Ivor Lewis esophagectomy

Ivor Lewis esophagectomy

Anesthesia type	General
Airway	DLT
Lines and access	Large PIV, arterial line, NG tube
Monitors	Standard, arterial line
Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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Provide a brief summary of this surgical procedure and its indications here.

Preoperative management

Patient evaluation

System	Considerations
Neurologic
Cardiovascular
Respiratory
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Operating room setup

• Arterial line +/- flowtrack (ideally on left arm)
• Fluid warmer
• Double-lumen tube (left)

Intraoperative management

Monitoring and access

• Invasive hemodynamic monitoring
• Large bore IV access

Induction and airway management

• May consider RSI if high-aspiration risk due to esophageal tumor obstructing food passage
• Left sided double lumen tube

Positioning

• Start in supine position if EGD is used
• Patient will be later positioned to left lateral decubitus

Postoperative management

Disposition

• Post-op ICU

Pain management

• Epidural

Procedure variants

	Open	Laparoscopic	Robotic
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications