ArticleISRN surgery2013
Control of bleeding in endoscopic skull base surgery: current concepts to improve hemostasis.
Article in ISRN surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Influence of Blood Pressure Upon the Clarity of Surgical Field in Endonasal Surgery
Comparative Study Between the Efficacy of Verapamil and Bisoprolol on Reduction of Bleeding During Endoscopic Sinus Surgery Under General Anaesthesia.
Comparative Study Between the Efficacy of Oral Verapamil and Oral Diltiazim on Reduction of Intraoperative Bleeding During Endoscopic Sinus Surgery Under General Anesthesia
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effects of reverse trendelemburg position during intracranial neurosurgery on brain hydrodynamics and hemodynamics: a systematic review and meta-analysis.Neurosurgical review · 2025Pooled it
- Transophthalmic Artery Embolization of Anterior Skull Base Meningiomas: Technical Case Series.AJNR. American journal of neuroradiology · 2025Article
- Article
- Advances in the development and optimization strategies of the hemostatic biomaterials.Frontiers in bioengineering and biotechnology · 2022Review
- Transnasal endoscopic skull base surgery in the COVID-19 era: Recommendations for increasing the safety of the method.Advances in medical sciences · 2021Review
- Evaluation of selected parameters of the coagulation system during the perioperative period in patients undergoing endoscopic surgery of the paranasal sinuses.Archives of medical science : AMS · 2020Article
- Is Pterygopalatine Fossa Injection with Adrenaline an Effective Technique for Better Surgical Field in Fess?Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2017Article
- An ergonomic assessment of operating table and surgical stool heights for seated otolaryngology procedures.Allergy & rhinology (Providence, R.I.) · 2017Article
- Endoscopic Management of Cavernous Carotid Surgical Complications: Evaluation of a Simulated Perfusion Model.World neurosurgery · 2017Article
- A single-port operator-controlled flexible endoscope system for endoscopic skull base surgery.HNO · 2015Article
- Endoscopic resection of sinonasal cancers.Current oncology reports · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hemostasis is critical for adequate anatomical visualization during endoscopic endonasal skull base surgery. Reduction of intraoperative bleeding should be considered during the treatment planning and continued throughout the perioperative period. Preoperative preparations include the optimization of comorbidities and cessation of drugs that may inhibit coagulation. Intraoperative considerations comprise anesthetic and surgical aspects. Controlled hypotension is the main anesthetic technique to reduce bleeding; however, there is controversy regarding its effectiveness; what the appropriate mean arterial pressure is and how to maintain it. In extradural cases, we advocate a mean arterial pressure of 65-70 mm Hg to reduce bleeding while preventing ischemic complications. For dealing intradural lesion, controlled hypotension should be cautious. We do not advocate a marked blood pressure reduction, as this often affects the perfusion of neural structures. Further reduction could lead to stroke or loss of cranial nerve function. From the surgical perspective, there are novel technologies and techniques that reduce bleeding, thus, improving the visualization of the surgical field.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.