Wound Infusion Catheters in Free Flap Head and Neck Cancer Patients

Our tertiary centre performs 120 free flap reconstructions per annum for people with head and neck cancer. Following flap anastomosis prevention of vasoconstriction is essential to promote blood flow through the transferred tissue and ensure flap survival. Inadequate pain management with accompanying vasoconstriction/tachycardia can have a detrimental effect on the free flap. In select free-flaps we use a Pajunk Infiltralong wound infusion catheter (WIC) and Fuser pump to administer 0.125% L-bupivicaine 8ml/hr to the flap donor site.

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