Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central

El concepto de cirugía ortognática implica la manipulación quirúrgica de los elementos esqueléticos faciales para restaurar la anatomía y relaciones funcionales en pacientes con anomalías dentofaciales, y estas a su vez impactan a diferentes niveles funcionales, como: fonación, respiración y estétic...

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Fecha de publicación:
2016
Institución:
Universidad Militar Nueva Granada
Repositorio:
Repositorio UMNG
Idioma:
spa
OAI Identifier:
oai:repository.unimilitar.edu.co:10654/7374
Acceso en línea:
http://hdl.handle.net/10654/7374
Palabra clave:
Cirugía ortognatica
Hemorragia
Hemoglobina
Transfusión sanguínea
Deformidad dentofacial
CIRUGIA FACIAL
COMPLICACIONES POSTOPERATORIAS
HEMORRAGIA POSTOPERATORIA
Orthognatic surgery
Hemorrhage
Blood transfusión
Hemoglobin
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dc.title.spa.fl_str_mv Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central
dc.title.titleenglish.spa.fl_str_mv Features clinicals and sociodemographics associated to risk blood loss in orthognathic surgery in Central Military Hospital
title Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central
spellingShingle Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central
Cirugía ortognatica
Hemorragia
Hemoglobina
Transfusión sanguínea
Deformidad dentofacial
CIRUGIA FACIAL
COMPLICACIONES POSTOPERATORIAS
HEMORRAGIA POSTOPERATORIA
Orthognatic surgery
Hemorrhage
Blood transfusión
Hemoglobin
title_short Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central
title_full Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central
title_fullStr Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central
title_full_unstemmed Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central
title_sort Características clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar Central
dc.contributor.advisor.none.fl_str_mv Eslava Jacome, Camilo Alberto
dc.subject.spa.fl_str_mv Cirugía ortognatica
Hemorragia
Hemoglobina
Transfusión sanguínea
Deformidad dentofacial
topic Cirugía ortognatica
Hemorragia
Hemoglobina
Transfusión sanguínea
Deformidad dentofacial
CIRUGIA FACIAL
COMPLICACIONES POSTOPERATORIAS
HEMORRAGIA POSTOPERATORIA
Orthognatic surgery
Hemorrhage
Blood transfusión
Hemoglobin
dc.subject.lemb.spa.fl_str_mv CIRUGIA FACIAL
COMPLICACIONES POSTOPERATORIAS
HEMORRAGIA POSTOPERATORIA
dc.subject.keyword.spa.fl_str_mv Orthognatic surgery
Hemorrhage
Blood transfusión
Hemoglobin
description El concepto de cirugía ortognática implica la manipulación quirúrgica de los elementos esqueléticos faciales para restaurar la anatomía y relaciones funcionales en pacientes con anomalías dentofaciales, y estas a su vez impactan a diferentes niveles funcionales, como: fonación, respiración y estética. La complejidad de la irrigación facial representa un reto para el equipo quirurgico, en el diseño del manejo intraoperatorio respecto a tecnica quirurgica, e intervenciones durante la cirugia, y despues de la misma. A partir de la revisión de la literatura y las evidencias medicas, en OVID, PubMed, Cochrane library y guias de manejo, que dieran un enfoque integral del sangrado intraoperatorio en pacientes sometidos a cirugia ortognatica, reportando cambios de hemoglobina preoperaotoria y post operatoria , durante el periodo de julio 2014 a julio 2015.
