scholarly journals Dynamic thiol/disulphide balance in patients undergoing hypotensive anesthesia in elective septoplasties

2021 ◽  
Author(s):  
Leyla Kazancioglu ◽  
Sule Batcik ◽  
Medeni Arpa ◽  
Basar Erdivanli ◽  
Zerrin Ozergin Coskun ◽  
...  
Keyword(s):  
Hypotensive Anesthesia

Hypotensive Anesthesia for Spinal Fusion With Sodium Nitroprusside

Spine ◽  
1978 ◽  
Vol 3 (2) ◽  
pp. 171-174 ◽  
Author(s):  
HOSHANG J. KHAMBATTA ◽  
J GILBERT STONE ◽  
RICHARD S. MATTEO ◽  
W JOST MICHELSEN
Keyword(s):  
Sodium Nitroprusside ◽  
Spinal Fusion ◽  
Hypotensive Anesthesia

Hypotensive Anesthesia does not reduce Transfusion Rates during and after Acetabular Fracture Surgery

Injury ◽  
2021 ◽  
Author(s):  
Harsh Wadhwa ◽  
Michael J. Chen ◽  
Seth S. Tigchelaar ◽  
Michael J. Bellino ◽  
Julius A. Bishop ◽  
...  
Keyword(s):  
Acetabular Fracture ◽  
Hypotensive Anesthesia ◽  
Fracture Surgery

Hypotensive Anesthesia in Surgery of the Head and Neck

1965 ◽  
Vol 81 (6) ◽  
pp. 580-583 ◽  
Author(s):  
J. CONLEY ◽  
R. G. HICKS ◽  
J. E. JASAITIS
Keyword(s):  
Head And Neck ◽  
Hypotensive Anesthesia

scholarly journals The Effects of Oral Atenolol or Enalapril Premedication on Blood Loss and Hypotensive Anesthesia in Orthognathic Surgery

2015 ◽  
Vol 56 (4) ◽  
pp. 1114 ◽  
Author(s):  
Na Young Kim ◽  
Young-Chul Yoo ◽  
Duk-Hee Chun ◽  
Hye Mi Lee ◽  
Young-Soo Jung ◽  
...  
Keyword(s):  
Blood Loss ◽  
Orthognathic Surgery ◽  
Hypotensive Anesthesia

Impact of Autologous Blood Transfusions on Patients Undergoing Radical Prostatectomy Using Hypotensive Anesthesia

1993 ◽  
Vol 149 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Alan H. Yamada ◽  
Gary Lieskovsky ◽  
Donald G. Skinner ◽  
Ira Shulman ◽  
Susan Groshen ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Autologous Blood ◽  
Blood Transfusions ◽  
Hypotensive Anesthesia

ATP-INDUCED HYPOTENSIVE ANESTHESIA DURING SURGERY

1982 ◽  
Vol 57 (3) ◽  
pp. A65-A65 ◽  
Author(s):  
A. F. Fukunaga ◽  
K. Ikeda ◽  
I. Matsuda
Keyword(s):  
Hypotensive Anesthesia

The Use of Hypotensive Anesthesia to Control Bleeding During Nephrolithotomy

1958 ◽  
Vol 51 (1) ◽  
pp. 52-56
Author(s):  
GILBERT TOMSKEY ◽  
KENNETH BRAY ◽  
JOHN ADRIANI
Keyword(s):  
Hypotensive Anesthesia

scholarly journals How to approach orthognathic surgery in patients who refuse blood transfusion

2020 ◽  
Vol 47 (5) ◽  
pp. 404-410
Author(s):  
Sang Hwan Lee ◽  
Dong Gyu Kim ◽  
Ho Seong Shin
Keyword(s):  
Blood Transfusion ◽  
Orthognathic Surgery ◽  
Blood Transfusions ◽  
Recombinant Erythropoietin ◽  
Jehovah’S Witnesses ◽  
Jehovah's Witnesses ◽  
Hypotensive Anesthesia ◽  
Normovolemic Hemodilution ◽  
Surgery Center ◽  
Bloodless Surgery

Background Some patients who need surgery refuse a blood transfusion because of their religious beliefs or concerns about blood-borne infections. In recent years, bloodless surgery has been performed successfully in many procedures, and is therefore of increasing interest in orthognathic surgery.Methods Ten Jehovah’s Witnesses who visited our bloodless surgery center for orthognathic surgery participated in this study. To maintain hemoglobin (Hb) levels above 10 g/dL before surgery, recombinant erythropoietin (rEPO) was subcutaneously administered and iron supplements were intravenously administered. During surgery, acute normovolemic hemodilution (ANH) and induced hypotensive anesthesia were used. To elevate the Hb levels to >10 g/dL after surgery, a similar method to the preoperative approach was used.Results The 10 patients comprised three men and seven women. Their average Hb level at the first visit was 11.1 g/dL. With treatment according to our protocol, the average preoperative Hb level rose to 12.01 g/dL, and the average Hb level on postoperative day 1 was 10.01 g/dL. No patients needed a blood transfusion, and all patients were discharged without any complications.Conclusions This study presents a way to manage patients who refuse blood transfusions while undergoing orthognathic surgery. rEPO and iron supplementation were used to maintain Hb levels above 10 g/dL. During surgery, blood loss was minimized by a meticulous procedure and induced hypotensive anesthesia, and intravascular volume was maintained by ANH. Our practical approach to orthognathic surgery for Jehovah’s Witnesses can be applied to the management of all patients who refuse blood transfusions.

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