Anesthesia and Enhanced Recovery After Head and Neck Surgery

被引：12
作者：
Worrall, Douglas M. [1 ]
Tanella, Anthony [2 ]
DeMaria, Samuel, Jr. [2 ]
Miles, Brett A. [1 ]
机构：
[1] Icahn Sch Med Mt Sinai, Dept Otolaryngol Head & Neck Surg, One Gustave L Levy Pl Box 1189, New York, NY 10029 USA
[2] Icahn Sch Med Mt Sinai, Dept Anesthesiol, One Gustave L Levy Pl Box 1010, New York, NY 10029 USA
来源：
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2019年 / 52卷 / 06期
关键词：
Enhanced recovery; Fast track surgery; Major head and neck surgery; Preoperative carbohydrate loading; Evidence-based medicine; Surgical outcomes; Length of stay; Cost; FREE-FLAP RECONSTRUCTION; NICOTINE REPLACEMENT THERAPY; CLEAN-CONTAMINATED HEAD; FREE TISSUE TRANSFER; POSTOPERATIVE PULMONARY COMPLICATIONS; PROTON PUMP INHIBITORS; RISK-FACTORS; MAJOR HEAD; ANTIBIOTIC-PROPHYLAXIS; VENOUS THROMBOEMBOLISM;
D O I：
10.1016/j.otc.2019.08.008
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Enhanced recovery protocols have been developed from gastrointestinal, colorectal, and thoracic surgery populations. The basic tenets of head and neck enhanced recovery are: a multidisciplinary team working around the patient, preoperative carbohydrate loading, multimodal analgesia, early mobilization and oral feeding, and frequent reassessment and auditing of protocols to improve patient outcomes. The implementation of enhanced recovery protocols across surgical populations appear to decrease length of stay, reduce cost, and improve patient satisfaction without sacrificing patient quality of care or changing readmission rates. This article examines evidence-based enhanced recovery interventions and tailors them to a major head and neck surgery population.
引用
收藏
页码：1095 / +
页数：21
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