Research Article

Critical Care Admissions following Total Laryngectomy: Is It Time to Change Our Practice?

Table 1

(a) Operative severity scoring (adapted from Griffiths et al. [8]). (b) Physiological and operative parameters.
(a)

Operative severityScoreOperation type

Minor1Endoscopy, tracheostomy, excision submandibular gland/lymph node
Moderate2Parotidectomy, thyroidectomy, neck dissection
Major4Laryngectomy, pharyngectomy
Complex major8Free flaps, pedicled flaps

(b)

Physiological parametersOperative parameters

Age (years)Operative severity
Cardiac signs and chest radiographMultiple procedures
Respiratory history and chest radiographTotal blood loss
Systolic blood pressure (mmHg)Peritoneal soiling
Pulse (beats/min)Presence of malignancy
Glasgow Coma Scale (GCS)Mode of surgery
Haemoglobin (g/100 mL)
White cell count (×1012/L)
Urea (mmol/L)
Sodium (mmol/L)
Potassium (mmol/L)
Electrocardiogram