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Enhanced recovery programmes in head and neck surgery: systematic review

Published online by Cambridge University Press:  21 May 2015

M Bannister  and
K W Ah-See
M Bannister*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
K W Ah-See
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
*
Address for correspondence: Mr Miles Bannister, Department of Otolaryngology – Head and Neck Surgery, Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN, Scotland, UK E-mail: miles.bannister@hotmail.co.uk
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Abstract

Objective:

To review the literature on enhanced recovery programmes in head and neck surgery.

Method:

A systematic review was performed in May 2013.

Results:

Thirteen articles discussing enhanced recovery after laryngectomy, neck dissection, major ablative surgery and microvascular reconstruction were identified. Articles on general pre-operative preparation and post-operative care were also reviewed.

Conclusion:

Considerable evidence is available supporting enhanced recovery in head and neck surgery that could be of benefit to patients and which surgeons should be aware of.

Keywords

Pharyngeal NeoplasmsTonsillar NeoplasmsLaryngeal NeoplasmsHypopharyngeal NeoplasmsSurgical AnastomosisPostoperative CarePerioperative CareAftercare

Information

Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 5 , May 2015 , pp. 416 - 420
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Hall, TC, Dennison, AR, Bilku, DK, Metcalfe, MS, Garcea, G. Enhanced recovery programmes in hepatobiliary and pancreatic surgery: a systematic review. Ann R Coll Surg Engl 2012;94:318–26CrossRefGoogle ScholarPubMed
2Rawlinson, A, Kang, P, Evans, J, Khanna, A. A systematic review of enhanced recovery protocols in colorectal surgery. Ann R Coll Surg Engl 2011;93:583–8CrossRefGoogle ScholarPubMed
3Kehlet, H, Wilmore, DW. Multimodal strategies to improve surgical outcome. Am J Surg 2002;183:630–41CrossRefGoogle ScholarPubMed
4Gravante, G, Elmussareh, M. Enhanced recovery for colorectal surgery: practical hints, results and future challenges. World J Gastrointest Surg 2012;27:190–8CrossRefGoogle Scholar
5Jensen, NF, Todd, MM, Block, RI, Hegtvedt, RL, McCulloch, TM. The efficacy of routine central venous monitoring in major head and neck surgery: a retrospective review. J Clin Anesth 1995;7:119–25CrossRefGoogle ScholarPubMed
6Crosher, R, Baldie, C, Mitchell, R. Selective use of tracheostomy in surgery for head and neck cancer: an audit. Br J Oral Maxillofac Surg 1997;35:43–5CrossRefGoogle Scholar
7Husbands, JM, Weber, RS, Karpati, RL, Weinstein, GS, Chalian, AA, Goldberg, AN et al. Clinical care pathways: decreasing resource utilization in head and neck surgical patients. Otolaryngol Head Neck Surg 1999;121:755–9CrossRefGoogle ScholarPubMed
8Hanna, E, Schultz, S, Doctor, D, Vurul, E, Stern, S, Suen, J. Development and implementation of a clinical pathway for patients undergoing total laryngectomy: impact on cost and quality of care. Arch Otolaryngol Head Neck Surg 1999;125:1247–51CrossRefGoogle ScholarPubMed
9Godden, DR, Patel, M, Baldwin, A, Woodwards, RT. Need for intensive care after operations for head and neck cancer surgery. Br J Oral Maxillofac Surg 1999;37:502–5CrossRefGoogle ScholarPubMed
10Chen, AY, Callender, D, Mansyur, C, Reyna, KM, Limitone, E, Goepfert, H. The impact of clinical pathways on the practice of head and neck oncologic surgery: the University of Texas M. D. Anderson Cancer Centre experience. Arch Otolaryngol Head Neck Surg 2000;126:322–6CrossRefGoogle Scholar
11Gendron, KM, Lai, SY, Weinstein, GS, Chalian, AA, Husbands, JM, Wolf, PF et al. Clinical care pathway for head and neck cancer: a valuable tool for decreasing resource utilization. Arch Otolaryngol Head Neck Surg 2002;128:258–62CrossRefGoogle ScholarPubMed
12To, EW, Tsang, WM, Lai, EC, Chu, MC. Retrospective study on the need of intensive care unit admission after major head and neck surgery. ANZ J Surg 2002;72:11–14CrossRefGoogle ScholarPubMed
13Chalian, AA, Kagan, SH, Goldberg, AN, Gottschalk, A, Dakunchak, A, Weinstein, GS et al. Design and impact of intraoperative pathways for head and neck resection and reconstruction. Arch Otolaryngol Head Neck Surg 2002;128:892–6CrossRefGoogle ScholarPubMed
14Kagan, SH, Chalian, AA, Goldberg, AN, Rontal, ML, Weinstein, GS, Prior, B et al. Impact of age on clinical care pathway length of stay after complex head and neck resection. Head Neck 2002;24:545–8CrossRefGoogle ScholarPubMed
15Bozikov, K, Arnez, ZM. Factors predicting free flap complications in head and neck reconstruction. J Plast Reconstr Aesthet Surg 2006;59:737–42CrossRefGoogle ScholarPubMed
