Cyrus Motamed,Lauriane Bordenave,Stéphanie Suria, Postoperative Management of Patients with Cervicofacial Free Flap in Surgical Intensive Care Unit: An Updated Clinical Protocol Anesthesia and Clinical Research 2020 2733-2500 http://dx.doi.org/10.31487/j.ACR.2020.01.02 https://www.sciencerepository.org/postoperative-management-of-patients-with-cervicofacial-free-flap-in-surgical_ACR-2020-1-102 Abstract: Postoperative management of complex cervico-facial cancer tumor removal followed by free flap reconstruction is evolving since its early beginning 20 years ago. Flap surveillance is a major goal in this period, however the management of comorbidities to predict a favorable outcome cannot be neglected. Based on our experience in this field and recent literature we updated our postoperative management protocol which focus on management of different comorbidities to maintain favorable outcome for the graft and the patient.Keywords: Free flap, postoperative surveillance, postoperative complications