Abstract
Reconstructive head and neck surgery is the main determinant of postoperative quality of life for patients who have undergone surgery for neoplastic pathology, since good aesthetic and functional results are essential to reduce the incidence of complications. To a large extent, the success of these results depends on a team of anesthesiologists who have advanced knowledge in airway management, preoperative risk assessment and hemodynamic implications of the different oncological surgery techniques. Even knowledge of anesthetic techniques (total intravenous vs. inhalational) seems to reduce complications related to pulmonary pro-inflammatory phenomena and improve flap viability. Reducing the incidence of infections, fistulas, nutritional management and tracheostomes is part of the active role of postoperative care units directed by anesthesiologists in conjunction with other specialties, which in part reduces hospital morbidity and mortality, improving the prognosis of our patients. In conclusion, multidisciplinary management in this type of patient is essential to guarantee better postoperative results.
Highlights
Reconstructive head and neck surgery is the main perioperative medicine aims to improve surgical results determinant of postoperative quality of life for patients and minimize the risk to the patient's life by optimizing who have undergone surgery for neoplastic pathology, their functional reserve
The following pages are since good aesthetic and functional results are essential intended to be a guide for the anesthesiologist who to reduce the incidence of complications
To a large wants to offer better results to patients undergoing extent, the success of these results depends on a team of reconstructive head and neck surgery and for the plastic anesthesiologists who have advanced knowledge in surgeons or ear, nose and throat surgeon (ENT surgeon) airway management, preoperative risk assessment and who wants to learn more about the interventions that the hemodynamic implications of the different oncological anesthetist can perform to improve their results
Summary
The inferior pharyngeal constrictor and pressing the cricoid cartilage against the back of the cricothyroid muscles are innervated by the superior neck, once the patient is asleep, increasing the pressure laryngeal nerves, which carry on solely motor in the upper part of the oesophagus. The trachea begins at the level of the cricoid cartilage achieved, which facilitates intubation [10]; [1] It is made up of cartilaginous rings in its anterior simple to execute, the airway manipulator must part and in its posterior part it is smooth, its posterior remember its existence and request an assistant to carry wall supposes only the smooth muscle that surrounds it it out, placing his hand himself according to what he as another ring.
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