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Perioperative Care in Head and Neck Reconstruction; Sense and Nonsense, Evidence for Efficacy
Marc Mureau, Erasmus MC Rotterdam, The Netherlands
Edward Chang, MD Anderson Houston, USA
Sarmad Tamimy; Nottingham University Hospitals, UK
Jonathan Pollock; Nottingham University Hospitals, UK
Andrew Norris,Anesthesist, Nottingham University Hospitals UK
Wouter WIllems, The Haque, the Netherlands
Hinne Rakhorst, Enschede, The Netherlands

Dr. M. Sarmad Tamimy / Johanthan Pollock, (20mins, 5min discussion)
Pre operative;
Patient selection, contraindications for free flaps, indications for alternative flaps
Workup; imaging or not? Of donor and recipient sites
What if free flaps are not possible; are pedicled flaps safer?
Maybe not?

Per operative care; Marc Mureau (20 + 5);
Fluid management
How many veins to connect
What is the best artery to land
Antibiotics how long
Corticosteroids, who uses them to reduce swelling, what is the evidence
Flap monitoring; what is the best frequency and how?Icu or ward?

Andrew Norris,Anesthesist 20 + 5
Pain management
Sedation overnight/protocols

Salvage surgery; Ed Chang 20 +5
What are the best lessons you learned on referrals?
What do you do when flaps go down?
New free flap or pedicled?
What is the role of thrombolysis
What is the role of thrombectomy
What are most used escape flaps?

Sep 4, 2018 8:00 PM in Amsterdam

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