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Article: Postoperative recovery among head and neck cancer patients receiving microvascular free flap surgery with implementing nurse-protocolized targeted sedation: Relationship of use of sedatives, mechanical ventilation to length of ICU stay

TitlePostoperative recovery among head and neck cancer patients receiving microvascular free flap surgery with implementing nurse-protocolized targeted sedation: Relationship of use of sedatives, mechanical ventilation to length of ICU stay
Authors
Issue Date1-Apr-2023
PublisherSpringer
Citation
Supportive Care in Cancer, 2023, v. 31 How to Cite?
Abstract

Purpose

Patients receiving microvascular free flap surgery are usually admitted to a high-dependency adult intensive care unit (ICU). Research is limited to investigate postoperative recovery among head and neck cancer patients in the ICU. This study aimed to evaluate a nursing-protocolized targeted sedation on postoperative recovery and to examine the relationship of demographic characteristics, use of sedation, mechanical ventilator to length of ICU stay in patients receiving microvascular free flap surgery for head and neck reconstruction.

Methods

This retrospective study involves 125 ICU patients at a medical centre in Taiwan. Medical records were reviewed between 1 January 2015 and 31 December 2018 including surgery-related data, medications and sedations used, and ICU-related outcomes.

Results

The mean length of ICU stay was 6.2 days (SD = 2.6), and the mean duration of mechanical ventilation was 4.7 days (SD = 2.3). The daily dosage of sedation used in patients who received microvascular free flap surgery was dramatically reduced since the postoperative day (POD) 7. Over 50% of patients switched to PS + SIMV ventilator mode on POD 4. Duration of sedation used (r = 0.331, p < 0.001), total dosage of sedation (r = 0.901, p < 0.001), clear consciousness (r =  − 0.517, p < 0.001), and duration on mechanical ventilator (r = 0.378, p < 0.001) are correlated with the length of ICU stay.

Conclusion

This study provides an understanding of the use of sedation, mechanical ventilator, and length of ICU stay to inform the continued education for clinicians.


Persistent Identifierhttp://hdl.handle.net/10722/328309
ISSN
2023 Impact Factor: 2.8
2023 SCImago Journal Rankings: 1.007
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChiang, SH-
dc.contributor.authorHo, MH-
dc.contributor.authorWu, SH-
dc.contributor.authorLin, CC-
dc.date.accessioned2023-06-28T04:41:52Z-
dc.date.available2023-06-28T04:41:52Z-
dc.date.issued2023-04-01-
dc.identifier.citationSupportive Care in Cancer, 2023, v. 31-
dc.identifier.issn0941-4355-
dc.identifier.urihttp://hdl.handle.net/10722/328309-
dc.description.abstract<h3>Purpose</h3><p>Patients receiving microvascular free flap surgery are usually admitted to a high-dependency adult intensive care unit (ICU). Research is limited to investigate postoperative recovery among head and neck cancer patients in the ICU. This study aimed to evaluate a nursing-protocolized targeted sedation on postoperative recovery and to examine the relationship of demographic characteristics, use of sedation, mechanical ventilator to length of ICU stay in patients receiving microvascular free flap surgery for head and neck reconstruction.</p><h3>Methods</h3><p>This retrospective study involves 125 ICU patients at a medical centre in Taiwan. Medical records were reviewed between 1 January 2015 and 31 December 2018 including surgery-related data, medications and sedations used, and ICU-related outcomes.</p><h3>Results</h3><p>The mean length of ICU stay was 6.2 days (<em>SD</em> = 2.6), and the mean duration of mechanical ventilation was 4.7 days (<em>SD</em> = 2.3). The daily dosage of sedation used in patients who received microvascular free flap surgery was dramatically reduced since the postoperative day (POD) 7. Over 50% of patients switched to PS + SIMV ventilator mode on POD 4. Duration of sedation used (<em>r</em> = 0.331, <em>p</em> < 0.001), total dosage of sedation (<em>r</em> = 0.901, <em>p</em> < 0.001), clear consciousness (<em>r</em> =  − 0.517, <em>p</em> < 0.001), and duration on mechanical ventilator (<em>r</em> = 0.378, <em>p</em> < 0.001) are correlated with the length of ICU stay.</p><h3>Conclusion</h3><p>This study provides an understanding of the use of sedation, mechanical ventilator, and length of ICU stay to inform the continued education for clinicians.</p>-
dc.languageeng-
dc.publisherSpringer-
dc.relation.ispartofSupportive Care in Cancer-
dc.titlePostoperative recovery among head and neck cancer patients receiving microvascular free flap surgery with implementing nurse-protocolized targeted sedation: Relationship of use of sedatives, mechanical ventilation to length of ICU stay-
dc.typeArticle-
dc.identifier.doi10.1007/s00520-023-07730-6-
dc.identifier.hkuros344741-
dc.identifier.volume31-
dc.identifier.eissn1433-7339-
dc.identifier.isiWOS:000980935300001-
dc.identifier.issnl0941-4355-

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