treatment of diseases in China and other Far east countries for more than 3,000 years. First surgery application under acupuncture anesthesia had been achieved in China. After this application, acupuncture had been investigated once more, and interest in this method has been increased in various western countries, especially in Europe. Although studies related to acupuncture are present over 30 years, it is still unknown how it works. There are a lot of questions about the role of acupuncture in clinical applications. Preoperative acupuncture and related techniques are advised for reducing preoperative sedative, using intraoperative opioid and preventing post-operative pain, but because of all motor and sensorial activities are defended, acupuncture does not play a major role on unconsciousness and general anesthesia. Besides, it was proven that it also does not reduce amount of volatile anesthetics. In rutine clinical practice, it is effective for preventing postoperative nausea-vomiting, postoperative ileus, hymodynamic instability and laringospasm related to postextubation period.

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