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Title: Perioperative management of face transplantation: A survey
Author: Edrich, Thomas
Cywinski, Jacek B.
Colomina Soler, M. J. (María José)
Jiménez López, Ignacio
Xiong, Lize
Sedaghati, Amir
Pomahac, Bohdan
Gilton, Alain
Keywords: Cirurgia
Trasplantament d'òrgans
Empelts de teixits
Transfusió de sang
Transplantation of organs
Tissue transplantation
Blood transfusion
Issue Date: Sep-2012
Publisher: Lippincott, Williams & Wilkins. Wolters Kluwer Health
Abstract: 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]
Note: Versió postprint del document publicat a:
It is part of: Anesthesia and Analgesia, 2012, vol. 115, num. 3, p. 668-670
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ISSN: 0003-2999
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)

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