Postoperative depth of sedation and associated outcomes in free flap transfers to the head and neck. Head Neck 2022 Feb;44(2):391-398
Date
11/21/2021Pubmed ID
34799940DOI
10.1002/hed.26929Scopus ID
2-s2.0-85119408863 (requires institutional sign-in at Scopus site)Abstract
BACKGROUND: To evaluate the impact of postoperative depth of sedation in free flap transfers to the head and neck.
METHODS: A single center, retrospective cohort of 92 patients were stratified by depth of sedation, light sedation (RASS -1 or greater) or deep sedation (RASS less than -1), and analyzed for postoperative flap and medical complications.
RESULTS: Of the 92 patients 45 were included in the light sedation and 47 in the deep sedation group. Flap complication requiring return to the operating room occurred in 8 (22.2%) patients in light sedation compared to 12 (27.7%) (p = 0.450) patients in deep sedation. A composite outcome of flap and medical complications occurred less frequently in the light sedation group 14 (31.8%) compared to deep sedation 32 (69.6%) (p < 0.001).
CONCLUSION: There was no difference in return to the operating room between the two groups. Light sedation had reduced incidence of medical complications compared to deep.
Author List
Laehn SJ, LoGuidice JA, Hettinger PC, Rein LE, Peppard WJAuthors
William J. Peppard PharmD Trauma/Surgical Critical Care Pharmacist in the Pharmacy department at Froedtert HospitalLisa E. Rein Biostatistician III in the Institute for Health and Equity department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Free Tissue FlapsHead
Head and Neck Neoplasms
Humans
Neck
Postoperative Complications
Retrospective Studies