Hypotensive anesthesia versus normotensive anesthesia during major maxillofacial surgery: A review of the literature

Michal Barak, Leiser Yoav, Imad Abu El-Naaj

Research output: Contribution to journalReview articlepeer-review

43 Scopus citations

Abstract

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.

Original languageEnglish
Article number480728
JournalScientific World Journal
Volume2015
DOIs
StatePublished - 24 Feb 2015

Bibliographical note

Publisher Copyright:
© 2015 Michal Barak et al.

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