Deliberate hypotensive anesthesia with the rapidly acting, vascular-selective, L-type calcium channel antagonist-clevidipine: a case report.
Abstract
Deliberate hypotension is an important technique for use in select anesthetics for procedures such as orthognathic surgery, specifically LeFort I maxillary osteotomy. We present a case report of an anesthetic involving deliberate hypotension for a 17-year-old female patient who presented for a LeFort I osteotomy, bilateral sagittal split of the mandible, and a genioplasty in order to correct a skeletal class III malocclusion. After reaching a steady-state general anesthetic, deliberate hypotension was induced solely with a bolus and subsequent continuous infusion of the ultrashort acting calcium channel blocker, clevidipine. The preoperative, intraoperative, and postoperative course and anesthetic management are discussed.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | genioplasty
|
턱끝성형술 | dict | 1 | |
| 시술 | orthognathic surgery
|
안면윤곽술 | dict | 1 | |
| 해부 | mandible
|
하악골 | dict | 1 | |
| 합병증 | anesthetics
|
scispacy | 1 | ||
| 약물 | calcium
|
C0006675
calcium
|
scispacy | 1 | |
| 약물 | clevidipine
|
C0766108
clevidipine
|
scispacy | 1 | |
| 약물 | L-type calcium
|
scispacy | 1 | ||
| 질환 | hypotensive
|
C0857353
Hypotensive
|
scispacy | 1 | |
| 질환 | hypotension
|
C0020649
Hypotension
|
scispacy | 1 | |
| 질환 | malocclusion
|
C0024636
Malocclusion
|
scispacy | 1 | |
| 기타 | antagonist-clevidipine
|
scispacy | 1 | ||
| 기타 | maxillary
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 | ||
| 기타 | bilateral sagittal split
|
scispacy | 1 |
MeSH Terms
Adolescent; Anesthesia, Dental; Anesthesia, General; Anesthesia, Intravenous; Anesthetics, Local; Antiemetics; Calcium Channel Blockers; Female; Genioplasty; Humans; Hypotension, Controlled; Intubation, Intratracheal; Malocclusion, Angle Class III; Orthognathic Surgical Procedures; Osteotomy, Le Fort; Osteotomy, Sagittal Split Ramus; Pyridines; Respiration, Artificial
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