Cyrus Motamed,Lauriane Bordenave,Stéphanie  Suria,
Clinical Update on Anaesthetic Management of Free Flap Surgery in Cervico Facial Cancer Patients
Anesthesia and Clinical Research
2020
2733-2500
http://dx.doi.org/10.31487/j.ACR.2020.01.03
https://www.sciencerepository.org/clinical-update-on-anaesthetic-management-of-free-flap-surgery-in-cervico_ACR-2020-1-103 
Abstract: Intraoperative anaesthesia management in oro-facial cancer surgical patients requiring free flap tissue
transfer is evolving. In this paper we updated our intraoperative clinical protocol using our own experience
in combination with the latest literature. The main areas of change include videolaryngoscopic awake
intubation in case of difficult airway management, combination of regional anaesthesia with peripheral
catheter to decrease intraoperative opioid consumption, and postoperative pain and finally opioid free
anaesthesia techniques using dexmedetomidine.Keywords: Free flap, cervico facial cancer, peripheral catheter, opioid free anaesthesia