Postoperative Intensive Care in Patients after Severe Operations in Orofacial Area with Respect to Nutritional Disorders
Abstract
Contemporary high-tech surgerical equipment enables to carry out radical resections with subsequent reconstruction successfully in patients with malignant tumour in orofacial area. As it concerns longlasting operations with high demands on postoperative care, we concentrated on the present perioperative management during the therapy of this group of patients and on possibilities of its improvement.
We determined peroperative and postoperative risks and proposed a possible therapeutic procedure. We tried to stress a frequent incidence of unidentified peroperative malnutrition with the impact on the early postoperative course, the development of infectious and early complications, the lenght of patient's stay in the intensive care unit and the final patient's state.
We carried out pooperative care and organ support of individual system in dependence on patient's state according to reccommendations applicable in intensive care.