Head & neck · 2018
Intraoperative hypotension and flap loss in free tissue transfer surgery of the head and neck.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kass Jason L, Lakha Sameer, Levin Matthew A, Joseph Thomas, Lin Hung-Mo, Genden Eric M, Teng Marita S, Miles Brett A, DeMaria Samuel
Аннотация
BACKGROUND: In free flap head and neck reconstructions, hemodynamic management is complicated by the deleterious effects of excessive crystalloid administration. Patients may undergo periods of hypotension or excess fluid administration. The purpose of this study was to present our examination of the hypotheses that intraoperative hypotension and blood pressure lability are associated with increased fluid administration and flap failure.
METHODS: We reviewed the records of 445 patients undergoing head and neck surgery involving free tissue transfer. We used multivariate logistic regression to examine the relationship between hemodynamic variables and flap loss (primary outcome) and other complications.
RESULTS: On multivariate analysis, intraoperative hypotension and large-volume fluid administration were associated with flap loss. Neither blood pressure lability nor vasopressor administration was significantly associated to our primary outcome.
CONCLUSIONS: Intraoperative hypotension is associated to flap failure in head and neck free tissue transfer surgeries, as is large-volume fluid administration.
METHODS: We reviewed the records of 445 patients undergoing head and neck surgery involving free tissue transfer. We used multivariate logistic regression to examine the relationship between hemodynamic variables and flap loss (primary outcome) and other complications.
RESULTS: On multivariate analysis, intraoperative hypotension and large-volume fluid administration were associated with flap loss. Neither blood pressure lability nor vasopressor administration was significantly associated to our primary outcome.
CONCLUSIONS: Intraoperative hypotension is associated to flap failure in head and neck free tissue transfer surgeries, as is large-volume fluid administration.
Предметные рубрики MeSH
Academic Medical CentersAdultAgedCarcinoma, Squamous CellCohort StudiesFemaleFree Tissue FlapsGraft RejectionHead and Neck NeoplasmsHumansHypotensionIncidenceIntraoperative ComplicationsIntraoperative PeriodLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeck DissectionOperative TimePlastic Surgery ProceduresRetrospective StudiesRisk AssessmentSurvival Analysis