Deliberate Hypotension in Infants and Children

Risks and benefits of deliberate hypotension in anaesthesia: a systematic review

“…Inadequate size per group 3 Patient selection was not consecutive and complete Did not describe method of randomization Did not mention duration of anaesthesia and induced hypotension * 1 = low risk of bias; 2 = moderate risk of bias; 3 = high risk of bias. 67,84,147,151,152,191,201 and 6 retrospective case series 11, 75,113,120,165,177 . According to the selection criteria, 22 articles were selected for critical appraisal (Table 3).…”

Craniosynostosis: an assessment of blood loss and transfusion practices

“…A decrease in blood loss with controlled ventilation has been shown in other neurosurgical procedures performed with the patient in the prone positionJ 5 Hypotensive anaesthesia has been examined by several authors using inhalation anaesthesia* or ganglion blockade. 16 Only one of these was addressed specifically to patients undergoing craniectomy for craniosynostosis.4 A reduction in blood loss was shown with controlled hypotension but the amount was of doubtful importance and therefore does not justify the risks of the technique.…”

Forum

“…' Although the details are not reported here, three of the patients in this study received a single subsequent dose of labetalol 1 mg/kg, between 8 and 18 hrs postoperatively. Blood pressure was reduced rapidly to acceptable levels in all three.…”