Eoin F. Cleere MCh, Christopher Read MB, Sarah Prunty MB, Edel Duggan MB, James O'Rourke MB, Michael Moore MB, Pedro Vasquez BSc, Orla Young FRCSI (ORL-HNS), Thavakumar Subramaniam FRCSI (ORL-HNS), Liam Skinner FRCSI (ORL-HNS), Tom Moran FRCSI (ORL-HNS), Fergal O'Duffy FRCSI (ORL-HNS), Anthony Hennessy MB, Andrew Dias FRCSI (ORL-HNS), Patrick Sheahan MD, FRCSI (ORL-HNS), Conall W. R. Fitzgerald FRCSI (ORL-HNS), John Kinsella FRCSI (ORL-HNS), Paul Lennon MD, FRCSI (ORL-HNS), Conrad V. I. Timon MD, FRCSI (ORL-HNS), Robbie S. R. Woods FRCSI (ORL-HNS), Neville Shine FRCSI (ORL-HNS), Gerard F. Curley PhD, James P. O'Neill MD, FRCSI (ORL-HNS)
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Following a review of the literature, recommendations regarding airway management in head and neck surgery were developed with multicenter, multidisciplinary agreement among all Irish head and neck units. Immediate extubation is appropriate in many cases where there is a low risk of adverse airway events. Where a prolonged definitive airway is required, elective tracheostomy provides increased airway security postoperatively while delayed extubation may be appropriate in select cases to reduce postoperative morbidity. Local institutional protocols should be developed to care for a tracheostomy once inserted. We provide guidance on decision making surrounding airway management at time of head and neck surgery. All decisions should be agreed between the operating, anesthetic, and critical care teams.</p>","PeriodicalId":55072,"journal":{"name":"Head and Neck-Journal for the Sciences and Specialties of the Head and Neck","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Airway decision making in major head and neck surgery: Irish multicenter, multidisciplinary recommendations\",\"authors\":\"Eoin F. Cleere MCh, Christopher Read MB, Sarah Prunty MB, Edel Duggan MB, James O'Rourke MB, Michael Moore MB, Pedro Vasquez BSc, Orla Young FRCSI (ORL-HNS), Thavakumar Subramaniam FRCSI (ORL-HNS), Liam Skinner FRCSI (ORL-HNS), Tom Moran FRCSI (ORL-HNS), Fergal O'Duffy FRCSI (ORL-HNS), Anthony Hennessy MB, Andrew Dias FRCSI (ORL-HNS), Patrick Sheahan MD, FRCSI (ORL-HNS), Conall W. R. 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Where a prolonged definitive airway is required, elective tracheostomy provides increased airway security postoperatively while delayed extubation may be appropriate in select cases to reduce postoperative morbidity. Local institutional protocols should be developed to care for a tracheostomy once inserted. We provide guidance on decision making surrounding airway management at time of head and neck surgery. 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Airway decision making in major head and neck surgery: Irish multicenter, multidisciplinary recommendations
Major head and neck surgery poses a threat to perioperative airway patency. Adverse airway events are associated with significant morbidity, potentially leading to hypoxic brain injury and even death. Following a review of the literature, recommendations regarding airway management in head and neck surgery were developed with multicenter, multidisciplinary agreement among all Irish head and neck units. Immediate extubation is appropriate in many cases where there is a low risk of adverse airway events. Where a prolonged definitive airway is required, elective tracheostomy provides increased airway security postoperatively while delayed extubation may be appropriate in select cases to reduce postoperative morbidity. Local institutional protocols should be developed to care for a tracheostomy once inserted. We provide guidance on decision making surrounding airway management at time of head and neck surgery. All decisions should be agreed between the operating, anesthetic, and critical care teams.
期刊介绍:
Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.