Moderate controlled hypotension with sodium nitroprusside does not improve surgical conditions or decrease blood loss in endoscopic sinus surgery

Jacobi, Klaus; Böhm, Brigitte E; Rickauer, Andreas J; Jacobi, Christina

doi:10.1016/s0952-8180(00)00145-8

Cited by 109 publications

(115 citation statements)

References 31 publications

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“…Jacobi et al (21) did not find any differences in the total bleeding, VSF, or HR between the group administered SNP and a control group, although the MABP was greater in the control group. Boezaart et al (19) did not find any differences between the esmolol and SNP groups.…”

Section: D2) Drugs With Hypotensive Effectsmentioning

confidence: 88%

See 1 more Smart Citation

Bleeding control in endoscopic sinus surgery: a systematic review of the literature

Valiente¹,

Fidalgo²,

Ortega³

2013

Rhin

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SummaryIn the literature various methods are described to reduce bleeding in endoscopic sinus surgery. Scientific evidence and results were gathered and analysed to determine the effectiveness of the various methods used. A total of 20 articles fulfilled the inclusion criteria. Two retrospective articles studied the differences between local and general anaesthesia. Three articles analysed the use of local methods to control bleeding. The majority of the articles analysed the use of different systemic drugs to control intraoperative bleeding.Certain procedures, such as the reverse Trendelenburg position, the use of high doses of epinephrine, the infiltration of phenylephrine and lidocaine into the pterygopalatine fossa, the preoperative use of prednisone, and the control of the heart rate (with dexmedetomidine or remifentanil), appear to reduce the intraoperative blood loss and/or improve the visualisation of the surgical field. However, the evidence supporting these conclusions is poor. The benefits of other procedures, such as the preoperative use of β-blockers, antihypertensive agents, and surgical pledgets with oxymetazoline, phenylephrine, or cocaine, for bleeding control are not evidenced in the literature. In addition, the literature does not present any evidence on the benefits of local anaesthesia compared with general anaesthesia or the use of propofol compared to inhaled analgesics in terms of intraoperative bleeding or complication rates.

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Section: D2) Drugs With Hypotensive Effectsmentioning

confidence: 88%

“…Two studies compared the hypotensive effects of sodium nitroprusside (SNP) (19,21) and esmolol (19) . Jacobi et al (21) did not find any differences in the total bleeding, VSF, or HR between the group administered SNP and a control group, although the MABP was greater in the control group.…”

Section: D2) Drugs With Hypotensive Effectsmentioning

confidence: 99%

Bleeding control in endoscopic sinus surgery: a systematic review of the literature

Valiente¹,

Fidalgo²,

Ortega³

2013

Rhin

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show abstract

“…surgery general anesthesia is often preferred over topical anesthesia. In addition, general anesthesia allows hypotensive anesthesia to be achieved (1,2). The unique and complicated anatomical structures of the head and neck, along with their proximity to the cranial base, brain, eyes, blood vessels and nerves requires the surgeon to have detailed anatomical knowledge and the ability to accurately identify structures.…”

Section: Patients and Methods: In A Randomized Controlled Open Clinmentioning

confidence: 99%

“…Increased bleeding can also cause surgeries to finish before they are fully completed. Improvement of intraoperative visibility by reducing bleeding is an important task for an anesthetist during head and neck surgery (2,4,5). Studies show that using beta-blockers before surgery reduces long term cardiovascular complications and intraoperative bleeding (6,7).…”

Section: Patients and Methods: In A Randomized Controlled Open Clinmentioning

confidence: 99%

Effects of Premedication with Metoprolol on Bleeding and Induced Hypotension in Nasal Surgery

2012

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“…According to the opinion of Jacobi et al (9), capillary bleeding is the most serious problem in endoscopic sinus surgery. Capillary circulation can be reduced by reducing arterial blood pressure and performing local vasoconstriction (1,10).…”

Section: Surgical Bleedingmentioning

confidence: 99%

A role of anesthesiologist in reducing surgical bleeding in endoscopic sinus surgery

et al. 2010

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Moderate controlled hypotension with sodium nitroprusside does not improve surgical conditions or decrease blood loss in endoscopic sinus surgery

Cited by 109 publications

References 31 publications

Bleeding control in endoscopic sinus surgery: a systematic review of the literature

Bleeding control in endoscopic sinus surgery: a systematic review of the literature

Effects of Premedication with Metoprolol on Bleeding and Induced Hypotension in Nasal Surgery

A role of anesthesiologist in reducing surgical bleeding in endoscopic sinus surgery

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