Deliberate hypotensive anesthesia with the rapidly acting, vascular-selective, L-type calcium channel antagonist-clevidipine: a case report.
Deliberate hypotension is an important technique for use in select anesthetics for procedures such as orthognathic surgery, specifically LeFort I maxillary osteotomy. We present a case report of an anesthetic involving deliberate hypotension for a 17-year-old female patient who presented for a LeFort I osteotomy, bilateral sagittal split of the mandible, and a genioplasty in order to correct a skeletal class III malocclusion. After reaching a steady-state general anesthetic, deliberate hypotension was induced solely with a bolus and subsequent continuous infusion of the ultrashort acting calcium channel blocker, clevidipine. The preoperative, intraoperative, and postoperative course and anesthetic management are discussed.
American Dental Board of Anesthesiology Diplomate, and.
Kevin
K
Croft
Stephen
S
Probst
D000293:Adolescent; D000766:Anesthesia, Dental / Q000379:methods; D000768:Anesthesia, General / Q000379:methods; D000771:Anesthesia, Intravenous / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage; D000932:Antiemetics / Q000627:therapeutic use; D002121:Calcium Channel Blockers / Q000627:therapeutic use*; D005260:Female; D063172:Genioplasty / Q000379:methods; D006801:Humans; D007023:Hypotension, Controlled / Q000379:methods*; D007442:Intubation, Intratracheal / Q000379:methods; D008313:Malocclusion, Angle Class III / Q000601:surgery*; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D011725:Pyridines / Q000627:therapeutic use*; D012121:Respiration, Artificial / Q000379:methods
D000779:Anesthetics, Local; D000932:Antiemetics; D002121:Calcium Channel Blockers; D011725:Pyridines; C118563:clevidipine