ICU admission and Major Head and Neck Cancer Surgery With Free Flap Reconstruction
Should these patients to be routinely admitted to ICU after surgery?
ERAS Guidelines say no: JAMA Otolaryngol Head Neck Surg. 2017;143(3):292-303. doi:10.1001/jamaoto.2016.2981
"In absence of these factors, there are no data to support the use of routine ICU care. Funding issues, ICU work load, standing costs (in the ICU and elsewhere), and the availability of skills and resources outside of the ICU must be considered in the determination of optimal postoperative location of care and this needs to be individualized to each health care facility."
In our institution patients are routinely admitted to the otholaryngology ward, but they obviously deserve adequate monitoring.
We tested recently the Radical-7 Pulse CO-Oximeter by Masimo, with the added value to permit continuous monitoring of ECG, respiratory rate, temperature, patient's position, SpO2, SpHb, SpOC and Perfusion Index in association with the clinical/doppler evaluation of the flap.
We think this means quality and safety for our patients.
ERAS Guidelines say no: JAMA Otolaryngol Head Neck Surg. 2017;143(3):292-303. doi:10.1001/jamaoto.2016.2981
"In absence of these factors, there are no data to support the use of routine ICU care. Funding issues, ICU work load, standing costs (in the ICU and elsewhere), and the availability of skills and resources outside of the ICU must be considered in the determination of optimal postoperative location of care and this needs to be individualized to each health care facility."
In our institution patients are routinely admitted to the otholaryngology ward, but they obviously deserve adequate monitoring.
We tested recently the Radical-7 Pulse CO-Oximeter by Masimo, with the added value to permit continuous monitoring of ECG, respiratory rate, temperature, patient's position, SpO2, SpHb, SpOC and Perfusion Index in association with the clinical/doppler evaluation of the flap.
We think this means quality and safety for our patients.