New techniques and recommendations in the management of free flap surgery for head and neck defects in cancer patients.
Minerva Anestesiol
; 86(8): 861-871, 2020 08.
Article
in En
| MEDLINE
| ID: mdl-32486605
ABSTRACT
Free flap surgery is the gold standard surgical treatment for head and neck defects in cancer patients. Outcomes have improved considerably, probably due to recent advances in surgical techniques. In this article, we review improvements in the parameters traditionally used to optimize hematocrit levels and body temperature and to prevent vasoconstriction, and describe the use of cardiac output-guided fluid management, a technique that has proved useful in other procedures. Finally, we review other parameters used in free flap surgery, such as clotting/platelet management and nutritional optimization.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Plastic Surgery Procedures
/
Free Tissue Flaps
/
Head and Neck Neoplasms
Type of study:
Observational_studies
Limits:
Humans
Language:
En
Journal:
Minerva Anestesiol
Year:
2020
Document type:
Article