Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 11 , Pages 2261-2269 , November 2008

Induced Hypotension in Orthognathic Surgery: A Comparative Study of 2 Pharmacological Protocols

  • Gustavo Jacobucci Farah, DDS, MS, PhD

      Affiliations

    • Former Resident, Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Farah: R. Francisco Glicério, 1419–Apto 504–Zona 07–CEP 87030-050, Maringá, PR Brazil
    • ,
  • Márcio de Moraes, DDS, MS, PhD

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
    • ,
  • Liogi Iwaki Filho, DDS, MS, PhD

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, State University of Maringá, Maringá, Brazil
    • ,
  • Angelo José Pavan, DDS, MS, PhD

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, State University of Maringá, Maringá, Brazil
    • ,
  • Edevaldo Tadeu Camarini, DDS, MS, PhD

      Affiliations

    • Professor, Department of Oral and Maxillofacial Surgery, State University of Maringá, Maringá, Brazil
    • ,
  • Isolde T.S. Previdelli, DDS, MS, PhD

      Affiliations

    • Professor, Department of Bio-statistics, State University of Maringá, Maringá, Brazil
    • ,
  • Luciano Coelho, MD

      Affiliations

    • Doctor Anesthetist and Medical Residence Preceptor in Anesthesiology, Santa Casa de Maringá's Hospital, Maringá, Brazil

References 

  1. Rodrigo C. Induced hypotension during anesthesia, with special reference to orthognathic surgery. Anesth Prog. 1995;42:41
  2. Gardner JW. The control of bleeding during operation by induced hypotension. JAMA. 1946;132:572
  3. Schaberg SJ, Kelly JF, Terry BC, et al. Blood loss and hypotensive anesthesia in oral-facial corrective surgery. J Oral Surg. 1976;34:147
  4. Fridrich K. Induced hypotensive anesthesia for adolescent orthognathic surgery patients. J Oral Maxillofac Surg. 1996;54:683
  5. Purdham RS. Reduced blood loss with hemodynamic stability during controlled hypotensive anesthesia for Le Fort I maxillary osteotomy using high-dose fentanyl: A retrospective study. Clinical Forum for Nurse Anesthetists. 1996;7:33
  6. Rohling RG, Zimmermann AP, Biro P, et al. Alternative methods for reduction of blood loss during elective orthognathic surgery. Int J Adult Orthod Orthognath Surg. 1999;14:77
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  9. Zou S, Fang CT, Dodd RY. On residual risk assessment for first-time donation. Transfusion. 2007;47:2348
  10. Sinclair J, Sissons P. Latency and reactivation of human cytomegalovirus. J Gen Virol. 2006;87:1763
  11. Enderby GEH. A report of mortality and morbidity following 9, 107 hypotensive anaesthetics. Br J Anaesth. 1961;33:109
  12. Keats AS. The ASA classification of physical status: A recapitulation. Anesthesiology. 1978;49:233
  13. Wagner JD, Moore DL. Preoperative laboratory testing for the oral and maxillofacial surgery patient. J Oral Maxillofac Surg. 1991;49:177
  14. Diggle PJ. An approach to the analysis of repeated measurements. Biometrics. 1988;44:959
  15. Crowder MJ, Hand DJ. Analysis of Repeated Measures. New York: Chapman & Hall; 1990;
  16. Singer JM, Rocha FMM, Nobre JS. Análise de medidas repetidas: IV jornada regional de estatística da Universidade Estadual de Maringá. Maringá. 2004;editora UEM
  17. Grando TA, Puricelli E, Ishiguro RM, et al. Avaliação do risco de complicações em duas técnicas de hipotensão controlada em cirurgia ortognática. Rev Bras Anestesiol. 1996;46:1
  18. Enderby GEH. A report of mortality and morbidity following 9107 hypotensive anaesthetics. Br J Anaesth. 1961;33:109
  19. Little DM. Induced hypotension during anesthesia and surgery. Anesthesiology. 1955;16:320
  20. Pasch T, Huk W. Cerebral complications following induced hypotension. Eur J Anaesthesiol. 1986;3:299
  21. Lassen NA, Christensen MS. Physiology of cerebral blood flow. Br J Anaesth. 1976;48:719
  22. Lam AM. Induced hypotension. Can Anaesth Soc J. 1984;31:S56
  23. Dolman RM, Bentley KC, Head TW, et al. The effects of hypotensive anesthesia on blood loss and operative time during Le Fort I osteotomies. J Oral Maxillofac Surg. 2000;58:834
  24. Barash PG, Cullen BF, Stoelting RK. Clinical Anesthesia. In: Ed 5. Baltimore, MD: Lippincott, Williams & Wilkins; 2005;p. 1584
  25. White PF. Textbook of Intravenous Anesthesia. In: Ed 1. Baltimore, MD: Lippincott, Williams & Wilkins; 1997;p. 617
  26. Roso NC, Vianna TG, Castiglia YMM, et al. Efeitos hemodinâmicos e renais da injeção de doses elevadas de clonidine no espaço peridural do cão. Rev Bras Anesthesiol. 2005;55:308
  27. Bloor BC, Ward DS, Belleville JP, et al. Effects of intravenous dexmedetomidine in humans: II – hemodynamic changes. Anesthesiol. 1992;77:1134
  28. Ebert T, Maze M. Dexmedetomidine: another arrow for the clinician's quiver. Anesthesiol. 2004;101:568
  29. Nociti JR, Serzedo PSM, Zuccolotto EB, et al. Dexmedetomidina asociada a propofol em sedação durante anestesia local para cirurgia plástica. Rev Bras Anestesiol. 2003;53:198
  30. Marchal JM, Gomez-Luque A, Martos-Crespo F, et al. Clonidine decreases intraoperative bleeding in middle ear microsurgery. Anesthesiol Scand. 2001;45:627
  31. Naja MZ, El-Rajab M, Kabalan W, et al. Effectiveness of local anaesthesia (clonidine and fentanyl) infiltration for post-submucosal resection pain relief: A randomized, double-blinded clinical trial. J Laryngol Otol. 2006;23:1
  32. Precious DS, Splinter W, Bosco D. Induced hypotensive anesthesia for adolescent orthognathic surgery patients. J Oral Maxillofac Surg. 1996;54:680
  33. Lessard MR, Trepanier CA, Baribault JP, et al. Isoflurane induced hypotension in orthognathic surgery. Anesth Analg. 1989;69:379
  34. Enlund MG, Ahlstedt BLH, Anderson LG, et al. Induced hypotension may influence blood loss in orthognathic surgery, but it is not crucial. Scand J Plast Reconstr Hand Surg. 1997;31:311
  35. Samman N, Cheung LK, Tong ACK, et al. Blood loss and transfusion requirements in orthognathic surgery. J Oral Maxillofac Surg. 1996;54:21
  36. Hackmann T, Friesen M, Allen S, et al. Clonidine facilitates controlled hypotension in adolescent children. Anesth Analg. 2003;96:976

PII: S0278-2391(08)01041-0

doi: 10.1016/j.joms.2008.06.045

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 11 , Pages 2261-2269 , November 2008

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