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

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 hypo...

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Main Authors: Michal Barak, Leiser Yoav, Imad Abu el-Naaj
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2015/480728
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author Michal Barak
Leiser Yoav
Imad Abu el-Naaj
author_facet Michal Barak
Leiser Yoav
Imad Abu el-Naaj
author_sort Michal Barak
collection DOAJ
description 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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spelling doaj-art-c7ea9ccef8a541c7867e2272586070302025-08-20T03:24:11ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/480728480728Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the LiteratureMichal Barak0Leiser Yoav1Imad Abu el-Naaj2The Department of Anesthesiology, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, 31069 Haifa, IsraelThe Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, 31069 Haifa, IsraelThe Department of Oral and Maxillofacial Surgery, Baruch Padeh Medical Center and the Faculty of Medicine, Bar-Ilan University, Poriya, 15208 Tiberias, IsraelSteady 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.http://dx.doi.org/10.1155/2015/480728
spellingShingle Michal Barak
Leiser Yoav
Imad Abu el-Naaj
Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature
The Scientific World Journal
title Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature
title_full Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature
title_fullStr Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature
title_full_unstemmed Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature
title_short Hypotensive Anesthesia versus Normotensive Anesthesia during Major Maxillofacial Surgery: A Review of the Literature
title_sort hypotensive anesthesia versus normotensive anesthesia during major maxillofacial surgery a review of the literature
url http://dx.doi.org/10.1155/2015/480728
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