Hemostasis in Head and Neck Surgery, An Issue of Otolaryngologic Clinics of North America

Harshita Pant, Carl H. Snyderman

Description

Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensable resource on all issues of hemostatis in head and neck surgery.

Sujets

• Médecine
• Médecine Générale
• Medical
• Otolaryngology

Informations

• Publié par: Elsevier
• Date de parution: 06 juillet 2016
• Nombre de lectures: 0
• EAN13: 9780323402613
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Hemostasis in Head and Neck Surgery

Otolaryngologic Clinics of North America

EDI TO RS

Harshita Pant, BMBS, PhD Department of Otolaryngology, Head and Neck Surgery, The University of Adelaide School of Medicine, Adelaide, South Australia, Australia Carl H. Snyderman, MD, MBA Departments of Otolaryngology and Neurological Surgery, University of Pittsburgh School of Medicine, UPMC Center for Cranial Base Surgery, Pittsburgh, PA, USA Clinics Review Articles www.oto.theclinics.com June 2016 • Volume 49 • Number 3

Table of Contents

Cover image

Title page

Copyright

CME Accreditation Page

Contributors Editors Authors

Forthcoming Issues Forthcoming Issues Recent Issues

Preface. Hemostasis in Otolaryngology—Head and Neck Surgery

Preoperative Assessment of Risk Factors Key learning points Introduction Discussion Summary References Suggested readings

Anesthetic Techniques in Endoscopic Sinus and Skull Base Surgery Key learning points Introduction

Preoperative evaluation of pituitary and skull base surgical patients

Endoscopic skull base surgery

Local versus general anesthesia in sinus and skull base surgery

Endotracheal tube versus laryngeal mask

Preparation of the patient for surgery

Maintenance of anesthesia

Total intravenous anesthesia versus inhalational anesthesia

Spontaneous versus positive pressure ventilation

Emergence of anesthesia

Postoperative care

Looking into the future References Suggested readings

Blood-Sparing Techniques in Head and Neck Surgery Key learning points Introduction

Jehovah’s witnesses

Complications of blood transfusions

Preoperative techniques

Intraoperative techniques Summary References

Suggested readings

Quality Control Approach to Anticoagulants and Transfusion Key learning points Introduction

Managing anticoagulants in the acute and perioperative settings

Quality in blood transfusion Developing a quality plan for hemostasis and transfusion Summary

References Suggested Readings

Hemostatic Materials and Devices Key learning points Introduction Discussion How have materials and devices in endoscopic sinus and skull base surgery evolved?

What are the benefits and drawbacks of topical materials in use today?

Authors’ insights

Summary References Suggested readings

Surgical Adhesives in Facial Plastic Surgery Key learning points Introduction

Surgical tissue adhesives Summary References

Suggested Readings

Hemostasis in Pediatric Surgery Key learning points Preoperative evaluation

Pediatric bleeding and blood disorders in surgery

Sickle cell disease

Thrombocytopenia

Methods of hemostasis during surgery

Mechanical hemostasis

Chemical hemostasis

Biomaterials