Nicardipine for Controlled Hypotension During Orthognathic Surgery

Tobias, Joseph D.

doi:10.1097/00006534-199705010-00011

Cited by 13 publications

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“…Treatment did not affect the routine laboratory parameters, which were comparable to those reported in previous studies 11,12,15,25,28,36,42 . In this study, sodium nitroprusside was used for hypotension because of its pharmacokinetic advantages in easily maintaining MAP as required, however, hypotension has been induced successfully by various pharmacological agents, so many other drugs are available for its routine induction during orthognathic surgery 7,15,19,28,32,40 .…”

Section: [ ( F I G _ 2 ) T D $ F I G ]mentioning

confidence: 99%

Effect of induced hypotensive anaesthesia vs isovolaemic haemodilution on blood loss and transfusion requirements in orthognathic surgery: a prospective, single-blinded, randomized, controlled clinical study

Ervens

Marks

Hechler

et al. 2010

International Journal of Oral and Maxillofacial Surgery

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Section: [ ( F I G _ 2 ) T D $ F I G ]mentioning

confidence: 99%

Effect of induced hypotensive anaesthesia vs isovolaemic haemodilution on blood loss and transfusion requirements in orthognathic surgery: a prospective, single-blinded, randomized, controlled clinical study

Ervens

Marks

Hechler

et al. 2010

International Journal of Oral and Maxillofacial Surgery

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“…Indeed a multicenter trial of intravenous nicardipine was initiated, but it was recently terminated by the sponsor [59]. There are also some retrospective clinical trials and case reports [60][61][62][63][64] about its use for controlled hypotension during surgical interventions.…”

Section: Nicardipinementioning

confidence: 99%

The management of hypertensive emergencies in children after stem cell transplantation

2011

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“…For double jaw surgery, CH has remained a common method of anesthesia owing to decreased bleeding and related complications [1,4,5,7]. Several studies on drugs and monitors used during CH have been conducted to implement CH more safely [2,[7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of minimal invasive cardiac output and ScVO₂ monitoring during controlled hypotension for double-jaw surgery

Kim

Song

et al. 2019

J Dent Anesth Pain Med

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Background: Controlled hypotension (CH) provides a better surgical environment and reduces operative time. However, there are some risks related to organ hypoperfusion. The EV1000/FloTrac system can provide continuous cardiac output monitoring without the insertion of pulmonary arterial catheter. The present study investigated the efficacy of this device in double jaw surgery under CH. Methods: We retrospectively reviewed the medical records of patients who underwent double jaw surgery between 2010 and 2015. Patients were administered conventional general anesthesia with desflurane; CH was performed with remifentanil infusion and monitored with an invasive radial arterial pressure monitor or the EV1000/FloTrac system. We allocated the patients into two groups, namely an A-line group and an EV1000 group, according to the monitoring methods used, and the study variables were compared. Results: Eighty-five patients were reviewed. The A-line group reported a higher number of failed CH (P = 0.005). A significant correlation was found between preoperative hemoglobin and intraoperative packed red blood cell transfusion (r = 0.525; P < 0.001). In the EV1000 group, the mean arterial pressure (MAP) was significantly lower 2 h after CH (P = 0.014), and the cardiac index significantly decreased 1 h after CH (P = 0.001) and 2 h after CH (P = 0.007). Moreover, venous oxygen saturation (ScVO2) decreased significantly at both 1 h (P = 0.002) and 2 h after CH (P = 0.029); however, these values were within normal limits. Conclusion: The EV1000 group reported a lower failure rate of CH than the A-line group. However, EV1000/FloTrac monitoring did not present with any specific advantage over the conventional arterial line monitoring when CH was performed with the same protocol and same mean blood pressure. Preoperative anemia treatment will be helpful to decrease intraoperative transfusion. Furthermore, ScVO2 monitoring did not present with sufficient benefits over the risk and cost.

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Nicardipine for Controlled Hypotension During Orthognathic Surgery

Cited by 13 publications

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Effect of induced hypotensive anaesthesia vs isovolaemic haemodilution on blood loss and transfusion requirements in orthognathic surgery: a prospective, single-blinded, randomized, controlled clinical study

Effect of induced hypotensive anaesthesia vs isovolaemic haemodilution on blood loss and transfusion requirements in orthognathic surgery: a prospective, single-blinded, randomized, controlled clinical study

The management of hypertensive emergencies in children after stem cell transplantation

Efficacy of minimal invasive cardiac output and ScVO₂ monitoring during controlled hypotension for double-jaw surgery

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Nicardipine for Controlled Hypotension During Orthognathic Surgery

Cited by 13 publications

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Effect of induced hypotensive anaesthesia vs isovolaemic haemodilution on blood loss and transfusion requirements in orthognathic surgery: a prospective, single-blinded, randomized, controlled clinical study

Effect of induced hypotensive anaesthesia vs isovolaemic haemodilution on blood loss and transfusion requirements in orthognathic surgery: a prospective, single-blinded, randomized, controlled clinical study

The management of hypertensive emergencies in children after stem cell transplantation

Efficacy of minimal invasive cardiac output and ScVO2 monitoring during controlled hypotension for double-jaw surgery

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Efficacy of minimal invasive cardiac output and ScVO₂ monitoring during controlled hypotension for double-jaw surgery