Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review
Abstract
:1. Introduction
2. Materials and Methods
3. Results and Discussion
3.1. Preoperative Assessment of Non-Modifiable Risk Factors
3.2. Preoperative Assessment of Comorbidities and Modifiable Risk Factors
3.3. Preoperative Malnutrition Risk Assessment and Nutritional Support
3.4. Correction of Preoperative Anemia
3.5. Correction of Hypoalbuminemia
3.6. Other Preoperative Biomarkers
3.7. General Anesthesia (GA) and Airway Management
3.8. Use of Regional Anesthesia
3.9. Intraoperative Monitoring and Surgical Aspects
3.10. Fluids, Vasopressors, and Red Blood Cell Transfusions
3.11. General Postoperative Care Principles and Postoperative Follow-Up
3.12. Postoperative Pain Control
3.13. Postoperative Antithrombotic Treatment
4. Areas of Future Research
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Ojuva, A.M.; Rocans, R.P.; Zarins, J.; Bine, E.; Mahauri, I.; Donina, S.; Mamaja, B.; Vanags, I. Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review. Clin. Pract. 2024, 14, 2187-2201. https://doi.org/10.3390/clinpract14050172
Ojuva AM, Rocans RP, Zarins J, Bine E, Mahauri I, Donina S, Mamaja B, Vanags I. Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review. Clinics and Practice. 2024; 14(5):2187-2201. https://doi.org/10.3390/clinpract14050172
Chicago/Turabian StyleOjuva, Aleksi Matias, Rihards Peteris Rocans, Janis Zarins, Evita Bine, Insana Mahauri, Simona Donina, Biruta Mamaja, and Indulis Vanags. 2024. "Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery: A Narrative Review" Clinics and Practice 14, no. 5: 2187-2201. https://doi.org/10.3390/clinpract14050172