Heller myotomy
Anesthesia type

General

Airway

ETT, RSI

Lines and access

PIV

Monitors

Standard

Primary anesthetic considerations
Preoperative

GERD, consider full stomach

Intraoperative

RSI, reverse trendelenburg positioning

Postoperative
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A Heller myotomy is a minimally-invasive surgical procedure utilized in the treatment of achalasia.

Preoperative management

Patient evaluation

System Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal Severe GERD, aspiration risk
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References