Blood Loss and Hypotensive Anesthesia in Oral-Facial Corrective Surgery

Schaberg, Siegfried J.; Kelly, J. F.; Terry, B. C.; Posner, Martin A.; Anderson, Edward F.

doi:10.1097/00132586-197704000-00018

Cited by 18 publications

(27 citation statements)

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“…These data can be qualified as outliers. The paper by Schaberg et al (1976) 34 does not give a figure of transfusion, 14 patients. The resulting 159 patients are listed in Table 5.…”

Section: -199mentioning

confidence: 97%

Untitled

2017

EDUJ

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“…These data can be qualified as outliers. The paper by Schaberg et al (1976) 34 does not give a figure of transfusion, 14 patients. The resulting 159 patients are listed in Table 5.…”

Section: -199mentioning

confidence: 97%

Untitled

2017

EDUJ

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“…These data can be qualified as outliers. The paper by Schaberg et al (1976) 34 does not give a figure of transfusion, 14 patients. The resulting 159 patients are listed in Table 5.…”

Section: Review Articlesmentioning

confidence: 98%

“…Le Fort I single-jaw surgery with additional procedures A total of 211 Le Fort I single-jaw surgical cases qualify as 'complex', either because they concerned cleft patients or because of multi-piece segmentation with an additional bone-grafting, mostly an iliac crest graft. Of interest, the recent literature does not provide many papers describing performance of Le Fort I single-jaw surgery: Schaberg et al, 1976; 34 Ash 14 The figures in parentheses give the number of patients concerned. In the paper by Flood et al (1990), 11 38 Le Fort I procedures were completed with an additional genioplasty.…”

Section: Review Articlesmentioning

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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“…Controlled hypotension was first proposed by Cushing in 1917 and it developed to be an acceptable method. Induced hypotension is defined as "a reduction of the systolic blood pressure to 80-90 mm of Hg, a reduction of mean arterial pressure (MAP) to 50-65 mm of Hg or a 30% reduction of baseline MAP" (2). Controlled hypotension not only reduces blood loss, but also improves the surgical field and decreases operative time (3), and may obviate the need for blood transfusion.…”

Section: Introductionmentioning

confidence: 99%

Limiting blood loss in orthognathic surgery with Esmolol as a hypotensive agent

Mukul¹,

Kumar²,

Mokhtar³

et al. 2017

jaar

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Orthognathic surgery may be complicated by difficulty in achieving hemostasis because unlike soft tissue, the vessels traversing bone cannot be identified and isolated before osteotomy. In this study we evaluated the amount of blood loss and duration of surgery under deliberate hypotensive anesthesia in comparison to amount of blood loss and duration of surgery under normotensive anesthesia on patients undergoing orthognathic surgical procedures. A total of 16 cases undergoing orthognathic surgery were included in this clinical study. Patients were randomly grouped under normotensive (group I) or hypotensive group (group 2). Patients in hypotensive anesthesia group were given Esmolol to maintain mean arterial pressure in the range of 70-80 mm of Hg till osteotomy segments were fixed. There was more than 40% reduction in blood loss in orthognathic surgical procedures when induced hypotension was used, but there was not statistically significant (p=0.91) reduction in the operative time. Based on surgeons and anesthetist's assessment fast acting agents like Esmolol can be used intraoperatively to induce hypotension as and when required.

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Blood Loss and Hypotensive Anesthesia in Oral-Facial Corrective Surgery

Cited by 18 publications

References 0 publications

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Transfusion Need in Orthognathic Surgery - A Review

Limiting blood loss in orthognathic surgery with Esmolol as a hypotensive agent

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