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https://hdl.handle.net/2440/93838
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Type: | Journal article |
Title: | General anaesthetic considerations for haemostasis in orbital surgery |
Author: | Sia, D. Chalmers, A. Singh, V. Malhotra, R. Selva, D. |
Citation: | Orbit: the international journal on orbital disorders, oculoplastic and lacrimal surgery, 2014; 33(1):5-12 |
Publisher: | Taylor & Francis |
Issue Date: | 2014 |
ISSN: | 0167-6830 1744-5108 |
Statement of Responsibility: | David Ik Tuo Sia, Alison Chalmers, Varjeet Singh, Raman Malhotra & Dinesh Selva |
Abstract: | Orbital surgery is often conducted in areas with limited exposure where vital structures are tightly crowded together. A bloodless field is paramount in orbital surgery for the proper identification of normal and pathologic tissue and even minimal bleeding can obscure the surgical field, making surgery more difficult and increasing the risk of complications. Surgery for highly vascular orbital lesions is an additional situation where maintaining an adequate surgical field is often challenging but paramount. The role of the anaesthetist in controlling surgical blood loss has been increasingly recognized in the last few decades. Various techniques including hypotensive anaesthesia have been described, but the control of intraoperative bleeding does not rely on a single particular technique, but a series of well-designed interventions that result in optimal conditions. An understanding of the anaesthetic considerations pertinent to haemostasis is invaluable for oculoplastic surgeons. Additionally, with the growing use of endonasal approaches to medial wall decompression and accessing the medial orbit, it has become increasingly important that orbital surgeons understand the anaesthetic requirements of their colleagues in other disciplines. |
Keywords: | Anesthetics Hemostasis hypotensive anaesthesia orbital surgery oculoplastics |
Rights: | © 2014 Informa Healthcare USA, Inc |
DOI: | 10.3109/01676830.2013.842250 |
Published version: | http://dx.doi.org/10.3109/01676830.2013.842250 |
Appears in Collections: | Aurora harvest 2 Opthalmology & Visual Sciences publications |
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