Multispecialty tracheostomy experience.
CONCLUSIONS: This paper discusses the findings of a comprehensive, multispecialty audit of tracheostomy experience in a large health board, with over 150 tracheostomies performed annually. Elective cases form the majority although there is a significant case series of emergency tracheostomies performed for a range of pathologies. Around a quarter of those requiring tracheostomy ultimately died, mostly as a result of advanced cancer. PMID: 32233651 [PubMed - as supplied by publisher]
In this study, changes in the position of the endotracheal tube tip during extension of the head and neck for a tracheotomy were investigated. Twelve patients underwent placement of a tracheotomy during surgical procedures for oral cancer. After nasal intubation, the distance between the tube tip and the carina was measuring using a fiberoptic scope with the patient's head placed at an angle of 110°. Patients were repositioned for tracheotomy by placing a pillow under the shoulders and extending the head and neck at an angle of 140°. The distance measurements were subsequently repeated. The difference between the f...
Tracheostomies are becoming more prevalent during the prolonged clinical care of head and neck cancer patients. Considering that head and neck cancer patients have a high risk of developing a second primary lung malignancy,1,2 a significant proportion of these patients may need lung isolation for thoracic surgery.
Publication date: Available online 21 July 2017 Source:British Journal of Oral and Maxillofacial Surgery Author(s): X.F. Chen, Y.M. Chen, S. Gokavarapu, Q.C. Shen, T. Ji We aimed to identify and evaluate the clinical challenges involved in microvascular flap reconstructions of defects caused by resection of head and neck cancer among patients aged 85 and over. We designed a retrospective study of patients who were treated in the head and neck department of a tertiary referral centre from 2005 to 2015, and all patients aged 85 years and over who had reconstructions with microvascular flaps for head and neck cancer were ent...
Publication date: February 2017 Source:Trends in Anaesthesia and Critical Care, Volume 12 Author(s): S.N. Myatra, S. Gupta, A.K. D'Cruz, V. Rajnala, H. Dhar, J.V. Divatia
ConclusionDelirium is common in patients undergoing major head neck cancer surgery. Several risk factors were consistently associated with postoperative delirium. These factors help to highlight patients at risk of developing delirium and are suitable for preventive action.
Authors: Charters P, Ahmad I, Patel A, Russell S Abstract This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. The anaesthetic considerations for head and neck cancer surgery are especially challenging given the high burden of concurrent comorbidity in this patient group and the need to share the airway with the surgical team. This paper provides recommendations on the anaesthetic considerations during surgery for head and neck cancer. Recommendations • All theatre staff should participate in the World Health Organization checkli...
ConclusionBrachytherapy for radiotherapy‐resistant head and neck cancers is feasible with minor adverse events, which enables good local control. However, many advanced head and neck cancers develop regional or distant metastases; therefore, additional treatment should be suggested. Level of Evidence4. Laryngoscope, 2016
ConclusionBrachytherapy for radiotherapy‐resistant head and neck cancers is feasible with minor adverse events, which enables good local control. However, many advanced head and neck cancers develop regional or distant metastases; therefore, additional treatment should be suggested. Level of Evidence4. Laryngoscope, 126:2246–2251, 2016
ConclusionsThe ERAS programme developed is now embedded in the care pathway for people undergoing head and neck cancer surgery in our unit. The mean length of hospital stay has reduced since the introduction of the programme.
Conclusion: Median postoperative hospital stay was significantly longer (P = 0.0005) in patients who had a tracheostomy performed compared with those where the airway was managed without it.