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Article: Anesthetic considerations for orthognathic surgery with evaluation of difficult intubation and technique for hypotensive anaesthesia

TitleAnesthetic considerations for orthognathic surgery with evaluation of difficult intubation and technique for hypotensive anaesthesia
Authors
KeywordsOrthognathic surgery
Intubation
Hypotensive anesthesia
Issue Date2000
PublisherAlliance Communications Group. The Journal's web site is located at http://www.acgpublishing.com/dir_Journals/AnesthesiaProg.asp
Citation
Anesthesia Progress, 2000, v. 47 n. 4, p. 151-156 How to Cite?
AbstractOrthognathic surgery is carried out to improve facial appearance and/or to improve malocclusion. Usually, patients are young and healthy. However, they may have airway problems. Reinforced silicone low-pressure, high-volume endotracheal tubes and p-xylometazoline (Otrivin) for nasal vasoconstriction reduces problems due to the endotracheal tubes. A head-up position with ventilator and monitoring equipment at the foot end helps the surgeons as well as the surgery. Surgeons may be the cause of endotracheal tube problems. Bleeding is a major problem that may be encountered and is reduced by induced hypotension. During osteotomies, severe bradycardia may occur and may even lead to cardiac arrest. In the early postoperative period, bleeding may be a problem. Later ulceration at the tip of the nose and on the buttocks may be seen if preventive measures are not carried out.
Persistent Identifierhttp://hdl.handle.net/10722/48941
ISSN
2015 SCImago Journal Rankings: 0.279
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorRodrigo, Cen_HK
dc.date.accessioned2008-06-12T06:30:15Z-
dc.date.available2008-06-12T06:30:15Z-
dc.date.issued2000en_HK
dc.identifier.citationAnesthesia Progress, 2000, v. 47 n. 4, p. 151-156en_HK
dc.identifier.issn0003-3006en_HK
dc.identifier.urihttp://hdl.handle.net/10722/48941-
dc.description.abstractOrthognathic surgery is carried out to improve facial appearance and/or to improve malocclusion. Usually, patients are young and healthy. However, they may have airway problems. Reinforced silicone low-pressure, high-volume endotracheal tubes and p-xylometazoline (Otrivin) for nasal vasoconstriction reduces problems due to the endotracheal tubes. A head-up position with ventilator and monitoring equipment at the foot end helps the surgeons as well as the surgery. Surgeons may be the cause of endotracheal tube problems. Bleeding is a major problem that may be encountered and is reduced by induced hypotension. During osteotomies, severe bradycardia may occur and may even lead to cardiac arrest. In the early postoperative period, bleeding may be a problem. Later ulceration at the tip of the nose and on the buttocks may be seen if preventive measures are not carried out.en_HK
dc.format.extent388 bytes-
dc.format.mimetypetext/html-
dc.languageengen_HK
dc.publisherAlliance Communications Group. The Journal's web site is located at http://www.acgpublishing.com/dir_Journals/AnesthesiaProg.aspen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectOrthognathic surgeryen_HK
dc.subjectIntubationen_HK
dc.subjectHypotensive anesthesiaen_HK
dc.titleAnesthetic considerations for orthognathic surgery with evaluation of difficult intubation and technique for hypotensive anaesthesiaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0003-3006&volume=47&issue=4&spage=151&epage=156&date=2000&atitle=Anesthetic+considerations+for+orthognathic+surgery+with+evaluation+of+difficult+intubation+and+technique+for+hypotensive+anaesthesiaen_HK
dc.identifier.emailRodrigo, C: rodrigo@hkusua.hku.hken_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid11432182-
dc.identifier.pmcidPMC2149032en_HK
dc.identifier.scopuseid_2-s2.0-0034575363-
dc.identifier.hkuros67451-
dc.identifier.hkuros68202-
dc.identifier.volume47-
dc.identifier.issue4-
dc.identifier.spage151-
dc.identifier.epage156-

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