Average blood loss and the risk of requiring perioperative blood transfusion in 506 orthognathic surgical procedures

Moenning, John E.; Bussard, David A.; Lapp, Thomas H.; Garrison, B T

doi:10.1016/0278-2391(95)90273-2

Cited by 79 publications

(47 citation statements)

References 9 publications

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“…Various techniques have been developed to minimize blood loss during orthognathic surgery, including careful surgical handling and utilization of induced hypotensive anaesthesia 11,16,17,19 . These techniques can reduce bleeding, but the risk of haemorrhage and the subsequent need for blood transfusion remains 10,16,17 .…”

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confidence: 98%

Effects of the preoperative administration of Yunnan Baiyao capsules on intraoperative blood loss in bimaxillary orthognathic surgery: A prospective, randomized, double-blind, placebo-controlled study

Tang

Wang

et al. 2009

International Journal of Oral and Maxillofacial Surgery

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confidence: 98%

Effects of the preoperative administration of Yunnan Baiyao capsules on intraoperative blood loss in bimaxillary orthognathic surgery: A prospective, randomized, double-blind, placebo-controlled study

Tang

Wang

et al. 2009

International Journal of Oral and Maxillofacial Surgery

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“…25 For orthognatic surgery, double-jaw procedures result in more blood loss than single-jaw procedures, boys have a higher average blood loss than girls, but average blood loss is not significantly affected by patients' age. 26 For pediatric open heart surgery, risk factors clearly associated with increased blood loss include: age less than one month, body weight under 8 kg, complexity of the procedure (arterial switches for transposition of the great vessels, Fontan procedures, Glenn shunts and truncus arteriosus repairs), duration of cardiopulmonary bypass, resternotomy, and low platelet count during cardiopulmonary bypass. 1,5,[27][28][29][30] For pediatric liver transplants, apart from retransplantation, factors that have been associated with increased intraoperative blood losses include: hypoplastic portal vein, use of a reduced-size liver graft, requirement of in-hospital supportive care, intra-abdominal malformations and signs of severe liver failure (encephalopathy, ascites, prolonged PT).…”

mentioning

confidence: 99%

Réduire les pertes sanguines et les besoins transfusionnels en chirurgie pédiatrique

Guay

Moerloose

Lasne

2006

Can J Anesth/J Can Anesth

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Purpose: To summarize the physiology and pathophysiology relevant to perioperative blood loss in children. Strategies to reduce blood losses are reviewed. Methods:The literature was reviewed using the electronic library PUBMED and the Cochrane Database of Systematic Reviews. Relevant studies published in English or French with an English abstract are included. The following keywords were used: children, blood transfusion, surgical blood loss, erythropoietin, autologous blood, red blood cell saver, normovolemic hemodilution, desmopressin, aminocaproic acid, tranexamic acid, aprotinin, cardiac surgery, liver transplantation and scoliosis surgery. Main findings:For patients with idiopathic scoliosis, predonation with or without the addition of erythropoietin is a safe and effective way to avoid the use of allogenic blood products. For open heart procedures: whole blood of less than 48 hr is helpful for children of less than two years of age undergoing complex procedures; tranexamic acid may be helpful for cyanotic heart disease and, to a lesser degree, for reoperations; while antikallikrein blood levels of aprotinin may both reduce the need for allogenic blood transfusions and improve postoperative oxygenation in infants. Conclusion:Reducing perioperative allogenic blood transfusions is possible in pediatric patients provided that prophylactic measures are adapted to age, disease and type of surgery. I N normal children perioperative blood loss leading to administration of allogenic transfusion may be encountered if: the surgical site does not allow easy access to surgical hemostasis, the surgery is performed on highly vascularized tissues that are not easily sutured or cauterized (for example bone elements such as in spinal fusion or correction of craniosynostosis) or the surgery itself induces various disturbances of hemostasis (dilution of factors and induction of fibrinolysis as in cardiac surgery with the use of extracorporeal bypass). The pathology justifying the surgical procedure may also induce various coagulation and/or hemostatic abnormalities. Children suffering from congenital cardiac or liver dis- ease may have thrombocytopenia, abnormal platelet function (congenital heart disease) and/or inadequate amounts of various coagulation factors. Objectif1 Perioperative management of children with congenital coagulation and hemostatic diseases will not be discussed in this review. Developmental aspects of hemostasisAn excellent summary of the developmental physiology of coagulation, based mainly on the extensive work of Maureen Andrew, may be found in a recent review by Kuhle et al. and is summarized in Table I.2 Since maternal coagulation factors do not cross the placental barrier, blood levels measured at birth are the result of fetal synthesis that starts around the fifth week of gestation. Fetal blood becomes clottable around 11 weeks of gestation. Except fetal fibrinogen which has an increased content of sialic acid, all coagulation and inhibitor factors are qualitatively normal at birth, and differ from...

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“…Both retrospective and prospective studies were accepted, no matter if the procedures were done in normotension, mild hypotension, controlled hypotension, or any other tension reported 3.1.1. Mandibular surgery and transfusion need Among the papers that included a subgroup of lower jaw surgery, all but Garg et al (2010) 6 mentioned the transfusion need ( 4,[6][7][8][11][12][13][14][15][16][17][18][19][20][21][22][23][24] These papers were published between1985-2011 and present a total of 9 homologous transfusions and 14 autologous blood transfusions in 1705 BSSO procedures (advancement and set-back). The four papers indicating a transfusion have their data extracted from the period [1981][1982][1983][1984][1985][1986][1987][1988][1989][1990][1991][1992][1993][1994][1995][1996].…”

Section: Search Resultsmentioning

confidence: 99%

“…4). Four patients in the group with the predonation policy (Table 18) received homologous blood: one in the series of Posnick et al (2010) 56 who did not predonate, and three in the series of Moenning et al (1995) 17 were patients that received both autologous and additional homologous blood. Total: 22 patients in the predonation policy group received a blood transfusion.…”

Section: -199mentioning

confidence: 99%

Transfusion Need in Orthognathic Surgery - A Review

Politis¹,

Lambrichts²,

Agbaje³

2017

EDUJ

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Background: Excessive blood loss is the most frequently encountered perioperative problem in maxillary surgery, sometimes necessitating blood transfusion. Objective: The aim of the present contribution is to review the relationship between different types of orthognathic procedures and the related blood loss in the literature published between 1976 and 2012. Data Sources: The orthognathic literature was searched from 1976 to 2012 to determine the relationship between different types of orthognathic procedures and the related blood loss, duration of surgery and/or transfusion need. Study Selection: articles containing clear information on allocation of operation time AND/OR blood loss AND/OR transfusion were included. Data Extraction: information on operation time, blood loss, transfusion, and orthognathic surgery was extracted. Data Synthesis: Different descriptions of procedures and techniques are grouped together in a concise and coherent way, this result in number of categories per label, using this grouping various targeted questions are exploited and answered.

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Average blood loss and the risk of requiring perioperative blood transfusion in 506 orthognathic surgical procedures

Cited by 79 publications

References 9 publications

Effects of the preoperative administration of Yunnan Baiyao capsules on intraoperative blood loss in bimaxillary orthognathic surgery: A prospective, randomized, double-blind, placebo-controlled study

Effects of the preoperative administration of Yunnan Baiyao capsules on intraoperative blood loss in bimaxillary orthognathic surgery: A prospective, randomized, double-blind, placebo-controlled study

Réduire les pertes sanguines et les besoins transfusionnels en chirurgie pédiatrique

Transfusion Need in Orthognathic Surgery - A Review

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