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Minerva anestesiologica · Aug 2020
ReviewNew techniques and recommendations in the management of free flap surgery for head and neck defects in cancer patients.
- Blanca Tapia, Elena Garrido, Jose L Cebrian, CastilloJose L DelJLDDepartment of Oral and Maxillofacial Surgery, La Paz University Hospital, Madrid, Spain., Estibaliz Alsina, and Fernando Gilsanz.
- Department of Anesthesia and Intensive Care, La Paz University Hospital, Madrid, Spain - btapiasal@gmail.com.
- Minerva Anestesiol. 2020 Aug 1; 86 (8): 861-871.
AbstractFree 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.
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