Introduction: It has been a hotly debated issue whether to send all major head and neck cancer patients having free flap reconstructive surgery to an Intensive Care Unit (ICU) postoperatively. A previous audit, from our unit, concluded that the routine use of a specialist head and neck ward (SHNW) was cost effective without having an adverse affect on care (BJOMS 2007). A decision whether these patients should go to ITU or SHNW is dependant on the assessment of an experienced anaesthetist. A change in anaesthetist prompted us to reaudit our current practice.
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© 2012 Published by Elsevier Inc.