@article{oai:mdu.repo.nii.ac.jp:00001206, author = {竹内, 友康 and 中村, 勝 and 森山, 浩志 and 林, 直樹 and 広瀬, 伊佐夫 and 古澤, 清文 and 氣賀, 昌彦 and 藤本, 勝彦 and 山岡, 稔}, issue = {2}, journal = {松本歯学}, month = {Aug}, note = {application/pdf, This study examines the effects of induced hypotension anesthesia with intravenous administration of nitrogycerin by means of micro-infusion technique in 16 patients undergoing sagittal split mandibular ramus osteotomy for prognathism. The hypotension level of 80 mmHg in systolic arterial pressure was achieved and maintained during the osteotomy of both mandibular sides. The following effects were observed. 1. Both surgical and anesthetic duration decreased markedly. The average duration of surgical procedure was shortened from 6 hours and one minute at control group to 3 hours and 4 minuten at hypotensive group, and the anesthetic duration reduced from 7 hours and 16 minutes to 4 hours and 19 minutes. 2. The average of blood loss during surgey fell from 1224. 6ml to 329. 1ml. 3. Blood transfusion was not necessary for any of the hypotensive group. 4. Postoperative complication due to the induced hypotention was not encountered. These rusults suggest that the marked decrease of bleeding during the surgical procedure owed to the both reduction of operative time and improvement of surgical technique, added to the useful effects of controlled hypotension anesthesia.}, pages = {241--246}, title = {骨格性下顎前突症の外科的矯正手術における低血圧麻酔の検討}, volume = {14}, year = {1988} }