Arch Otolaryngol
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Patients with significant medical problems requiring major otolaryngology procedures are at high risk for both medical and surgical complications. ⋯ Prolonged anesthesia times of 8 hours or more, a history of hepatitis, and large-volume intraoperative fluid resuscitations predicted adverse outcomes. Special care must be taken in counseling these patients preoperatively and in caring for them during their operative and postoperative course.