Elective Postoperative I.P.P.V. for Extensive Head and Neck Skin Grafting

Abstract

Patients with extensive skin-grafting of the head and neck are managed for the first 24–48 hours postoperatively in the Intensive Care Unit with muscle paralysis, controlled ventilation, timed parenteral analgesia and sedation. The aims are to provide full immobilization of the graft and to allow pressure dressings without embarrassment to the airway. The regime is suggested as an added indication for intensive care therapy.