Título:
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Perioperative management of face transplantation: A survey
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Autor/a:
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Edrich, Thomas; Cywinski, Jacek B.; Colomina Soler, M. J. (María José); Jiménez López, Ignacio; Xiong, Lize; Sedaghati, Amir; Pomahac, Bohdan; Gilton, Alain
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Otros autores:
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Universitat de Barcelona |
Abstract:
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Background: Since the first facial allograft transplantation was reported in France in 2005, 18 cases have been performed in 4 countries and the rate is increasing. Methods: We have devised a survey to assess anesthesia-related management and rationale of facial allograft transplantation. It was sent to the lead anesthesiologists of the first 14 face transplants performed worldwide. Results: Responses were received corresponding to 13 face transplants. The median duration of surgery and anesthesia was 19 hours (95% confidence interval 15-23 hours). The surgical preparation and dissection of multiple small anatomical structures of the recipient was time-consuming for 11 cases. Blood loss was considerable. All patients received packed red blood cells (median 20 U, 95% confidence interval 5-28 U). A median of 13 L of crystalloid was administered (95% confidence interval 10-18 L). Conclusions: During facial allograft transplantation, the anesthesiologist must be prepared for a long anesthetic with rapid blood loss after reperfusion of the graft. Comment in Out on a limb with composite tissue allografts: expanding the immunology toolbox. [Anesth Analg. 2012] |
Materia(s):
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-Cirurgia -Trasplantament d'òrgans -Empelts de teixits -Cara -Transfusió de sang -Surgery -Transplantation of organs -Tissue transplantation -Face -Blood transfusion |
Derechos:
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(c) International Anesthesia Research Society, 2012
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Tipo de documento:
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Artículo Artículo - Versión aceptada |
Editor:
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Lippincott, Williams & Wilkins. Wolters Kluwer Health
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