Incidence, outcome, and risk factors for postoperative pulmonary complications in head and neck cancer surgery patients with free flap reconstructions
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- 作者：Daniela Damian ; MDa ; damiand@upmc.edu" class="auth_mail" title="E-mail the corresponding author ; Jacob Esquenazi ; MDb ; jesquena@montefiore.org" class="auth_mail" title="E-mail the corresponding author ; Umamaheswar Duvvuri ; MD ; PhDc ; duvvuriu@upmc.edu" class="auth_mail" title="E-mail the corresponding author ; Jonas T. Johnson ; MDd ; johnsonjt@upmc.edu" class="auth_mail" title="E-mail the corresponding author ; Tetsuro Sakai ; MD ; PhD.e ; sakait@upmc.edu" class="auth_mail" title="E-mail the corresponding author
- 关键词：ARDS ; Post-operative complications ; Pneumonia ; Risk factors ; Pulmonary edema
- 刊名：Journal of Clinical Anesthesia
- 出版年：2016
- 出版时间：February 2016
- 年：2016
- 卷：28
- 期：Complete
- 页码：12-18
- 全文大小：266 K
文摘
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Postoperative pulmonary complications (PPCs) are significant problems in patients undergoing radical head and neck cancer surgery with free flap reconstruction.
The incidence of PPCs in 110 patients who underwent the procedure was 32.7% (36 patients) with pulmonary edema in 23.6% and pneumonia in 9.1%.
The patients with PPCs required longer ventilation support, frequent ICU readmissions, and stayed longer in the hospital.
None of the preoperative or intraoperative parameters including pulmonary comorbidity or the amounts of intraoperative fluid/blood administration was found as the factor to predict PPCs.