scholarly journals Postoperative Management of Patients with Cervicofacial Free Flap in Surgical Intensive Care Unit: An Updated Clinical Protocol

2020 ◽  
pp. 1-4
Author(s):  
Cyrus Motamed ◽  
Cyrus Motamed ◽  
Lauriane Bordenave ◽  
Stéphanie Suria

Postoperative management of complex cervico-facial cancer tumor removal followed by free flap reconstruction is evolving since its early beginning 20 years ago. Flap surveillance is a major goal in this period, however the management of comorbidities to predict a favorable outcome cannot be neglected. Based on our experience in this field and recent literature we updated our postoperative management protocol which focus on management of different comorbidities to maintain favorable outcome for the graft and the patient.

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
William C. Fox ◽  
Matthew Read ◽  
Richard E. Moon ◽  
Eugene W. Moretti ◽  
Brian J. Colin

Paragangliomas and pheochromocytomas are rare neuroendocrine tumors that can have high morbidity and mortality if undiagnosed. Here we report a case of an undiagnosed paraganglioma in a 58-year-old female who underwent tumor resection. The patient became severely hypertensive intraoperatively with paroxysmal swings in blood pressure and then later became acutely hypotensive after tumor removal. She was managed in the surgical intensive care unit (SICU) postoperatively and discharged from the hospital without acute complications. We briefly discuss the epidemiology, clinical presentation, perioperative management, and possible complications of these tumors to assist healthcare providers if one were to encounter them.


2019 ◽  
Author(s):  
Ramez Philips ◽  
Alexander Graf ◽  
Michael Topf ◽  
Howard Krein ◽  
Ryan Heffelfinger ◽  
...  

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