Anesthesia and Enhanced Recovery After Head and Neck Surgery

Douglas M. Worrall, Anthony Tanella, Samuel DeMaria, Brett A. Miles

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations

Abstract

Enhanced recovery protocols have been developed from gastrointestinal, colorectal, and thoracic surgery populations. The basic tenets of head and neck enhanced recovery are: a multidisciplinary team working around the patient, preoperative carbohydrate loading, multimodal analgesia, early mobilization and oral feeding, and frequent reassessment and auditing of protocols to improve patient outcomes. The implementation of enhanced recovery protocols across surgical populations appear to decrease length of stay, reduce cost, and improve patient satisfaction without sacrificing patient quality of care or changing readmission rates. This article examines evidence-based enhanced recovery interventions and tailors them to a major head and neck surgery population.

Original languageEnglish
Pages (from-to)1095-1114
Number of pages20
JournalOtolaryngologic Clinics of North America
Volume52
Issue number6
DOIs
StatePublished - Dec 2019

Keywords

  • Cost
  • Enhanced recovery
  • Evidence-based medicine
  • Fast track surgery
  • Length of stay
  • Major head and neck surgery
  • Preoperative carbohydrate loading
  • Surgical outcomes

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