Anaesthetic management in facial bipartition surgery: The experience of one centre
Summary Facial bipartition is amongst the most radical craniofacial surgery undertaken but is performed rarely. There is little published information on its anaesthetic management. We undertook a retrospective case‐note review of 22 consecutive patients undergoing bipartition surgery by the same sur...
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| Veröffentlicht in: | Anaesthesia 2004-01, Vol.59 (1), p.44-51 |
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| creator | Mallory, S. Yap, L. H. Jones, B. M. Bingham, R. |
| description | Summary
Facial bipartition is amongst the most radical craniofacial surgery undertaken but is performed rarely. There is little published information on its anaesthetic management. We undertook a retrospective case‐note review of 22 consecutive patients undergoing bipartition surgery by the same surgical team in one centre in the period 1993–2001. There were incomplete data for two cases and these were therefore excluded. Patients were aged 2 months to 19 years. Conditions treated were facial cleft (n = 5), frontonasal dysplasia (n = 7) and facial dysostosis (n = 8).Intra‐operative complications included major haemorrhage (n = 4), bradycardia (n = 3) and unintentional tracheal extubation (n = 1). There were no peri‐operative deaths. All patients required intra‐operative blood transfusion and 15% of them had a postoperative haemoglobin concentration > 115% of their pre‐operative value. In this series, four patients required postoperative lung ventilation for a median duration of 3 days. Infants |
| doi_str_mv | 10.1111/j.1365-2044.2004.03529.x |
| format | Article |
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Facial bipartition is amongst the most radical craniofacial surgery undertaken but is performed rarely. There is little published information on its anaesthetic management. We undertook a retrospective case‐note review of 22 consecutive patients undergoing bipartition surgery by the same surgical team in one centre in the period 1993–2001. There were incomplete data for two cases and these were therefore excluded. Patients were aged 2 months to 19 years. Conditions treated were facial cleft (n = 5), frontonasal dysplasia (n = 7) and facial dysostosis (n = 8).Intra‐operative complications included major haemorrhage (n = 4), bradycardia (n = 3) and unintentional tracheal extubation (n = 1). There were no peri‐operative deaths. All patients required intra‐operative blood transfusion and 15% of them had a postoperative haemoglobin concentration > 115% of their pre‐operative value. In this series, four patients required postoperative lung ventilation for a median duration of 3 days. Infants < 14 months old were significantly more likely to receive a massive blood transfusion (p = 0.0002), to have an excessively high postoperative haematocrit (p = 0.008) and to require postoperative lung ventilation (p = 0.0002) compared with older patients. We conclude that patients in this age group have a significantly increased risk of postoperative complications.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/j.1365-2044.2004.03529.x</identifier><identifier>PMID: 14687098</identifier><identifier>CODEN: ANASAB</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adolescent ; Adult ; Age Distribution ; Age Factors ; Anaesthesia ; Anesthesia ; Anesthesia, General - methods ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood Transfusion ; Child ; Child, Preschool ; Children ; Craniofacial abnormalities ; Craniofacial Abnormalities - diagnostic imaging ; Craniofacial Abnormalities - surgery ; Fluid Therapy ; Haemorrhage ; Hemoglobins - metabolism ; Humans ; Infant ; Intraoperative Complications ; Medical sciences ; Osteotomy - methods ; Perioperative Care - methods ; Postoperative Complications ; Respiration, Artificial ; Retrospective Studies ; Surgery ; Tomography, X-Ray Computed</subject><ispartof>Anaesthesia, 2004-01, Vol.59 (1), p.44-51</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4469-ed3658da602aa36fec7beb64e1e90e7cdf48654d3f9b8297e208db9dd7f463e13</citedby><cites>FETCH-LOGICAL-c4469-ed3658da602aa36fec7beb64e1e90e7cdf48654d3f9b8297e208db9dd7f463e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2044.2004.03529.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2044.2004.03529.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,4010,27900,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15522400$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14687098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mallory, S.</creatorcontrib><creatorcontrib>Yap, L. H.</creatorcontrib><creatorcontrib>Jones, B. M.</creatorcontrib><creatorcontrib>Bingham, R.</creatorcontrib><title>Anaesthetic management in facial bipartition surgery: The experience of one centre</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary
Facial bipartition is amongst the most radical craniofacial surgery undertaken but is performed rarely. There is little published information on its anaesthetic management. We undertook a retrospective case‐note review of 22 consecutive patients undergoing bipartition surgery by the same surgical team in one centre in the period 1993–2001. There were incomplete data for two cases and these were therefore excluded. Patients were aged 2 months to 19 years. Conditions treated were facial cleft (n = 5), frontonasal dysplasia (n = 7) and facial dysostosis (n = 8).Intra‐operative complications included major haemorrhage (n = 4), bradycardia (n = 3) and unintentional tracheal extubation (n = 1). There were no peri‐operative deaths. All patients required intra‐operative blood transfusion and 15% of them had a postoperative haemoglobin concentration > 115% of their pre‐operative value. In this series, four patients required postoperative lung ventilation for a median duration of 3 days. Infants < 14 months old were significantly more likely to receive a massive blood transfusion (p = 0.0002), to have an excessively high postoperative haematocrit (p = 0.008) and to require postoperative lung ventilation (p = 0.0002) compared with older patients. We conclude that patients in this age group have a significantly increased risk of postoperative complications.