Alterações pós-anestésicas do hematócrito em cirurgias ortognáticas

Grando, Tailur Alberto; Puricelli, Edela; Bagatini, Airton; Gomes, Cláudio Roberto; Baião, Carolina Guerra; Ponzoni, Deise

doi:10.1590/s0034-70942005000100009

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…When evaluating blood loss after surgical procedure, approach of individuals without systemic conditions is fundamental, since blood loss is better tolerated by patients under healthy conditions. Myocardium ischemia cases were related in heart disease patients, under volemic loss lesser than 30% of body blood loss 10,14 . Healthy individuals belonging to groups I and II according to American Society of Anesthesiologists were chosen in this study.…”

Section: Discussionmentioning

confidence: 99%

“…This recommendation is also apply for procedures associated to another surgical access for autogenous bone grafting 16 . The volemic replenishment happens by the administration of fluids, crystalloids like the solution of Ringer Lactato, which has similar composition of plasma 8,10,12,23 .…”

Section: Discussionmentioning

confidence: 99%

“…Young adults between 16 and 44 years-old were the patients who were subjected to surgeries in this research, which didn't have meaningful variation in statistic tests used being in accordance with current literature [6][7][8]10,12 . The explanation is based in hypovolemia, which it is correlated with coagulopathies and other systemic disorders, not having relation with age of the subjects.…”

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confidence: 96%

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Volemic loss in rapid maxilla expansion surgically assisted

Jardim¹,

Faverani²,

Okamoto³

et al. 2016

Arch Health Invest

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Surgeries for dentofacial deformity correction are procedures which are executed with considerable frequency nowadays and, due to their complexity concerning complications inherent to technique, such as arteriovenous lesions or even surgery time, may cause severe hypovolemia. Necessity of replacement of blood level through infusion of crystalloid solutions, colloids or even blood transfusion is always mandatory. This way, it is proposed in this study to quantify blood loss, as well as evaluate necessity of blood transfusion in 19 patients who underwent maxilla expansion. It was evaluated average arterial pressures, surgery procedure time, gender, volemic loss and ASA classification. Average blood loss was 296,84mL, with minimal value of 50mL and maximum 1000mL. We can conclude that hypovolemia and blood transfusion request in such surgeries was of small number, however, professionals should always be aware of surgical time and development of discerning surgical technique.Descriptors: Surgery; Hypovolemia; Blood Transfusion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 96%

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Volemic loss in rapid maxilla expansion surgically assisted

Jardim¹,

Faverani²,

Okamoto³

et al. 2016

Arch Health Invest

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Systematic mapping review of orthognathic surgery

Bendersky

Uribe

Bravo

et al. 2022

Journal of Stomatology, Oral and Maxillofacial Surgery

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Educação pós-operatória: construção e validação de uma tecnologia educativa para pacientes submetidos à cirurgia ortognática

Sousa¹

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The orthognathic surgery consists of correcting dental facial deformities and aims to improve esthetical, functional and anatomical features of the structure of the patient's face. Given the increased prevalence of this surgical modality and a lack of information available to patients undergoing this procedure, this study presents the construction and validation of educational material. The methodological trajectory involved five phases: integrative review on surgical complications; search on the internet on blogs and virtual communities of patients undergoing orthognathic surgeries aiming to know the population and its need of information; a focal group with patients undergoing the procedure to identify the need of perioperative education; experts' information concerning guidance provided to patients; construction of educational material and validation of technical content by experts concerning the relevance and categories of validation of education material using the Delphi technique; clarity of content was validated with patients in the postoperative period. The results concerning knowledge of the population show the need to inform Internet users about doubts and fear related to the procedure, recovery, changes in facial esthetics, regret after the procedure. Patients exposed in the focal group the difficulties experienced given the facial edema and paresthesia, discussed time of surgery recovery, self-image issues, aesthetical results and suggested the most opportune time to provide the material. In the first round of the Delphi technique, experts cited guidance related to the perioperative period and the following stood out: oral care, paresthesia, facial edema, difficulty breathing and chewing, changes in voice and muscle movements after the surgery and liquid diet. The second round of the Delphi technique consisted of the evaluation of the educational material by experts: 38.2% (84) agreed and 61.3% (135) totally agreed with the instrument's six categories. The material with the corrections suggested by the experts was submitted to evaluation in the third round of the Delphi technique and 30.9% (68) agreed and 68.6% totally agreed with it and this phase was completed. When the instrument was submitted to patients to evaluate understanding, 33.8% (176) agreed and 59.6% (310) totally agreed; no suggestions to change the text were suggested and this was considered the final version. The conclusion is that the construction of educational material is a process that involves professionals and the target public to achieve high levels of acceptance and adherence to material, which should be used as an adjuvant to guidance provided to patients.

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Alterações pós-anestésicas do hematócrito em cirurgias ortognáticas

Cited by 3 publications

References 17 publications

Volemic loss in rapid maxilla expansion surgically assisted

Volemic loss in rapid maxilla expansion surgically assisted

Systematic mapping review of orthognathic surgery

Educação pós-operatória: construção e validação de uma tecnologia educativa para pacientes submetidos à cirurgia ortognática

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