publishDate 2016
dc.date.accessioned.none.fl_str_mv 2016-02-08T18:55:13Z
2019-12-30T18:58:49Z
dc.date.available.none.fl_str_mv 2016-02-08T18:55:13Z
2019-12-30T18:58:49Z
dc.date.created.none.fl_str_mv 2016-08-15
dc.type.spa.fl_str_mv info:eu-repo/semantics/bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.spa.spa.fl_str_mv Trabajo de grado
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10654/7374
url http://hdl.handle.net/10654/7374
dc.language.spa.fl_str_mv spa
language spa
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rights_invalid_str_mv http://purl.org/coar/access_right/c_abf2
dc.format.spa.fl_str_mv pdf
dc.coverage.spatial.spa.fl_str_mv Medicina
dc.publisher.spa.fl_str_mv Universidad Militar Nueva Granada
dc.publisher.department.spa.fl_str_mv Facultad de Medicina
dc.publisher.program.spa.fl_str_mv Cirugía oral y maxilofacial
institution Universidad Militar Nueva Granada
dc.source.bibliographicCitation.spa.fl_str_mv 1. Allwright WC, Bundred WH. A survey of handicapping dentofacial anomalies among Chinese in Hong Kong. Int Dent J 14:505– 519, 1964.
2. Bjork A, Krebs A, Solow B. A method for epidemiological registration of malocclusion. Acta Odontol Scand 22:27–41, 1964
3. Helm S. Intra-examiner reliability of epidemiological registrations of malocclusion, Acta Odontol Scand 35:161–165, 1977.
4. Kelly JF, Helfrick JF, Smith DW, Jones BL: A survey of oral and maxillofacial surgeons concerning their knowledge, beliefs, attitudes, and behavior relative to parameters of care. J Oral Maxillofac Surg 50:50–58, 1992.
5. Shinagawa A, Melhem F, Campos A, Predictors of pain and prolonged length of stay after orthognathic surgery: A retrospective cohort study. revcolomban estesiol 2015;4 3(2):129–135
6. Posnick J: Orthognathic Surgery, Principles and practice: Cap 2- Pioneers and Milestones in the field of orthognathic surgery p: 21,25. 2014
7. Piñeiro-Aguilar A, Somoza-Martín M: Blood Loss in Orthognathic Surgery: A Systematic Review. J Oral Maxillofac Surg 69:885-892, 2011.
8. Bell W, Modern practice in orthognathic surgery, 1992, Vol 1, Cap 5: Preoperative, intraoperative and postoperative care
9. Silva C, Turrini N. Complications in orthognathic surgery: A comprehensive review. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 24 (2012) 67–74.
10. Robl M,Farrell B, Tucker M. Complications in Orthognathic Surgery, A Report of 1000 Cases. Oral Maxillofacial Surg Clin N Am 26 (2014) 599–609.
11. Rummasak D, Apipan B, Kaewpradup P. Factors That Determine Intraoperative Blood Loss in Bimaxillary Osteotomies and the Need for Preoperative Blood Preparation. J Oral Maxillofac Surg 69: p456-460, 2011.
12. Ueki K, Marukawa K, Shimada M,Yamamoto E. The Assessment of Blood Loss inOrthognathic Surgery for Prognathia. J Oral Maxillofac Surg 63:350-354, 2005
13. Sharma S. Sharma P. Tyler L. Transfusion of blood and blood products: Indications and Complications. Am Fam Physician.2011;83(6) : 719-724
14. Choi W, Samman Risks and benefits of deliberate hypotension in anaesthesia: a systematic review. J oral and maxillofacial surgery Volume 37, Issue 8, Pages 687–703(2008).
15. Kretschmer W, Baciut G, Bacuit M. Intraoperative blood loss in bimaxillary orthognathic surgery with multisegmental Le Fort I osteotomies and additional procedures. British Journal of Oral and Maxillofacial Surgery 48 (2010) 276–280.
16. Kaewpradub P,Benjamas A,Rummasak D. Does Tranexamic Acid in an Irrigating Fluid Reduce Intraoperative Blood Loss in Orthognathic Surgery? A Double-Blind, Randomized Clinical Trial. Journal of Oral and Maxillofacial Surgery, Volume 69, Issue 6, June 2011, Pages 186-189.
