Review Article

Volume 2022, Article ID 22841943, 5 pages.

Hypotensive Anesthesia in Orthognathic Surgery - A Literature Review

K.A.Ramkumar

CeyarConsultant Oral and Maxillofacial Surgeon,Azhagumathi dental care,Kotturpuram,Chennai.

Address for Correspondence:

K.A. Ramkumar Ceyar ,

MDSConsultant Oral and Maxillofacial Surgeon,Azhagumathi dental care,No.69, Ponniamman kovil street,Duraisamy nagar, Kotturpuram,Chennai, Tamilnadu -600085.

Email: drrkceyar@gmail.com

Mobile No: 8667830038©2022

Abstract

Hypotensive anesthesia first introduced by Gardner in 1946 is a voluntary method of reducing blood pressure during the intraoperative time for providing a clean surgical field, improving visualization, reducing blood loss, and also reducing intraoperative time. This is done by using different drugs including inhalational anesthetic agents, beta-adrenergic antagonists, calcium channel blockers and directly acting vasodilators like nitroglycerin and sodium nitroprusside. Hypotensive anesthesia is a method used in surgeries to decrease blood pressure voluntarily and predictably. It is commonly applied to reduce blood loss and the consecutive need for allogeneic transfusions, also avoiding the resulting transfusion reactions. This also reduces the surgical field visualization and reduces the operating time. This literature review discusses the methods of providing hypotensive anesthesia and their uses in oral and maxillofacial surgery.

Keywords:

Hypotensive Anesthesia, Blood Loss, Oral Surgery, Orthognathic Surgery, Hemostasis

Financial support and sponsorship

Nil

Conflicts of interest

There are no conflicts of interest.

How to Cite this article:

K.A. Ramkumar Ceyar. (2022). Hypotensive Anesthesia in Orthognathic Surgery - A Literature Review: Review Article. International Journal of Cranio Maxillofacial Surgery and Rehabilitation, 5. https://doi.org/10.56501/intjcraniomaxillofacsurgrehab.2022.700