Anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantation

[Objective:] To investigate the anesthesia hemodynamic monitoring of simultaneous flap transfer for oropharyngeal carcinoma. [Methods:] The perioperative anesthesia data of 32 patients with oropharyngeal carcinoma who underwent pedicle flap transplantation and carcinoma excision at the same time in...

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Main Authors: HUANG Jinhua, ZENG Jianqiang, YUAN Lei, TIAN Keqiang
Format: Article
Language:zho
Published: Editorial Office of Journal of Oral and Maxillofacial Surgery 2024-02-01
Series:Kouqiang hemian waike zazhi
Subjects:
Online Access:https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.01.009
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author HUANG Jinhua
ZENG Jianqiang
YUAN Lei
TIAN Keqiang
author_facet HUANG Jinhua
ZENG Jianqiang
YUAN Lei
TIAN Keqiang
author_sort HUANG Jinhua
collection DOAJ
description [Objective:] To investigate the anesthesia hemodynamic monitoring of simultaneous flap transfer for oropharyngeal carcinoma. [Methods:] The perioperative anesthesia data of 32 patients with oropharyngeal carcinoma who underwent pedicle flap transplantation and carcinoma excision at the same time in our hospital from January 2018 to September 2022 were retrospectively analyzed. Heart rate (HR), invasive arterial blood pressure (IBP), central venous pressure (CVP), blood oxygen saturation (SPO2), pH value, partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2), anesthesia time, blood loss, and perioperative anesthesia related complications were continuously monitored during the operation. The data were recorded at the beginning of anesthesia (T1), the beginning of surgery (T2), the beginning of flap transfer (T3), the end of flap transfer (T4) and the end of surgery (T5). [Results:] Anesthesia was successfully performed in 32 cases. The anesthesia time was (490.84±15.04) min, and the blood loss was (385.62±4.32) mL. IBP and CVP at T3 were significantly lower than those at other time points, and HR was significantly higher than those at other time points (P<0.05). At T4 and T5, pH value was lower than those at other time points, and PaCO2 was higher than those at other time points (P<0.05). There were no complications related to anesthesia during the perioperative period. [Conclusion:] In the anesthesia hemodynamic monitoring of simultaneous pedicle flap transplantation for oropharyngeal carcinoma excision, it is important to monitor the anesthesia time, depth of anesthesia and blood loss, and maintain the circulation stability and acid-base balance during anesthesia.
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spelling doaj-art-ff06eb55c7ba452ba29a4de169f73a292025-08-25T06:10:50ZzhoEditorial Office of Journal of Oral and Maxillofacial SurgeryKouqiang hemian waike zazhi1005-49792024-02-01341596210.12439/kqhm.1005-4979.2024.01.009Anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantationHUANG Jinhua0ZENG Jianqiang1YUAN Lei2TIAN Keqiang3Department of Anesthesiology, Ganzhou Cancer Hospital, Ganzhou 341000, ChinaDepartment of Anesthesiology, Ganzhou Cancer Hospital, Ganzhou 341000, ChinaDepartment of Anesthesiology, Ganzhou Cancer Hospital, Ganzhou 341000, ChinaDepartment of Anesthesiology, Ganzhou Cancer Hospital, Ganzhou 341000, China[Objective:] To investigate the anesthesia hemodynamic monitoring of simultaneous flap transfer for oropharyngeal carcinoma. [Methods:] The perioperative anesthesia data of 32 patients with oropharyngeal carcinoma who underwent pedicle flap transplantation and carcinoma excision at the same time in our hospital from January 2018 to September 2022 were retrospectively analyzed. Heart rate (HR), invasive arterial blood pressure (IBP), central venous pressure (CVP), blood oxygen saturation (SPO2), pH value, partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2), anesthesia time, blood loss, and perioperative anesthesia related complications were continuously monitored during the operation. The data were recorded at the beginning of anesthesia (T1), the beginning of surgery (T2), the beginning of flap transfer (T3), the end of flap transfer (T4) and the end of surgery (T5). [Results:] Anesthesia was successfully performed in 32 cases. The anesthesia time was (490.84±15.04) min, and the blood loss was (385.62±4.32) mL. IBP and CVP at T3 were significantly lower than those at other time points, and HR was significantly higher than those at other time points (P<0.05). At T4 and T5, pH value was lower than those at other time points, and PaCO2 was higher than those at other time points (P<0.05). There were no complications related to anesthesia during the perioperative period. [Conclusion:] In the anesthesia hemodynamic monitoring of simultaneous pedicle flap transplantation for oropharyngeal carcinoma excision, it is important to monitor the anesthesia time, depth of anesthesia and blood loss, and maintain the circulation stability and acid-base balance during anesthesia.https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.01.009oropharyngeal carcinomapedicled flap transferperioperativehemodynamics of anesthesia
spellingShingle HUANG Jinhua
ZENG Jianqiang
YUAN Lei
TIAN Keqiang
Anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantation
Kouqiang hemian waike zazhi
oropharyngeal carcinoma
pedicled flap transfer
perioperative
hemodynamics of anesthesia
title Anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantation
title_full Anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantation
title_fullStr Anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantation
title_full_unstemmed Anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantation
title_short Anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantation
title_sort anesthesia hemodynamic monitoring of oropharyngeal carcinoma concurrently repaired by pedicle flap transplantation
topic oropharyngeal carcinoma
pedicled flap transfer
perioperative
hemodynamics of anesthesia
url https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.01.009
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AT zengjianqiang anesthesiahemodynamicmonitoringoforopharyngealcarcinomaconcurrentlyrepairedbypedicleflaptransplantation
AT yuanlei anesthesiahemodynamicmonitoringoforopharyngealcarcinomaconcurrentlyrepairedbypedicleflaptransplantation
AT tiankeqiang anesthesiahemodynamicmonitoringoforopharyngealcarcinomaconcurrentlyrepairedbypedicleflaptransplantation