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2012-09

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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/107912

Perioperative management of face transplantation: A survey

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Recurs relacionat

https://doi.org/10.1213/ANE.0b013e3182554493

Resum

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]

Matèries

Cirurgia, Trasplantament d'òrgans, Empelts de teixits, Cara, Transfusió de sang

Matèries (anglès)

Surgery, Transplantation of organs, Tissue transplantation, Face, Blood transfusion

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Col·leccions

Articles publicats en revistes (Ciències Clíniques)

Citació

EDRICH, Thomas, et al. Perioperative management of face transplantation: A survey. Anesthesia and Analgesia. 2012. Vol. 115, num. 3, pags. 668-670. ISSN 0003-2999. [consulted: 16 of August of 2026]. Available at: https://hdl.handle.net/2445/107912

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