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 severity | Score | Operation type |
| Minor | 1 | Endoscopy, tracheostomy, excision submandibular gland/lymph node | Moderate | 2 | Parotidectomy, thyroidectomy, neck dissection | Major | 4 | Laryngectomy, pharyngectomy | Complex major | 8 | Free flaps, pedicled flaps |
|
|
(b) |
| Physiological parameters | Operative parameters |
| Age (years) | Operative severity | Cardiac signs and chest radiograph | Multiple procedures | Respiratory history and chest radiograph | Total 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 |
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