the maxillofacial reconstructive surgery is needed close care during operation and anesthetic. The field of operation is limited by the mouth cavity, Airway managements and blood assure controls are keystone. So, the induced hypotensive
anesthesia
is
essential to the maxillofacial reconstructive surgery for bleeding control and accurate operation.
there were 98 cases of maxillofacial reconstructiv surgery under induced hypotensive resthesia in the plastic surgery department of Paik Hospital from 1990 to 1995. Authors had vided them in 4 groups base on anesthetic protocols. Group I(N;43)
was
inhalation anesetics(enflurane, halothane) and sodium nitroprusside(SNP); group II(N;99) was inhalation resthetics (enflurane), SNP, and labetalol; group III(N;29) was total interavenous anesthesia(propofol, fentanyl, mizolam) with SNP and
esmolol(or
labetalol). The retrospective study was taken base on the ?eral records of the patients, especially, the duration of operation and anesthesia, degree of ?tuation in in the mean arterial blood pressure, amounts f the blood loss and transfusion
??ing
operation times of 4 groups decreased periodically, and there wre the controlability blood of transfusion were also decreased in total intravenous anesthesia group. But, there re no significant differencies in total admission days and ICU stay
periods
between 4 groups.
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