Clinical Update on Anaesthetic Management of Free Flap Surgery in Cervico Facial Cancer Patients

C. Motamed, L. Bordenave, S. Suria
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Abstract

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.
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颈面部癌游离皮瓣手术麻醉管理的临床进展
需要自由皮瓣组织转移的口腔-面部癌手术患者术中麻醉管理正在发展。在本文中,我们利用自己的经验并结合最新文献更新了我们的术中临床方案。改变的主要领域包括:在气道管理困难的情况下采用视频喉镜清醒插管,结合周围导管进行局部麻醉以减少术中阿片类药物的消耗,以及术后疼痛和使用右美托咪定的阿片类药物自由麻醉技术。
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