bandage-green

Esophagectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, arms extended
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Aspiration risk / Full stomach, Arterial line, Central line, One-Lung Ventilation / Lung Isolation

Anesthetic Approaches

1GETT, Epidural
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Abdominal phase - stomach mobilized on the right gastroepiploic artery, conduit fashioned, pyloric drainage and feeding jejunostomy per surgeon. Thoracic phase (Ivor Lewis/McKeown) - patient...

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