Objective To summarize post-operative management strategy for heart valve replacement surgery under transcutaneous electrical acupoint stimulation(TEAS)combined with general anesthesia.Methods From July 2006to June2012

a total of 86cases of open-heart surgery patients experiencing TEAS plus general anesthesia with cardiopulmonary bypass(heart valve replacement surgery without intubation)were recruited in the present summary.Post-operative managements in the Intensive Care Unit(ICU)were administrated with strict hemodynamic monitoring for volume infusion

routine administration of vasoactive drugs(including dopamine and nitroglycerin)

oxygen inhalation

and analgesics and monitoring of central nervous system and renal function.Results All the 86patients under TEAS+general anesthesia and cardiopulmonary bypass and without intubation experienced successful heart valve replacement surgery.The post-operative pulmonary infection was found in 8cases(9.30%)

the average stay duration in ICU was(28.6±6.2)hours

and the average draining volume of the interpleural space was(291±73)mL.The cardia insufficiency was found in 5cases(5.81%)

hypoxia occurred in 8cases(9.30%)

nausea in 8cases(9.30%)

vomiting 5cases(5.81%)and post-operative gastrointestinal distension 13cases(15.12%)

mild renal insufficiency 3cases(3.49%)

fever(>38.5℃)1case(1.16%)and severe post-operative pain 7cases(8.14%).ConclusionTEAS combined with general anesthesia is safe for patients undergoing heart valve replacement surgery under cardiopulmonary bypass.The key points of treatment in ICU are volume infusion

body temperature maintenance

and pain control.