Regional versus general anesthesia for bone marrow harvesting.
OBJECTIVE
To compare regional versus general anesthesia for bone marrow harvesting.


METHODS
Retrospective study.


METHODS
Inpatients at a bone marrow transplantation unit of a university medical center.


METHODS
One hundred sixty-two donors: 63 healthy patients donating heterologous marrow, 99 patients donating autologous marrow.


METHODS
Anesthesia and patient charts from 1986 to 1990 were reviewed.


RESULTS
Regionally anesthesized patients required less transfused blood in the perioperative period, even though more bone marrow was aspirated. This group also required less postoperative analgesia. We found no difference between the groups with regard to length of hospitalization or amount of colloid required in the perioperative period.


CONCLUSIONS
Our data suggest that both modes of anesthesia can be safely administered. Further investigations should be carried out to determine whether the two types of anesthesia, regional and general, are equivalent.
Lavi
A
A
Department of Anaesthesiology, Hebrew University, Hadassah Medical School, Jerusalem, Israel.
Efrat
R
R
Feigin
E
E
Kadari
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D001794:Blood Pressure / Q000502:physiology; D001853:Bone Marrow / Q000601:surgery*; D016026:Bone Marrow Transplantation; D002045:Bupivacaine / Q000008:administration & dosage; D017707:Erythrocyte Transfusion; D005260:Female; D006801:Humans; D007552:Isotonic Solutions / Q000008:administration & dosage; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy; D012189:Retrospective Studies; D000077325:Ringer's Lactate; D012965:Sodium Chloride / Q000008:administration & dosage; D013390:Succinylcholine / Q000008:administration & dosage; D013874:Thiopental / Q000008:administration & dosage
D007552:Isotonic Solutions; D000077325:Ringer's Lactate; D012965:Sodium Chloride; D008012:Lidocaine; D013390:Succinylcholine; D013874:Thiopental; D002045:Bupivacaine