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ICU Management of the Maxillofacial Surgery Patient

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Perioperative Assessment of the Maxillofacial Surgery Patient

Abstract

Oral and maxillofacial surgery patients may require assessment for their critical care needs or admission to the intensive care unit (ICU) in the perioperative, postinjury, or other acute care settings. Patients who require the intensive care unit may have anatomical concerns, postoperative challenges related to airway patency, or any combination of concomitant trauma, pathology, or comorbid respiratory failure. In order to manage these acutely ill patients, the ICU should be equipped with advanced adjuvants to airway management, experienced providers, and assertive protocols to manage airways, treat infection, and manage the nonsurgical needs. This chapter will provide the foundation for critical care assessment, treatments, and needs in the maxillofacial surgery population.

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References

  1. Alves LS, Aragao I, Sousa MJC, Gomes E. Pattern of maxillofacial fracures in severe multiple trauma patients: a 7 year prospective study. Braz Dent J. 2014;25(6):561–4.

    Article  PubMed  Google Scholar 

  2. Ylijoki S, Suuronen R, Jousimies-Somer H, Meurman JH, Lindqvist C. Differences between patients with or without the need for intensive care due to severe odontogenic infections. J Oral Maxillofac Surg. 2001;59(8):867–72.

    Article  CAS  PubMed  Google Scholar 

  3. Zemplenyi K, Lopez B, Sardesai M, Dillon JK. Can progression of odontogenic infections to cervical necrotizing soft tissue infections be predicted? Int J Oral Maxillofac Surg. 2017;46(2):181–8.

    Article  CAS  PubMed  Google Scholar 

  4. Vincent J-L, Moreno R. Clinical review: scoring systems in the critically ill. Crit Care. 2010;14(2):207.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Yadav SK, Mandal BK, Karn A, Sah AK. Maxillofacial trauma with head injuries at a tertiary care hospital in Chitwan, Nepal; clinical, medico-legal, and critical care concerns. Tur J Med Sci. 2012;42(Sup 2):1505–12.

    Google Scholar 

  6. Melamed R, Boland LL, Normington JP, et al. Postoperative respiratory failure necessitating transfer to the intensive care unit in orthopedic surgery patients: risk factors, costs, and outcomes. Perioper Med. 2016;5:19.

    Article  Google Scholar 

  7. Barak M, Bahouth H, Leiser Y, El-Naaj IA. Airway management of the patient with maxillofacial trauma: review of the literature and suggested clinical approach; Biomed Res Int. 2015;2015:724032.

    Google Scholar 

  8. MacInnis E, Baig M. A modified submental approach for oral endotracheal intubation. Int J Oral Maxillofac Surg. 1999;28(5):344–6.

    Article  CAS  PubMed  Google Scholar 

  9. Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, Higgs A. Difficult airway society guidelines for the management of tracheal extubation. Anaesthesia. 2012;67:318–40.

    Article  CAS  PubMed  Google Scholar 

  10. Domino KB, Posner KL, Caplan RA, Cheney FW. Airway injury during anesthesia: a closed claims analysis. Anesthesiology. 1999;91:1703–11.

    Article  CAS  PubMed  Google Scholar 

  11. Suri S, Goyal K, Chowdhury T. Role of percutaneous tracheostomy in emergent difficult airway conditions: an update. OA Anaesth. 2013;1(1):8.

    Article  Google Scholar 

  12. Dillon JK, Christensen B, Fairbanks T, Jurkovich G, Moe KS. The emergent surgical airway: cricothyrotomy vs tracheotomy. Int J Oral Maxillofac Surg. 2013;42:204–8.

    Article  CAS  PubMed  Google Scholar 

  13. Mahmood NA, Chaudry FA, Azam H, Ali MI, Khan MA. Frequency of hypoxic events in patients on a mechanical ventilator. Int J Crit Illn Inj Sci. 2013;3(2):124–9.

    Article  PubMed  PubMed Central  Google Scholar 

  14. McGrath BA, Bates L, Atkinson D, Moore JA. Multidisciplinary guidelines for the management of tracheostomy and laryngectomy airway emergencies. Anaesthesia. 2012;67:1025–41.

    Article  CAS  PubMed  Google Scholar 

  15. Hussain K, Wijetunge D, Grubnic S, Jackson I. A comprehensive analysis of craniofacial trauma. J Trauma. 1994;36(1):34–47.

    Article  CAS  PubMed  Google Scholar 

  16. Gasner R, Tuli T, Hachl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21,067 injuries. J Craniomaxillofac Surg. 2003;31(1):51–61.

    Article  Google Scholar 

  17. Morosan M, Parbhoo A, Curry N. Anaesthesia and common oral and maxilla-facial emergencies. Contin Educ Anaesth Crit Care Pain. 2012;12(5):257–62.

    Article  Google Scholar 

  18. Mundinger GS, Borsuk DE, Okhah Z, et al. Antibiotics and facial fractures: evidence-based recommendations compared with experience-based practice. Craniomaxillofac Trauma Reconstr. 2015;8(1):64–78.

    Article  PubMed  Google Scholar 

  19. Lai Y-W, Yi-Chia W, Lee S-S, Lai C-S. Meningitis and hydrocephalus secondary to panfacial fracture repair in a traumatic brain injury patient. Kaohsiung J Med Sci. 2013;29(2):116–8.

    Article  PubMed  Google Scholar 

  20. Bali RK, Sharma P, Gaba S, Kaur A, Ghanghas P. A review of complications of odontogenic infections. Natl J Maxillofac Surg. 2015;6(2):136–43.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Alberda C, Gramlich L, Jones N, et al. The relationship between nutritional intake and clinical outcomes in critically ill patients: results of an international multicenter observational study. Intensive Care Med. 2009;35:1728–37.

    Article  PubMed  Google Scholar 

  22. Dryden SV, Shoemaker WG, Kim JH. Wound management and nutrition for optimal wound healing. Craniomaxillofac Trauma. 2013;21(1):37–47.

    Google Scholar 

  23. Miller KR, Smith JW, Harbrecht BG, Benns MV. Early enteral nutrition in trauma: is there still any doubt? Current Trauma Reports. 2016;2(2):73–8.

    Article  Google Scholar 

  24. McAuley D, Barry T, McConnell K, Smith J, Stenhouse J. Early feeding after free flap reconstruction for oral cancer. Br J Oral Maxillofac Surg. 2015;53(7):618–20.

    Article  CAS  PubMed  Google Scholar 

  25. McClave SA, Martindale RG, Vanek VW, McCarthy M, et al. Guidelines for the provision and assessment of nutritional support therapy in the adult critically ill patient. JPEN. 2009;33(3):277–316.

    Article  Google Scholar 

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Correspondence to David S. Shapiro M.D., F.A.C.S., F.C.C.M. .

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McNeish, J., Shapiro, D.S. (2018). ICU Management of the Maxillofacial Surgery Patient. In: Ferneini, E., Bennett, J. (eds) Perioperative Assessment of the Maxillofacial Surgery Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-58868-1_5

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  • DOI: https://doi.org/10.1007/978-3-319-58868-1_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-58867-4

  • Online ISBN: 978-3-319-58868-1

  • eBook Packages: MedicineMedicine (R0)

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