HYPOTENSIVE ANAESTHESIA IN MAXILLOFACIAL SURGERY
| Autor: | Dainius Razukevičius, Greta Kraujalytė, Lina Kalibatienė, Jonė Jackevičiūtė, Andrius Macas |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Blood transfusion business.industry medicine.medical_treatment Vital signs Orthognathic surgery 030206 dentistry Perioperative Pain management Surgery 03 medical and health sciences 0302 clinical medicine Blood loss 030202 anesthesiology Anesthesia medicine business Adverse effect Controlled hypotension |
| Zdroj: | Visuomenės sveikata. 28:110-113 |
| ISSN: | 2335-867X |
| DOI: | 10.5200/sm-hs.2018.030 |
| Popis: | Introduction. Deliberate hypotension (DH) is a widely used anaesthesia technique for decreasing intraoperative bleeding and improving the visibility of the operating field. Orofacial region has rich blood supply, therefore adequate bleeding management is needed. Methods. A literature search was performed using the search terms and was limited to English language. We used specific databases for our literature search. Discussion. The positive effect of DH is associated with mechanism of action leading to reduction of blood loss and reduced blood transfusion rate, accompanied by proper pain management. However, adverse effects are distinguishable, although the presentation completely depends on the hypotensive anaesthetic used for induction of DH. Conclusion. The application of controlled hypotension in maxillofacial surgery is highly advisable. Despite the positive effects, constant monitoring of the vital signs and drug induced side effects in perioperative period is needed. |
| Databáze: | OpenAIRE |
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