Clinical Update on Anaesthetic Management of Free Flap Surgery in Cervico Facial Cancer Patients
Clinical Update on Anaesthetic Management of Free Flap Surgery in Cervico Facial Cancer Patients
Author Info
Cyrus Motamed Lauriane Bordenave Stéphanie Suria
Corresponding Author
Cyrus MotamedDepartment of anesthesia, Gustaveroussy cancer campus institute, Villejuif France
A B S T R A C T
Intraoperative anaesthesia management in oro-facial cancer surgical patients requiring free flap tissue transfer is evolving. In this paper we updated our intraoperative clinical protocol using our own experience in combination with the latest literature. The main areas of change include videolaryngoscopic awake intubation in case of difficult airway management, combination of regional anaesthesia with peripheral catheter to decrease intraoperative opioid consumption, and postoperative pain and finally opioid free anaesthesia techniques using dexmedetomidine.
Article Info
Article Type
Research ArticlePublication history
Received: Sat 16, May 2020Accepted: Thu 28, May 2020
Published: Wed 03, Jun 2020
Copyright
© 2023 Cyrus Motamed. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.DOI: 10.31487/j.ACR.2020.01.03