16Prasad, KC, Sreedharam, S, Dannana, NK, Prasad, SC, Chandra, S. Early oral feeds in laryngectomized patients. Ann Otol Rhinol Laryngol 2006;15:433–8CrossRefGoogle Scholar
17Lansford, CD, Guerriero, CH, Kocan, MJ, Turley, R, Groves, MW, Bahl, V et al. Improved outcomes in patients with head and neck cancer using a standardized care protocol for postoperative alcohol withdrawal. Arch Otolaryngol Head Neck Surg 2008;134:865–72CrossRefGoogle ScholarPubMed
18Nkenke, E, Vairaktaris, E, Stelzie, F, Neukam, FW, St Pierre, M. No reduction in complication rate by stay in the intensive care unit for patients undergoing surgery for head and neck cancer and microvascular reconstruction. Head Neck 2009;31:1461–9CrossRefGoogle ScholarPubMed
19Mathew, SA, Senthilnathan, P, Narayanan, V. Management of post-operative maxillofacial oncology patients without the routine use of an intensive care unit. J Maxillofac Oral Surg 2010;9:329–33CrossRefGoogle ScholarPubMed
20Bhama, PK, Davis, GE, Bhrany, AD, Lam, DJ, Futran, ND. The effects of intensive care unit staffing on patient outcomes following microvascular free flap reconstruction of the head and neck: a pilot study. JAMA Otolaryngol Head Neck Surg 2013;139:37–42CrossRefGoogle ScholarPubMed
21Arshad, H, Ozer, HG, Thatcher, A, Old, M, Ozer, E, Agarwal, A et al. Intensive care unit versus non-intensive care unit postoperative management of head and neck free flaps: comparative effectiveness and cost comparisons. Head Neck 2014;36:536–9CrossRefGoogle ScholarPubMed
22Abdel-Galil, K, Mitchell, D. Postoperative monitoring of microsurgical free tissue transfers for head and neck reconstruction: a systematic review of current techniques--part 1. Non-invasive techniques. Br J Oral Maxillofac Surg 2009;47:351–5CrossRefGoogle Scholar
23Paydar, KZ, Hansen, SL, Chang, DS, Hoffman, WY, Leon, P. Implantable venous Doppler monitoring in head and neck free flap reconstruction increases the salvage rate. Plast Reconstr Surg 1999;125:1129–34CrossRefGoogle Scholar
24Salgado, CJ, Chim, H, Schoenoff, S, Mardini, S. Postoperative care and monitoring of the reconstructed head and neck patient. Semin Plast Surg 2010;24:281–7CrossRefGoogle ScholarPubMed
25Bryniarska, E, Srinivasan, D, MacBean, A, Oloyede, D. Post operative fluid balance in patients undergoing head and neck surgery. Br J Oral Maxillofac Surg 2008;46:611CrossRefGoogle ScholarPubMed
26Downey, RJ, Friedlander, P, Groeger, J, Kraus, D, Schantz, S, Spiro, R et al. Critical care for the severely ill head and neck patient. Crit Care Med 1999;27:95–7CrossRefGoogle ScholarPubMed
27Cohen, J, Stock, M, Andersen, P, Everts, E. Critical pathways for head and neck surgery: development and implementation. Arch Otolaryngol Head Neck Surg 1997;123:11–14CrossRefGoogle ScholarPubMed
28Tan, B-K, Por, Y-C, Chen, H-C. Complications of head and neck reconstruction and their treatment. Semin Plast Surg 2010;24:288–98CrossRefGoogle ScholarPubMed
29Paleri, V, Wright, RG, Davies, GR. Impact of comorbidity on the outcome of laryngeal squamous cancer. Head Neck 2003;25:1019–26CrossRefGoogle ScholarPubMed
30Bradley, PJ. Should all head and neck cancer patients be nursed in intensive therapy units following major surgery? Curr Opin Otolaryngol Head Neck Surg 2007;1:63–7CrossRefGoogle Scholar
31Novakovic, D, Patel, RS, Goldstein, DP, Gullane, PR. Salvage of failed free flaps used in head and neck reconstruction. Head Neck Oncol 2009;1:33CrossRefGoogle ScholarPubMed
32Ryan, MW, Hochman, M. Length of stay after free flap reconstruction of the head and neck. Laryngoscope 2000;110:210–16CrossRefGoogle ScholarPubMed
33Morton, RP. The need of ICU admission after major head and neck surgery. ANZ J Surg 2002;72:3–4CrossRefGoogle ScholarPubMed
34Bianchini, C, Pelucchi, S, Pastore, A, Feo, CV, Ciobra, A. Enhanced recovery after surgery (ERAS) strategies: possible advantages also for head and neck surgery patients? Eur Arch Otorhinolaryngol 2013;271:439–43CrossRefGoogle ScholarPubMed
35Coffey, RJ, Richards, JS, Remmert, CS, LeRoy, SS, Schoville, RR, Baldwin, PJ. An introduction to critical paths. Qual Manag Health Care 1992;1:45–54CrossRefGoogle ScholarPubMed
36Heacock, D, Brobst, R. A multidisciplinary approach to critical path development: a valuable CQI tool. J Nurs Care Qual 1994;8:38–41CrossRefGoogle ScholarPubMed
37Chin, CW, Loh, KS, Tan, KS. Ambulatory thyroid surgery: an audit of safety and outcomes. Singapore Med J 2007;48:720–4Google ScholarPubMed
38Doran, HE, England, J, Palazzo, F. Questionable safety of thyroid surgery with same day discharge. Ann R Coll Surg Engl 2012;94:543–7CrossRefGoogle ScholarPubMed