Acupuncture, anxiolytic alternative in intraoperative period of Steinert syndrome

Acupuncture in intraoperative period of Steinert syndrome

Authors

DOI:

https://doi.org/10.25751/rspa.26402

Keywords:

Acupuncture, Steinert syndrome, anxiety

Abstract

Case report of a 35-year-old male patient, with history of Steinert syndrome, proposed for orthopedic surgery by regional anesthesia due to a bimalleolar fracture of the right lower limb. Steinert syndrome is a rare multisystemic muscular dystrophy and a challenge from an anesthesiologist. The patient had an important component of anxiety and, in order to avoid the use of sedatives or hypnotics, it was decided to apply two acupuncture needles at two points: Yin Tang, an anxiolytic point, and VG 20, another anxiolytic point (Figure 1). The patient remained calm during the procedure and there were no complications. The authors would like to draw attention to the importance of acupuncture as an anxiolytic alternative in the perioperative period, particularly in situations where the drugs commonly used can cause serious complications.

Downloads

Download data is not yet available.

References

Bisinotto FM, Fabri DC, Calçado MS, Perfeito PB, Tostes LV, Sousa GD. Anesthesia for videolaparoscopic cholecystectomy in a patient with Steinert disease. Case report and review of the literature. Rev Bras Anestesiol. 2010;60(2):181-91, 05-10. DOI: 10.1016/s0034-7094(10)70024-6

Goncalves D, Fonseca R, Leal S, Campos A, Valente E. Anesthetic management of a patient with Steinert disease. J Clin Anesth. 2020;59:101-2. DOI: 10.1016/j.jclinane.2019.06.016

Gurbuz H, Saracoglu KT. Opioid-free general anesthesia and induced recovery from anesthesia in a patient with myotonic dystrophy type-1: a case report. Brazilian Journal of Anesthesiology (English Edition). 2020;70(6):682-5. https://doi.org/10.1016/j.bjane.2020.07.009

Veyckemans F, Scholtes JL. Myotonic dystrophies type 1 and 2: anesthetic care. Paediatr Anaesth. 2013;23(9):794-803. DOI: 10.1111/pan.12120

Agrusa A, Mularo S, Alessi R, Di Paola P, Mularo A, Amato G, et al. Laparoscopic cholecystectomy in a patient with Steinert myotonic dystrophy. Case report. G Chir. 2011;32(6-7):320-1.

Acar HV, Cuvas O, Ceyhan A, Dikmen B. Acupuncture on Yintang point decreases preoperative anxiety. J Altern Complement Med. 2013;19(5):420-4. DOI: 10.1089/acm.2012.0494

Yuan W, Wang Q. Perioperative acupuncture medicine: a novel concept instead of acupuncture anesthesia. Chin Med J (Engl). 2019;132(6):707-15. DOI: 10.1097/CM9.0000000000000123

Yuan SC, Cao WJ, Huang Y, Hua SY, Zhou YH, Cai R. [Effect of acupuncture on analgesia and sedation in elderly patients with severe pneumonia during invasive mechanical ventilation]. Zhongguo Zhen Jiu. 2021;41(9):971-8. DOI: 10.13703/j.0255-2930.20200903-k0004

Fassoulaki A, Paraskeva A, Patris K, Pourgiezi T, Kostopanagiotou G. Pressure applied on the extra 1 acupuncture point reduces bispectral index values and stress in volunteers. Anesth Analg. 2003;96(3):885-90. DOI: 10.1213/01.ANE.0000048713.41657.D3

Takagi K, Tanahashi N, Amagasu N, Mizuno K, Kawanokuchi J, Yi G, et al. Effect of Manual Acupuncture Stimulation at "Bai-Hui" (GV 20) or "Yintang" (Ex-HN3) on Depressed Rats. J Acupunct Meridian Stud. 2017;10(1):26-32. https://doi.org/10.1016/j.jams.2016.11.006

Published

2023-01-04

How to Cite

Ferreira, L. C. S. (2023). Acupuncture, anxiolytic alternative in intraoperative period of Steinert syndrome: Acupuncture in intraoperative period of Steinert syndrome. Journal of the Portuguese Society of Anesthesiology, 31(3). https://doi.org/10.25751/rspa.26402

Most read articles by the same author(s)