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Age Factors</subject><subject>Anaesthesia</subject><subject>Anesthesia</subject><subject>Anesthesia, General - methods</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Transfusion</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Craniofacial abnormalities</subject><subject>Craniofacial Abnormalities - diagnostic imaging</subject><subject>Craniofacial Abnormalities - surgery</subject><subject>Fluid Therapy</subject><subject>Haemorrhage</subject><subject>Hemoglobins - metabolism</subject><subject>Humans</subject><subject>Infant</subject><subject>Intraoperative Complications</subject><subject>Medical sciences</subject><subject>Osteotomy - methods</subject><subject>Perioperative Care - methods</subject><subject>Postoperative Complications</subject><subject>Respiration, Artificial</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu3CAQhlHUKtmkfYWKS3uzO2CMcQ-VVlGaVopaKUrOCOMhYWXjLXiV3bcv7q6aa7mAxPczMx-EUAYly-vzpmSVrAsOQpQcQJRQ1bwt92dk9e_iDVkBQFVwAe0FuUxpA8C4YuqcXDAhVQOtWpH7dTCY5mecvaWjCeYJRwwz9YE6Y70ZaOe3Js5-9lOgaRefMB6-0IdnpLjfYvQYLNLJ0SkgtTkZ8R1568yQ8P1pvyKP324err8Xd79uf1yv7worhGwL7HOnqjcSuDGVdGibDjspkGEL2NjeCSVr0Veu7RRvG-Sg-q7t-8YJWSGrrsin47vbOP3e5SH06JPFYTABp13SDZNsmTiD6gjaOKUU0elt9KOJB81ALz71Ri_a9KJNLz71X596n6MfTjV23Yj9a_AkMAMfT4BJ1gwummB9euXqmucPgMx9PXIvfsDDfzeg1z_XN8ux-gMoIJGz</recordid><startdate>200401</startdate><enddate>200401</enddate><creator>Mallory, S.</creator><creator>Yap, L. H.</creator><creator>Jones, B. M.</creator><creator>Bingham, R.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200401</creationdate><title>Anaesthetic management in facial bipartition surgery: The experience of one centre</title><author>Mallory, S. ; Yap, L. H. ; Jones, B. M. ; Bingham, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4469-ed3658da602aa36fec7beb64e1e90e7cdf48654d3f9b8297e208db9dd7f463e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Age Factors</topic><topic>Anaesthesia</topic><topic>Anesthesia</topic><topic>Anesthesia, General - methods</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Transfusion</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Craniofacial abnormalities</topic><topic>Craniofacial Abnormalities - diagnostic imaging</topic><topic>Craniofacial Abnormalities - surgery</topic><topic>Fluid Therapy</topic><topic>Haemorrhage</topic><topic>Hemoglobins - metabolism</topic><topic>Humans</topic><topic>Infant</topic><topic>Intraoperative Complications</topic><topic>Medical sciences</topic><topic>Osteotomy - methods</topic><topic>Perioperative Care - methods</topic><topic>Postoperative Complications</topic><topic>Respiration, Artificial</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mallory, S.</creatorcontrib><creatorcontrib>Yap, L. H.</creatorcontrib><creatorcontrib>Jones, B. M.</creatorcontrib><creatorcontrib>Bingham, R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anaesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mallory, S.</au><au>Yap, L. H.</au><au>Jones, B. M.</au><au>Bingham, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anaesthetic management in facial bipartition surgery: The experience of one centre</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2004-01</date><risdate>2004</risdate><volume>59</volume><issue>1</issue><spage>44</spage><epage>51</epage><pages>44-51</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><coden>ANASAB</coden><abstract>Summary
Facial bipartition is amongst the most radical craniofacial surgery undertaken but is performed rarely. There is little published information on its anaesthetic management. We undertook a retrospective case‐note review of 22 consecutive patients undergoing bipartition surgery by the same surgical team in one centre in the period 1993–2001. There were incomplete data for two cases and these were therefore excluded. Patients were aged 2 months to 19 years. Conditions treated were facial cleft (n = 5), frontonasal dysplasia (n = 7) and facial dysostosis (n = 8).Intra‐operative complications included major haemorrhage (n = 4), bradycardia (n = 3) and unintentional tracheal extubation (n = 1). There were no peri‐operative deaths. All patients required intra‐operative blood transfusion and 15% of them had a postoperative haemoglobin concentration > 115% of their pre‐operative value. In this series, four patients required postoperative lung ventilation for a median duration of 3 days. Infants < 14 months old were significantly more likely to receive a massive blood transfusion (p = 0.0002), to have an excessively high postoperative haematocrit (p = 0.008) and to require postoperative lung ventilation (p = 0.0002) compared with older patients. We conclude that patients in this age group have a significantly increased risk of postoperative complications.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>14687098</pmid><doi>10.1111/j.1365-2044.2004.03529.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Distribution Age Factors Anaesthesia Anesthesia Anesthesia, General - methods Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Transfusion Child Child, Preschool Children Craniofacial abnormalities Craniofacial Abnormalities - diagnostic imaging Craniofacial Abnormalities - surgery Fluid Therapy Haemorrhage Hemoglobins - metabolism Humans Infant Intraoperative Complications Medical sciences Osteotomy - methods Perioperative Care - methods Postoperative Complications Respiration, Artificial Retrospective Studies Surgery Tomography, X-Ray Computed |
| title | Anaesthetic management in facial bipartition surgery: The experience of one centre |
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