17. Sankar D, Krishnan R, Veerabahu M, Evaluation of the efficacy of tranexamic acid on blood loss in orthognathic surgery. A prospective, randomized clinical study. International Journal of Oral and Maxillofacial Surgery, Volume 41, Issue 6,June 2012, Pages 713-717.
18. Stroncek D.Pulmonary Transfusion Reactions. Seminars in Hematology, Volume 44, Issue 1, January 2007, Pages 2-14.
19. Shaz B, Stowell S, Hillyer C. Transfusion-related acute lung injury: from bedside to bench and back. BLOOD, 3 FEBRUARY 2011 _ VOLUME 117, NUMBER 5.
20. Sihler K, Napolitano L. Complications of Massive Transfusion. CHEST / 137 / 1 / JANUARY, 2010.
21. Kretschmer WB, Baciut G, Bacuit M, Zoder W, Wangerin K. Intraoperative blood loss in bimaxillary orthognathic surgery with multisegmental Le Fort I osteotomies and additional procedures. Br J Oral Maxillofac Surg. 2010; 48:276-80
22. Kaewpradub P,Benjamas A,Rummasak D. Does Tranexamic Acid in an Irrigating Fluid Reduce Intraoperative Blood Loss in Orthognathic Surgery? A Double-Blind, Randomized Clinical Trial. Journal of Oral and Maxillofacial Surgery, Volume 69, Issue 6, June 2011, Pages 186-189.
23. Sankar D, Krishnan R, Veerabahu M, Evaluation of the efficacy of tranexamic acid on blood loss in orthognathic surgery. A prospective, randomized clinical study. International Journal of Oral and Maxillofacial Surgery, Volume 41, Issue 6,June 2012, Pages 713-717.
24. Han J, Martin G.S. Rational or rationalized choices in fluids resuscitation? Han and Martin Critical Care 2010,14: 1006.
25. Nolan J.P, Mythen G. Hydroxyethyl starch- here today, gone tomorrow. British Journal of Anaesthesia 111 (3) Pages. 321-4 (2013).
26. Groeneveld J, Navickis R, Wilkes M. Update on the Comparative Safety of Colloids A Systematic Review of Clinical Studies 2011. Ann Surg. 2011 Mar;253(3):470-83
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spelling Eslava Jacome, Camilo AlbertoFigueroa Avendaño, Jenniffer StellaSosa Mendoza, Walter Antanasjenniffer.figue@gmail.comEspecialista en Cirugía Oral y MaxilofacialMedicina2016-02-08T18:55:13Z2019-12-30T18:58:49Z2016-02-08T18:55:13Z2019-12-30T18:58:49Z2016-08-15http://hdl.handle.net/10654/7374El concepto de cirugía ortognática implica la manipulación quirúrgica de los elementos esqueléticos faciales para restaurar la anatomía y relaciones funcionales en pacientes con anomalías dentofaciales, y estas a su vez impactan a diferentes niveles funcionales, como: fonación, respiración y estética. La complejidad de la irrigación facial representa un reto para el equipo quirurgico, en el diseño del manejo intraoperatorio respecto a tecnica quirurgica, e intervenciones durante la cirugia, y despues de la misma. A partir de la revisión de la literatura y las evidencias medicas, en OVID, PubMed, Cochrane library y guias de manejo, que dieran un enfoque integral del sangrado intraoperatorio en pacientes sometidos a cirugia ortognatica, reportando cambios de hemoglobina preoperaotoria y post operatoria , durante el periodo de julio 2014 a julio 2015.The concept of orthognathic surgery involves surgical manipulation of facial skeletal elements to restore the anatomy and functional relationships in patients with dentofacial anomalies, and these in turn impacting different functional levels, as phonation, respiration and aesthetics. The