Postoperative management in the Intensive Care Unit of head and neck surgery patients. / Manejo postoperatorio en UCI de cirugía de cabeza y cuello.
Med Intensiva (Engl Ed)
; 44(1): 46-53, 2020.
Article
em En, Es
| MEDLINE
| ID: mdl-31174894
ABSTRACT
Patient care after major head and neck surgery has changed in recent years. Tumors are the most common reasons for this type of surgery, though it is also used to treat benign conditions. Recent advances in equipment and surgical techniques have improved the postoperative course in this field, allowing early recovery, less pain and infection, a shorter hospital stay, and even better aesthetic results. This is due to the use of minimally invasive techniques, which are gaining relevance. Such techniques allow complex procedures in the head and neck region, through natural orifices or small incisions, with minimal damage and sequelae for the patients. Despite these advances, however, the complexity of the treatment intervention requires multidisciplinary patient management, mostly in the Intensive Care Unit, in order to monitor the possible occurrence of complications. Potential risk factors include previous comorbidity, the type of surgery involved (e.g., bilateral cervical lymphadenectomy), multiple transfusions, and the appearance of early complications requiring repeat surgery. Despite the existence of several studies, there are no standardized protocols for the postoperative period in surgeries of this kind. This causes many specialists to resort to accelerated recovery protocols (ERAS "Enhanced Recovery After Surgery") that have already been established in other surgical specialties.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cuidados Pós-Operatórios
/
Procedimentos Cirúrgicos Otorrinolaringológicos
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Procedimentos Cirúrgicos Bucais
/
Cuidados Críticos
/
Unidades de Terapia Intensiva
Tipo de estudo:
Guideline
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
/
Es
Revista:
Med Intensiva (Engl Ed)
Ano de publicação:
2020
Tipo de documento:
Article