Anaesthetic method selection in bone marrow collection
- VernacularTitle:骨髓采集术麻醉方法的选择
- Author:
Jianhua ZHANG
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2007;0(28):-
- CountryChina
- Language:Chinese
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Abstract:
AIM:To introduce the anesthetic method selection during bone marrow collection for the donor of bone marrow transplantation, and analyze the anesthetic effects. METHODS:A computer-based online search of Chinese Technological Periodicals Database was undertaken to identify the Chinese articles about bone marrow transplantation and anesthesia dated from January 1994 to December 2006 with the Key words of "bone marrow transplantation, anesthesia" in Chinese. The data were firstly selected and the quotation after each article was looked over. The articles concerning to bone marrow transplantation and the selection, manipulation and effects of anesthetic method in bone marrow collection operation were chosen to the study, especially published in recent 5 years. Repeated articles and Meta analysis were excluded. RESULTS: Totally 52 articles were collected from the above-mentioned database, after the abstract or full text was read through and arranged, 19 were accorded with the inclusive criteria. Bone marrow transplantation is one of the most important measures to approach radical cure of blood system malignant tumor and some genetic diseases. How to collect the bone marrow from the donor safely, and protect them is the focus that has attracted much attention. The anaesthetic method selection and its effect could directly influence the life safety of donors. The methods include continuous epidural anaesthesia, general anaesthesia, and local anaesthesia. Among the 783 donors reported in 19 articles who underwent bone marrow collection, continuous epidural anaesthesia was accounted for 93.49%, local anaesthesia for 5.87%, and general anaesthesia for 0.64%. CONCLUSION: During bone marrow collection operation, continuous epidural anaesthesia is easy and simple, and has little interference to circulation and breath of donors. Therefore, it is superior to general anaesthesia and local anaesthesia to certain extent in clinic.