complexity of the facial irrigation represents a challenge for the surgical team, in the design of intraoperative management regarding surgical technique, and interventions during surgery, and after it. From the literature review and the medical evidence, in Ovid, PubMed, Cochrane library and management guidelines, which give a comprehensive approach to intraoperative bleeding in patients undergoing orthognathic surgery, reporting changes and postoperative hemoglobin preoperaotoria during the period of July 2014 to July 2015. Key words: Ortognathic surgery, Hemorrhage, Heme, Blood Substitutes Dentofacial DeformitiespdfspaUniversidad Militar Nueva GranadaFacultad de MedicinaCirugía oral y maxilofacialCirugía ortognaticaHemorragiaHemoglobinaTransfusión sanguíneaDeformidad dentofacialCIRUGIA FACIALCOMPLICACIONES POSTOPERATORIASHEMORRAGIA POSTOPERATORIAOrthognatic surgeryHemorrhageBlood transfusiónHemoglobinCaracterísticas clínicas y sociodemográficas asociadas al riesgo de pérdidas sanguíneas en cirugía ortognatica en el Hospital Militar CentralFeatures clinicals and sociodemographics associated to risk blood loss in orthognathic surgery in Central Military Hospitalinfo:eu-repo/semantics/bachelorThesisTrabajo de gradohttp://purl.org/coar/resource_type/c_7a1f1. Allwright WC, Bundred WH. A survey of handicapping dentofacial anomalies among Chinese in Hong Kong. Int Dent J 14:505– 519, 1964.2. Bjork A, Krebs A, Solow B. A method for epidemiological registration of malocclusion. Acta Odontol Scand 22:27–41, 19643. Helm S. Intra-examiner reliability of epidemiological registrations of malocclusion, Acta Odontol Scand 35:161–165, 1977.4. Kelly JF, Helfrick JF, Smith DW, Jones BL: A survey of oral and maxillofacial surgeons concerning their knowledge, beliefs, attitudes, and behavior relative to parameters of care. J Oral Maxillofac Surg 50:50–58, 1992.5. Shinagawa A, Melhem F, Campos A, Predictors of pain and prolonged length of stay after orthognathic surgery: A retrospective cohort study. revcolomban estesiol 2015;4 3(2):129–1356. Posnick J: Orthognathic Surgery, Principles and practice: Cap 2- Pioneers and Milestones in the field of orthognathic surgery p: 21,25. 20147. Piñeiro-Aguilar A, Somoza-Martín M: Blood Loss in Orthognathic Surgery: A Systematic Review. J Oral Maxillofac Surg 69:885-892, 2011.8. Bell W, Modern practice in orthognathic surgery, 1992, Vol 1, Cap 5: Preoperative, intraoperative and postoperative care9. Silva C, Turrini N. Complications in orthognathic surgery: A comprehensive review. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 24 (2012) 67–74.10. Robl M,Farrell B, Tucker M. Complications in Orthognathic Surgery, A Report of 1000 Cases. Oral Maxillofacial Surg Clin N Am 26 (2014) 599–609.11. Rummasak D, Apipan B, Kaewpradup P. Factors That Determine Intraoperative Blood Loss in Bimaxillary Osteotomies and the Need for Preoperative Blood Preparation. J Oral Maxillofac Surg 69: p456-460, 2011.12. Ueki K, Marukawa K, Shimada M,Yamamoto E. The Assessment of Blood Loss inOrthognathic Surgery for Prognathia. J Oral Maxillofac Surg 63:350-354, 200513. Sharma S. Sharma P. Tyler L. Transfusion of blood and blood products: Indications and Complications. Am Fam Physician.2011;83(6) : 719-72414. Choi W, Samman Risks and benefits of deliberate hypotension in anaesthesia: a