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

Labs and studies

Operating room setup

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

Patient preparation and premedication

Regional and neuraxial techniques

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

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

  • Post-op ICU

Pain management

  • Epidural

Potential complications

Procedure variants

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

References