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Article: Anaesthesia for plastic and reconstructive surgery

TitleAnaesthesia for plastic and reconstructive surgery
Authors
KeywordsAnaesthesia
free flap reconstruction
reconstructive surgery
Issue Date1-Dec-2023
PublisherElsevier Masson
Citation
Anaesthesia and Intensive Care Medicine, 2023, v. 24, n. 12, p. 800-805 How to Cite?
AbstractPlastic reconstructive surgeries involving flap reconstruction and microvascular anastomosis are technically demanding. Comorbidities such as diabetes, arterial insufficiency, anaemia and immunosuppression are common and increase the risk of ischaemia/reperfusion injury and vascular thrombosis. The anaesthetic goals are optimizing flap perfusion, improving flap survival and facilitating patients’ recovery. Intraoperatively, haemodynamic stability is maintained with goal-directed fluid therapy and judicious use of vasopressors. To minimize vasoconstriction, measures to maintain normothermia, adequate analgesia, sympatholytic regional anaesthesia and anti-emetic prophylaxis are employed. Prophylaxis for systemic venous thromboembolism and anastomotic thrombosis can be achieved with low-molecular-weight or unfractionated heparin and/or aspirin. Protocol-driven postoperative care with flap perfusion monitoring can reduce complications and facilitate recovery.
Persistent Identifierhttp://hdl.handle.net/10722/346298
ISSN
2023 Impact Factor: 0.2
2023 SCImago Journal Rankings: 0.151

 

DC FieldValueLanguage
dc.contributor.authorMak, Queenie HY-
dc.contributor.authorChan, Hing Tsuen-
dc.contributor.authorIrwin, Michael G-
dc.date.accessioned2024-09-14T00:30:24Z-
dc.date.available2024-09-14T00:30:24Z-
dc.date.issued2023-12-01-
dc.identifier.citationAnaesthesia and Intensive Care Medicine, 2023, v. 24, n. 12, p. 800-805-
dc.identifier.issn1472-0299-
dc.identifier.urihttp://hdl.handle.net/10722/346298-
dc.description.abstractPlastic reconstructive surgeries involving flap reconstruction and microvascular anastomosis are technically demanding. Comorbidities such as diabetes, arterial insufficiency, anaemia and immunosuppression are common and increase the risk of ischaemia/reperfusion injury and vascular thrombosis. The anaesthetic goals are optimizing flap perfusion, improving flap survival and facilitating patients’ recovery. Intraoperatively, haemodynamic stability is maintained with goal-directed fluid therapy and judicious use of vasopressors. To minimize vasoconstriction, measures to maintain normothermia, adequate analgesia, sympatholytic regional anaesthesia and anti-emetic prophylaxis are employed. Prophylaxis for systemic venous thromboembolism and anastomotic thrombosis can be achieved with low-molecular-weight or unfractionated heparin and/or aspirin. Protocol-driven postoperative care with flap perfusion monitoring can reduce complications and facilitate recovery.-
dc.languageeng-
dc.publisherElsevier Masson-
dc.relation.ispartofAnaesthesia and Intensive Care Medicine-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAnaesthesia-
dc.subjectfree flap reconstruction-
dc.subjectreconstructive surgery-
dc.titleAnaesthesia for plastic and reconstructive surgery-
dc.typeArticle-
dc.identifier.doi10.1016/j.mpaic.2023.09.014-
dc.identifier.scopuseid_2-s2.0-85175311926-
dc.identifier.volume24-
dc.identifier.issue12-
dc.identifier.spage800-
dc.identifier.epage805-
dc.identifier.issnl1472-0299-

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