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Journal of Bone and Joint Surgery, 1974;56:1167-1172.
© 1974 by The Journal of Bone and Joint Surgery, Inc

Controlled Hypotensive Anesthesia in Scoliosis Surgery

THOMAS W. McNEILL M.D.1, RONALD L. DEWALD M.D.2, KEN N. KUO M.D.2, EDWARD J. BENNETT M.D.1, and M. R. SALEM M.D.3

1 University of Illinois Abraham Lincoln School of Medicine, 840 South Wood Street, Chicago, Illinois 60612
2 Rush-Presbyterian St. Luke's Medical Center, 1725 West Harrison Street, Chicago, Illinois 60612
3 Loyola University Medical Center, 2160 South First, Maywood, Illinois 60153

In a retrospective study comparing normotensive (twenty-two patients) and controlled hypotensive (forty-four patients) anesthesia for spine fusion and Harrington instrumentation, the use of hypotensive anesthesia was found to decrease the need for blood replacement and total blood loss by an average of 40 per cent and to reduce the average operating time by more than thirty minutes. No complications attributable to the anesthetic technique occurred.


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