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Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/107912
Perioperative management of face transplantation: A survey
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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]
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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: 9 of June of 2026]. Available at: https://hdl.handle.net/2445/107912