Postoperative management in the Intensive Care Unit of head and neck surgery patients

2020 ◽  
Vol 44 (1) ◽  
pp. 46-53
Author(s):  
L. Alcázar Sánchez-Elvira ◽  
S. Bacian Martínez ◽  
L. del Toro Gil ◽  
V. Gómez Tello
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Head And Neck ◽  
Neck Surgery ◽  
Postoperative Management ◽  
Head And Neck Surgery

Vascularized tissue transfer in head and neck surgery: Is intensive care unit-based management necessary?

2015 ◽  
Vol 126 (1) ◽  
pp. 73-79 ◽  
Author(s):  
Aru Panwar ◽  
Russell Smith ◽  
Daniel Lydiatt ◽  
Robert Lindau ◽  
Aaron Wieland ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Tissue Transfer

scholarly journals Anaesthesia for head and neck surgery: United Kingdom National Multidisciplinary Guidelines

2016 ◽  
Vol 130 (S2) ◽  
pp. S23-S27 ◽  
Author(s):  
P Charters ◽  
I Ahmad ◽  
A Patel ◽  
S Russell
Keyword(s):  
Intensive Care Unit ◽  
Head And Neck Cancer ◽  
Intensive Care ◽  
Head And Neck ◽  
Neck Cancer ◽  
Neck Surgery ◽  
World Health ◽  
Operative Care ◽  
Health Organization ◽  
The Uk

AbstractThis is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. The anaesthetic considerations for head and neck cancer surgery are especially challenging given the high burden of concurrent comorbidity in this patient group and the need to share the airway with the surgical team. This paper provides recommendations on the anaesthetic considerations during surgery for head and neck cancer.Recommendations• All theatre staff should participate in the World Health Organization checklist process. (R)• Post-operative airway management should be guided by local protocols. (R)• Patients admitted to post-operative care units with tracheal tubes in place should be monitored with continuous capnography. Removal for tracheal tubes is the responsibility of the anaesthetist. (R)• Anaesthetists should formally hand over care to an appropriately trained practitioner in the post-operative or intensive care unit. (G)• Intensive care unit staff looking after post-operative tracheostomies must be clear about which patients are not suitable for bag-mask ventilation and/or oral intubation in the event of emergencies. (R)

scholarly journals The management of vacuum neck drains in head and neck surgery and the comparison of two different practice protocols for drain removal

2016 ◽  
Vol 98 (1) ◽  
pp. 53-55 ◽  
Author(s):  
AV Kasbekar ◽  
F Davies ◽  
N Upile ◽  
MW Ho ◽  
NJ Roland
Keyword(s):  
Head And Neck ◽  
Length Of Hospital Stay ◽  
Patient Discharge ◽  
Neck Surgery ◽  
Postoperative Management ◽  
Head And Neck Surgery ◽  
Wound Drainage ◽  
Drain Removal ◽  
Retrospective Audit ◽  
Effective Manner

Introduction The management of vacuum neck drains in head and neck surgery is varied. We aimed to improve early drain removal and therefore patient discharge in a safe and effective manner. Methods The postoperative management of head and neck surgical patients with vacuum neck drains was reviewed retrospectively. A new policy was then implemented to measure drainage three times daily (midnight, 6am, midday). The decision for drain removal was based on the most recent drainage period (at <3ml per hour). A further patient cohort was subsequently assessed prospectively. The length of hospital stay was compared between the cohorts. Results The retrospective audit included 51 patients while the prospective audit included 47. The latter saw 16 patients (33%) discharged at least one day earlier than they would have been under the previous policy. No adverse effects were noted from earlier drain removal. Conclusions Measuring drainage volumes three times daily allows for more accurate assessment of wound drainage, and this can lead to earlier removal of neck drains and safe discharge.

scholarly journals Intensive care unit versus non-intensive care unit postoperative management of head and neck free flaps: Comparative effectiveness and cost comparisons

Head & Neck ◽  
2013 ◽  
Vol 36 (4) ◽  
pp. 536-539 ◽  
Author(s):  
Hassan Arshad ◽  
Hatice Gulcin Ozer ◽  
Aaron Thatcher ◽  
Matthew Old ◽  
Enver Ozer ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Head And Neck ◽  
Comparative Effectiveness ◽  
Free Flaps ◽  
Postoperative Management
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