systematic review. J oral and maxillofacial surgery Volume 37, Issue 8, Pages 687–703(2008).15. Kretschmer W, Baciut G, Bacuit M. Intraoperative blood loss in bimaxillary orthognathic surgery with multisegmental Le Fort I osteotomies and additional procedures. British Journal of Oral and Maxillofacial Surgery 48 (2010) 276–280.16. Kaewpradub P,Benjamas A,Rummasak D. Does Tranexamic Acid in an Irrigating Fluid Reduce Intraoperative Blood Loss in Orthognathic Surgery? A Double-Blind, Randomized Clinical Trial. Journal of Oral and Maxillofacial Surgery, Volume 69, Issue 6, June 2011, Pages 186-189.17. Sankar D, Krishnan R, Veerabahu M, Evaluation of the efficacy of tranexamic acid on blood loss in orthognathic surgery. A prospective, randomized clinical study. International Journal of Oral and Maxillofacial Surgery, Volume 41, Issue 6,June 2012, Pages 713-717.18. Stroncek D.Pulmonary Transfusion Reactions. Seminars in Hematology, Volume 44, Issue 1, January 2007, Pages 2-14.19. Shaz B, Stowell S, Hillyer C. Transfusion-related acute lung injury: from bedside to bench and back. BLOOD, 3 FEBRUARY 2011 _ VOLUME 117, NUMBER 5.20. Sihler K, Napolitano L. Complications of Massive Transfusion. CHEST / 137 / 1 / JANUARY, 2010.21. Kretschmer WB, Baciut G, Bacuit M, Zoder W, Wangerin K. Intraoperative blood loss in bimaxillary orthognathic surgery with multisegmental Le Fort I osteotomies and additional procedures. Br J Oral Maxillofac Surg. 2010; 48:276-8022. Kaewpradub P,Benjamas A,Rummasak D. Does Tranexamic Acid in an Irrigating Fluid Reduce Intraoperative Blood Loss in Orthognathic Surgery? A Double-Blind, Randomized Clinical Trial. Journal of Oral and Maxillofacial Surgery, Volume 69, Issue 6, June 2011, Pages 186-189.23. Sankar D, Krishnan R, Veerabahu M, Evaluation of the efficacy of tranexamic acid on blood loss in orthognathic surgery. A prospective, randomized clinical study. International Journal of Oral and Maxillofacial Surgery, Volume 41, Issue 6,June 2012, Pages 713-717.24. Han J, Martin G.S. Rational or rationalized choices in fluids resuscitation? Han and Martin Critical Care 2010,14: 1006.25. Nolan J.P, Mythen G. Hydroxyethyl starch- here today, gone tomorrow. British Journal of Anaesthesia 111 (3) Pages. 321-4 (2013).26. Groeneveld J, Navickis R, Wilkes M. Update on the Comparative Safety of Colloids A Systematic Review of Clinical Studies 2011. Ann Surg. 2011 Mar;253(3):470-83http://purl.org/coar/access_right/c_abf2LICENSElicense.txttext/plain1521http://repository.unimilitar.edu.co/bitstream/10654/7374/1/license.txt57c1b5429c07cf705f9d5e4ce515a2f6MD51ORIGINALInforme Final tesis.pdfapplication/pdf10733909http://repository.unimilitar.edu.co/bitstream/10654/7374/2/Informe%20Final%20tesis.pdf4122a0c3b728b4bd030a6e5e78f8ec1fMD52TEXTInforme Final tesis.pdf.txtExtracted texttext/plain111717http://repository.unimilitar.edu.co/bitstream/10654/7374/3/Informe%20Final%20tesis.pdf.txta0d08d8d21be1f9ac8a4ebd46e696383MD53THUMBNAILInforme Final tesis.pdf.jpgIM Thumbnailimage/jpeg7411http://repository.unimilitar.edu.co/bitstream/10654/7374/4/Informe%20Final%20tesis.pdf.jpga9f4dccf23673f54e8c3f77b1b141c74MD5410654/7374oai:repository.unimilitar.edu.co:10654/73742019-12-30 13:58:49.316Repositorio Institucional UMNGbibliodigital@unimilitar.edu.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