Background: Microsurgical free tissue transfer has become an increasingly valuable
technique in reconstructive surgery. However, there is a paucity of evidence-based …

Background The use of vasopressors in free flap surgery has traditionally been avoided due
to the presumed risk of pedicle vasospasm leading to flap failure. However, there is a lack of …

Objective: To examine the effects of vasopressors on free flap outcomes. Background: Most
micro-surgeons avoid the use of vasopressors during free flap surgery due to concerns of …

Background In free flap head and neck reconstructions, hemodynamic management is
complicated by the deleterious effects of excessive crystalloid administration. Patients may …

This systematic review and meta‐analysis investigates the objective evidence regarding
outcomes in head and neck free flap surgeries using vasoactive agents in the perioperative …

Introduction Historically, there were concerns vasopressors impair free flap outcomes, but
recent studies suggest vasopressors are safe. Here we investigate this controversy by (1) …

Background The purpose of this study is to identify whether intraoperative use of vasoactive
medications increases the risk of free flap failure or complications through a systematic …

Introduction The amount of fluids administered intraoperatively seems to influence the
postoperative outcome, and especially the transfusion of red blood cell concentrates (RBC) …

Given the high stakes for microvascular reconstruction, the majority of reconstructive
surgeons have developed paradigms for pre, intra, and postoperative management that …

Background: In head and neck reconstructive surgery, postoperative complications are a
well-known concern. Methods: We examined 46 patients who underwent ablative surgery …