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Intraoperative and postanesthesia care unit fluid administration as risk factors for postoperative complications in patients with head and neck cancer undergoing free tissue transfer
- Source :
- Head Neck
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Background This study aims to evaluate the impact of perioperative fluid administration, defined as fluid delivered intraoperatively and in the postanesthesia care unit, on postoperative outcomes. Methods Medical records of 102 patients with oral cavity squamous cell carcinoma undergoing free flap reconstruction between January 2011 and December 2015 were reviewed. The primary endpoint was development of a postoperative complication according to the Clavien-Dindo classification. Perioperative factors recorded were Washington University Head and Neck Comorbidity Index, operating time, vasopressor use, blood loss, intraoperative fluid, and perioperative fluid. Results Greater perioperative fluid administration was independently associated with surgical complications, flap complications, overall incidence of any complication, and increased length of stay. Greater intraoperative fluid administration was independently associated with higher rates of surgical complications. Intraoperative delivery of vasopressors was not associated with flap or surgical complications. Conclusion Receiving less perioperative fluid was associated with fewer complications and decreased length of stay.
- Subjects :
- medicine.medical_specialty
030230 surgery
Free Tissue Flaps
Article
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Risk Factors
Clinical endpoint
Humans
Medicine
030212 general & internal medicine
Oral Cavity Squamous Cell Carcinoma
Retrospective Studies
business.industry
Medical record
Incidence (epidemiology)
Head and neck cancer
Postoperative complication
Perioperative
Plastic Surgery Procedures
medicine.disease
Surgery
Otorhinolaryngology
Head and Neck Neoplasms
Complication
business
Subjects
Details
- ISSN :
- 10970347 and 10433074
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Head & Neck
- Accession number :
- edsair.doi.dedup.....a84855c9e8fde38a3d417dcd7baf40d6