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  • Abstract
  • INTRODUCTION
  • CASE REPORT
  • DISCUSSION
  • CONCLUSION
  • REFERENCES
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Abstract

Deliberate hypotension is an important technique for use in select anesthetics for procedures such as orthognathic surgery, specifically LeFort I maxillary osteotomy. We present a case report of an anesthetic involving deliberate hypotension for a 17-year-old female patient who presented for a LeFort I osteotomy, bilateral sagittal split of the mandible, and a genioplasty in order to correct a skeletal class III malocclusion. After reaching a steady-state general anesthetic, deliberate hypotension was induced solely with a bolus and subsequent continuous infusion of the ultrashort acting calcium channel blocker, clevidipine. The preoperative, intraoperative, and postoperative course and anesthetic management are discussed.

Keywords: Deliberate hypotension; Bolus infusion; Dental anesthesiology; Calcium channel antagonist; Orthognathic surgery; General anesthesia; Narcotics; Hemodynamics; IV agents; Hemostasis; Pain control; Post-operative pain management; PONV; Nasotracheal intubation; Anti-emetic prophylaxis; Maxillomandibular fixation
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ADSA Society

eISSN: 1878-7177

ISSN: 0003-3006

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