Intraoperative hypotension and flap loss in free tissue transfer surgery of the head and neck
Kass J, Lakha S, Levin M, Joseph T, Lin H, Genden E, Teng M, Miles B, DeMaria S. Intraoperative hypotension and flap loss in free tissue transfer surgery of the head and neck. Head & Neck 2018, 40: 2334-2339. PMID: 30230116, DOI: 10.1002/hed.25190.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultAgedCarcinoma, Squamous CellCohort StudiesFemaleFree Tissue FlapsGraft RejectionHead and Neck NeoplasmsHumansHypotensionIncidenceIntraoperative ComplicationsIntraoperative PeriodLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeck DissectionOperative TimePlastic Surgery ProceduresRetrospective StudiesRisk AssessmentSurvival AnalysisConceptsLarge-volume fluid administrationFree tissue transfer surgeryTissue transfer surgeryIntraoperative hypotensionBlood pressure labilityFlap lossFluid administrationFlap failurePressure labilityAssociated with flap lossPrimary outcomeHead and neck surgeryFree flap headExcessive fluid administrationTransfer surgeryHead and neckExcessive crystalloid administrationPeriod of hypotensionMultivariate logistic regressionFree tissue transferCrystalloid administrationNeck surgeryVasopressor administrationHemodynamic managementMultivariate analysis
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