Ojuva, Aleksi MatiasRocans, Rihards PeterisZariņš, JānisBine, EvitaMahauri, InsanaDoniņa, SimonaMamaja, BirutaVanags, Indulis2024-10-242024-10-242024-10-18Ojuva, A M, Rocans, R P, Zariņš, J, Bine, E, Mahauri, I, Doniņa, S, Mamaja, B & Vanags, I 2024, 'Novel Challenges and Opportunities for Anesthesia and Perioperative Care in Microvascular Flap Surgery : A Narrative Review', Clinics and Practice, vol. 14, no. 5, pp. 2187–2201. https://doi.org/10.3390/clinpract14050172, https://doi.org/10.3390/clinpract140501722039-7275https://dspace.rsu.lv/jspui/handle/123456789/16804Publisher Copyright: © 2024 by the authors.Complex microvascular techniques and in-depth knowledge of blood rheology and microanastomosis function are required for success in microvascular flap surgery. Substantial progress has been achieved in preventing complications, but the rate of flap loss is still significant and can have significant adverse effects on the patient. Flap thrombosis, flap hematoma, and flap loss are the most frequent and severe major surgical complications. Advances in understanding the pathophysiology of different flap complications, the use of preoperative risk assessment and new treatment concepts could improve the perioperative care of microvascular flap surgery patients. Our aim was to outline novel avenues for best practice and provide an outlook for further research of anesthesia and perioperative care concepts in microvascular flap surgery15947972enginfo:eu-repo/semantics/openAccessanesthesia; perioperative care; microvascular flap complications; reconstructive surgery3.2 Clinical medicine3.1 Basic medicine1.1. Scientific article indexed in Web of Science and/or Scopus database/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/systematicreview10.3390/clinpract14050172http://www.scopus.com/inward/record.url?scp=85207493347&partnerID=8YFLogxKhttps://doi.org/10.3390/clinpract14050172https://www.mdpi.com/2039-7283/14/5/172/review_report