Intensive care unit versus non-intensive care unit postoperative management of head and neck free flaps: Comparative effectiveness and cost comparisons

Head and Neck

Volumn 36, Issue 4, 2014, Pages 536-539

  Arshad, Hassan ^a   Ozer, Hatice Gulcin ^b   Thatcher, Aaron ^c   Old, Matthew ^d   Ozer, Enver ^d   Agarwal, Amit ^d   Jafari, Hosseinali ^e   Birkheimer, Danette ^d   Basinger, Heidi ^d   Forest, L Arrick ^b   Schuller, David E ^d   Teknos, Theodoros N ^d  

^a ROSWELL PARK CANCER INSTITUTE   (United States)

^b THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER   (United States)

^c UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^d OHIO STATE UNIVERSITY   (United States)

^e SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

free flap; head and neck; ICU; microvascular reconstruction; postoperative management

Indexed keywords

ADULT; ARTICLE; COMPARATIVE EFFECTIVENESS; COST BENEFIT ANALYSIS; CRANIOTOMY; FEMALE; FREE TISSUE GRAFT; GRAFT FAILURE; HEAD AND NECK CANCER; HEAD AND NECK FREE FLAP; HEALTH CARE QUALITY; HOSPITAL CHARGE; HOSPITAL COST; HOSPITALIZATION; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; LENGTH OF STAY; LUNG DISEASE; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MORBIDITY; OPERATION DURATION; OXYGEN DESATURATION; PATIENT TRANSPORT; POSTOPERATIVE CARE; POSTOPERATIVE HEMORRHAGE; PRIORITY JOURNAL; THORACOTOMY; TREATMENT OUTCOME;

FREE FLAP; HEAD AND NECK; ICU; MICROVASCULAR RECONSTRUCTION; POSTOPERATIVE MANAGEMENT;

BLOOD LOSS, SURGICAL; FEMALE; FREE TISSUE FLAPS; GRAFT SURVIVAL; HEAD AND NECK NEOPLASMS; HOSPITAL COSTS; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; OHIO; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES;

EID: 84896135597     PISSN: 10433074     EISSN: 10970347     Source Type: Journal    
DOI: 10.1002/hed.23325     Document Type: Article

References (8)

1. Spiegel JH, Polat JK,. Microvascular flap reconstruction by otolaryngologists: prevalence, postoperative care, and monitoring techniques. Laryngoscope 2007; 117: 485-490.
2. Haddock NT, Gobble RM, Levine JP,. More consistent postoperative care and monitoring can reduce costs following microvascular free flap reconstruction. J Reconstr Microsurg 2010; 26: 435-439.
3. Godden DR, Patel M, Baldwin A, Woodwards RT,. Need for intensive care after operations for head and neck cancer surgery. Br J Oral Maxillofac Surg 1999; 37: 502-505.
4. To EW, Tsang WM, Lai EC, Chu MC,. Retrospective study on the need of intensive care unit admission after major head and neck surgery. ANZ J Surg 2002; 72: 11-14.
5. Nkenke E, Vairaktaris E, Stelzle F, Neukam FW, St Pierre M,. No reduction in complication rate by stay in the intensive care unit for patients undergoing surgery for head and neck cancer and microvascular reconstruction. Head Neck 2009; 31: 1461-1469.
6. Allak A, Nguyen TN, Shonka DC Jr, Reibel JF, Levine PA, Jameson MJ,. Immediate postoperative extubation in patients undergoing free tissue transfer. Laryngoscope 2011; 121: 763-768.
7. McVeigh KP, Moore R, James G, Hall T, Barnard N,. Advantages of not using the intensive care unit after operations for oropharyngeal cancer: an audit at Worcester Royal Hospital. Br J Oral Maxillofac Surg 2007; 45: 648-651.
8. McMillian WD, Taylor S, Lat I,. Sedation, analgesia, and delirium in the critically ill patient. J Pharm Pract 2011; 24: 27-34.