Journal
ORAL ONCOLOGY
Volume 75, Issue -, Pages 61-66Publisher
ELSEVIER
DOI: 10.1016/j.oraloncology.2017.10.022
Keywords
Head and neck cancer; Head and neck reconstruction; Free flap; Critical care; ICU
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Patients undergoing head and neck reconstruction require complex, multidisciplinary postoperative care which may include wound care, flap monitoring, tracheostomy management, and management of comorbid conditions. Historically, patients undergoing major resection of a head and neck or aerodigestive tract malignancy with regional or free flap reconstruction were routinely admitted to the ICU. Although head and neck cancer patients may have multiple medical comorbidities that may require postoperative critical care, the current trend in many institutions is to transfer stable and less medically complex patients to non-intensive care-level units with specialty trained nursing staff. These units have been shown to decrease the total cost of care without compromising the quality of care, length of stay, or postoperative complications.
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