Advertisement

Otolaryngologic Procedures

  • Paul J. Primeaux
Chapter

Abstract

It should be understood that head and neck surgery encompasses a broad range of procedures from brief endoscopic outpatient procedures to complex tumor resections with reconstruction lasting 10–12 h or more. Although the 2007 AHA/ACC Guidelines on Perioperative Cardiovascular Evaluation classify head and neck surgery as “intermediate risk” with an expected cardiac complication rate of 1–5%, the risk of perioperative medical complications in this diverse group of patients cannot be described as uniform. Risk assessment in otolaryngology patients (like all surgical patients) requires an understanding of both the risk posed by existing physiologic derangements (heart disease, renal failure, diabetes, etc.) and the risk inherent in the procedure to be performed.

Keywords

Obstructive Sleep Apnea Neck Dissection Recurrent Laryngeal Nerve Estimate Blood Loss Parathyroid Adenoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Reference

  1. 1.
    Farwell DG, Reilly DF, Weymuller EA, et al. Predictors of perioperative complications in head and neck patients. Arch Otolaryngol Head Neck Surg. 2002;128:505-511.PubMedGoogle Scholar

Suggested Reading

  1. Cooper CB. Assessment of pulmonary function in COPD. Semin Respir Crit Care Med. 2005;26:246-252.PubMedCrossRefGoogle Scholar
  2. Fleisher LA, Beckman JA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for non cardiac surgery. J Am Coll Cardiol. 2007;50:159-242. doi: doi:10.1016/j.jacc.2007.09.003; [Published online 27 Sept 2007].CrossRefGoogle Scholar
  3. Geerts W, Ray JG, Colwell CW, et al. Prevention of venous thromboembolism. Chest. 2005;128:3775-3776.PubMedCrossRefGoogle Scholar
  4. Johnson RG, Arozullah AM, Neumayer L, et al. Multivariable predictors of postoperative respiratory failure after general and vascular surgery: results from the patient safety in surgery study. J Am Coll Surg. 2007;204(6):1188-1198.PubMedCrossRefGoogle Scholar
  5. Kaplan MJ, Damrose E, Nekhendzy V, et al. Otolaryngology – head and neck surgery. In: Jaffe RA, Samuels SI, eds. Anesthesiologists manual of surgical procedures. 4th ed. Philadelphia: Lippincott, Williams, and Wilkins; 2009; Section 3.0.Google Scholar
  6. McAlister FA, Khan NA, Straus SE, et al. Accuracy of the preoperative assessment in predicting pulmonary risk after non thoracic surgery. Am J Respir Crit Care Med. 2003;167:741-744.PubMedCrossRefGoogle Scholar
  7. Powell-Tuck J, Gosling P, Lobo DN, Allison SP Carlson GL, Gore M et al. British Consensus Guidelines on Intravenous Fluid Therapy for Adult Surgical Patients GIFTASUP, ­reducinglength ofstay.org.uk; 2008.
  8. Qaseem A, Snow V, Fitterman N, et al. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing non cardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med. 2006;144:575-580.PubMedGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Tulane University School of Medicine, Tulane Medical CenterNew OrleansUSA

Personalised recommendations