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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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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, CYWINSKI, Jacek b., COLOMINA SOLER, M. j. (maría josé), JIMÉNEZ LÓPEZ, Ignacio, XIONG, Lize, SEDAGHATI, Amir, POMAHAC, Bohdan, GILTON, Alain. Perioperative management of face transplantation: A survey. _Anesthesia and Analgesia_. 2012. Vol. 115, núm. 3, pàgs. 668-670. [consulta: 21 de gener de 2026]. ISSN: 0003-2999. [Disponible a: https://hdl.handle.net/2445/107912]

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