The role of controlled hypotension upon transfusion requirement during maxillary downfracture in double-jaw surgery

Varol, Altan; Basa, S.; Ozturk, Salih

doi:10.1016/j.jcms.2009.10.012

Cited by 32 publications

(21 citation statements)

References 29 publications

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“…They reported that the extent of intraoperative blood loss in those operations that were done under hypotensive anesthesia was substantially less than that in those operations that were done under normotensive anesthesia. These findings have been confirmed by others [10, 17–19]. Since intraoperative blood loss is reduced under hypotensive anesthesia, the need for allogeneic blood transfusion and its risks, namely, postoperative infection, acute lung injury, postoperative cardiac failure, tumor recurrence, perioperative myocardial infarction, and increased mortality [20], is also reduced.…”

Section: Intraoperative Blood Loss In Normotensive and Hypotensivesupporting

confidence: 55%

Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature

Barák

Leiser

El-Naaj

2015

The Scientific World Journal

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Steady blood pressure within normal limits during surgery is one of the markers of the ideal and skillful anesthesia. Yet, reduced blood pressure is advantageous in some settings because it can contribute to a reduction in overall blood loss and improve the surgical field conditions. Controlled hypotension during anesthesia or hypotensive anesthesia is often used in major maxillofacial operations. Since hypotensive anesthesia carries the risk of hypoperfusion to important organs and tissues, mainly the brain, heart, and kidneys, it cannot be applied safely in all patients. In this paper we review the medical literature regarding hypotensive anesthesia during major maxillofacial surgery, the means to achieve it, and the risks and benefits of this technique, in comparison to normotensive anesthesia.

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Section: Intraoperative Blood Loss In Normotensive and Hypotensivesupporting

confidence: 55%

Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature

Barák

Leiser

El-Naaj

2015

The Scientific World Journal

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“…1,[4][5][6][7][8] Because of the elective nature of OS and because both anemia and allogeneic blood transfusions can increase postoperative morbidity, 9 methods to safely prevent such incidents 10 have included alternative surgical techniques, hypotensive anesthesia (HA), and the use of antifibrinolytic agents. 4,5,7,11,12 Several clinical trials on the subject have been published, [11][12][13][14] but the level of evidence is unknown.…”

mentioning

confidence: 99%

Prevention of Bleeding in Orthognathic Surgery—A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Olsen

Skov

Ingerslev

et al. 2016

Journal of Oral and Maxillofacial Surgery

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“…It has been reported that blood loss during jaw deformity surgery showed a positive correlation with duration of surgery 7) . In the present study, duration of surgery was similar between the two groups, and was therefore unlikely to have influenced the volume of blood loss observed.…”

Section: Discussionmentioning

confidence: 96%

Propofol-remifentanil is More Effective than Propofol-fentanyl in Decreasing Intraoperative Blood Loss during Sagittal Split Ramus Osteotomy

Handa

Onodera

Honda

et al. 2016

Bull. Tokyo Dent. Coll.

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This study retrospectively compared blood loss during sagittal split ramus osteotomy in patients receiving propofol-remifentanil (R group) and those receiving propofol-fentanyl (F group). All patients underwent sagittal split ramus osteotomy under general anesthesia during the 3-year 4-month period between October 2007 and February 2011 in an operating room at Tokyo Dental College Suidobashi Hospital. Blood loss in the R group was significantly less than that in the F group. Mean arterial pressure and heart rate, measured at 20 and 15 min after tracheal intubation, respectively, were both lower in the R group. No marked change was observed in blood pressure in the R group under general anesthesia, however. Volume of urine was also larger in the R group. The results of this study suggest that remifentanil is effective in reducing intraoperative blood loss during sagittal split ramus osteotomy.

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The role of controlled hypotension upon transfusion requirement during maxillary downfracture in double-jaw surgery

Cited by 32 publications

References 29 publications

Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature

Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature

Prevention of Bleeding in Orthognathic Surgery—A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Propofol-remifentanil is More Effective than Propofol-fentanyl in Decreasing Intraoperative Blood Loss during Sagittal Split Ramus Osteotomy

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