title: Hypotensive anesthesia versus normotensive anesthesia during major maxillofacial surgery: a review of the literature.
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.
authors: The Department of Anesthesiology, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, 31069 Haifa, Israel.
authors: Michal
authors: 0000-0002-8541-2260
authors: M
authors: Barak
authors: The Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, 31069 Haifa, Israel.
authors: Leiser
authors: L
authors: Yoav
authors: The Department of Oral and Maxillofacial Surgery, Baruch Padeh Medical Center and the Faculty of Medicine, Bar-Ilan University, Poriya, 15208 Tiberias, Israel.
authors: Imad
authors: I
authors: Abu el-Naaj
mesh_terms: D000758:Anesthesia / Q000379:methods*; D000768:Anesthesia, General / Q000379:methods; D018681:Anesthetics, General / Q000008:administration & dosage; D000959:Antihypertensive Agents / Q000008:administration & dosage; D016063:Blood Loss, Surgical / Q000517:prevention & control; D001794:Blood Pressure; D002985:Clinical Protocols; D006801:Humans; D007023:Hypotension, Controlled / Q000379:methods*; D019647:Oral Surgical Procedures / Q000379:methods*; D018579:Patient Selection
chemical_list: D018681:Anesthetics, General; D000959:Antihypertensive Agents