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Vasopressor use in free tissue transfer surgery.

Marcus M Monroe¹, Julie McClelland, Chris Swide

¹Department of Otolaryngology-Head and Neck Surgery, Oregon Health-Sciences University, Portland, OR 97239, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery

|February 2, 2010

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Intraoperative vasopressors are commonly used in free tissue transfer surgery. This study found that their use did not increase flap failure or complication rates, suggesting they may be safer than previously thought.

Area of Science:

Microsurgery
Vascular Surgery
Anesthesiology

Background:

Free tissue transfer is a complex surgical procedure.
Vasopressor use during surgery is common but its impact on flap outcomes is debated.

Purpose of the Study:

To determine the frequency of vasopressor use in free tissue transfer.
To compare flap complications and survival rates between patients who received and did not receive intraoperative vasopressors.

Main Methods:

Retrospective case series with chart review.
Analysis of free tissue transfers performed between 2004 and 2006.
Comparison of outcomes based on intraoperative vasopressor administration.

Main Results:

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Vasopressors were administered to 82% of patients.

Flap survival was high at 96.5% overall.

No significant difference in flap failure or complication rates was observed between vasopressor and non-vasopressor groups.

Conclusions:

Intraoperative vasopressor use is frequent in free tissue transfer surgery.
Vasopressors do not appear to negatively impact flap survival or complication incidence.
Findings suggest vasopressor use may be less detrimental than previously assumed.