Postoperative management in the Intensive Care Unit of head and neck surgery patients

Sánchez-Elvira, L. Alcázar; Martínez, S. Bacian; Gil, Lucia; Tello, V. Gómez

doi:10.1016/j.medine.2019.05.009

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…The assessment of cerebral oxygenation using noninvasive techniques could obviate, at least in part, these drawbacks, leading to more efficient RBCT indication (3, 4). In a randomized controlled trial (5), we explored the reliability of a near infra-red spectroscopy (NIRS) threshold-based protocol for RBCT in a mixed population of moderately anemic, neurocritical patients.…”

Section: To the Editormentioning

confidence: 99%

Cerebral Tissue Oxygenation Monitoring for Guiding RBC Transfusion in Neurocritical Patients

Leal-Noval

Rincón-Ferrari

2022

Critical Care Medicine

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Critical Care Medicine www.ccmjournal.org e689 relative risk, 0.83 [95% CI, 0.62-1.11]) and transfused RBC units (1.5 ± 1.4 U/patient vs to 1.0 ± 0.1 U/patient; p < 0.05), with no differences in the occurrence of adverse effects reported during 1-year follow-up. This controlled trial suggested that RBCT could be guided by noninvasive cerebral oxygenation monitoring, since increasing hemoglobin concentration in the absence of tissue hypoxia may not result in any benefit. The findings of Bogossian et al (1) reinforces the value of tissue oxygenation variables for guiding RBCTs in neurocritical patients.

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Section: To the Editormentioning

confidence: 99%

Cerebral Tissue Oxygenation Monitoring for Guiding RBC Transfusion in Neurocritical Patients

Leal-Noval

Rincón-Ferrari

2022

Critical Care Medicine

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“…Surgical resection is the main treatment for head and neck cancer patients. After composite resection and free flap reconstruction, patients are admitted to intensive care units (ICUs) in order to allow for the close monitoring of flap and respiratory status [ 7 ]. These patients present with a number of risk factors that aggravate feeding intolerance, including postoperative status, prolonged bed ridden immobility, decreased head elevation (less than 30 °), mechanical ventilation, and the customary use of sedative agents [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Digestion-Specific Acupuncture Effect on Feeding Intolerance in Critically Ill Post-Operative Oral and Hypopharyngeal Cancer Patients: A Single-Blind Randomized Control Trial

et al. 2021

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Malnourishment is prevalent in patients suffering from head and neck cancer. The postoperative period is crucial in terms of nutritional support, especially after composite resection and reconstruction surgery. These patients present with a number of risk factors that aggravate feeding intolerance, including postoperative status, prolonged immobility, decreased head elevation, mechanical ventilation, and applied sedative agents. Routine management protocols for feeding intolerance include prokinetic drug use and post-pyloric tube insertion, which could be both limited and accompanied by detrimental adverse events. This single-blind clinical trial aimed to investigate the effects of acupuncture in postoperative feeding intolerance in critically ill oral and hypopharyngeal cancer patients. Twenty-eight patients were randomized into two groups: Intervention group and Control group. Interventions were administered daily over three consecutive postoperative days. The primary outcome revealed that the intervention group reached 70% and 80% of target energy expenditure (EE) significantly earlier than the control group (4.00 ± 1.22 versus 6.69 ± 3.50 days, p = 0.012), accompanied by higher total calorie intake within the first postoperative week (10263.62 ± 1086.11 kcals versus 8384.69 ± 2120.05 kcals, p = 0.004). Furthermore, the intervention group also needed less of the prokinetic drug (Metoclopramide, 20.77 ± 48.73 mg versus 68.46 ± 66.56 mg, p = 0.010). In conclusion, digestion-specific acupuncture facilitated reduced postoperative feeding intolerance in oral and hypopharyngeal cancer patients.

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Medicina Intensiva Perioperatoria. Aportando valor al proceso quirúrgico

Vidal

Delgado

2020

Medicina Intensiva

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Postoperative management in the Intensive Care Unit of head and neck surgery patients

Cited by 4 publications

References 32 publications

Cerebral Tissue Oxygenation Monitoring for Guiding RBC Transfusion in Neurocritical Patients

Cerebral Tissue Oxygenation Monitoring for Guiding RBC Transfusion in Neurocritical Patients

Digestion-Specific Acupuncture Effect on Feeding Intolerance in Critically Ill Post-Operative Oral and Hypopharyngeal Cancer Patients: A Single-Blind Randomized Control Trial

Medicina Intensiva Perioperatoria. Aportando valor al proceso quirúrgico

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