Difference between revisions of "Transhiatal esophagectomy"

From WikiAnesthesia
(Started page.)
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| airway = 8-O ETT
| airway = 8-O ETT
| lines_access = Large bore PIV
| lines_access = Large bore PIV
Arterial Line
NG-tube
| monitors = Standard
| monitors = Standard
Arterial Line
Arterial Line
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=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===


=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
=== Operating room setup ===
 
* 8-O ETT for periemergence bronchoscopy
* Arterial line
* Large bore peripheral IV
* NG tube to decompress stomach
 
=== Patient preparation and premedication ===
 
* EKG leads on back of shoulders to facilitate neck prep


=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
=== Regional and neuraxial techniques ===


=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
* Epidural for post-operative pain control


== Intraoperative management ==
== Intraoperative management ==


=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
=== Monitoring and access ===
 
* Standard ASA Monitors
* Arterial line


=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===
=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===


=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
* Supine with both arms tucked


=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===

Revision as of 09:16, 17 June 2021

Transhiatal esophagectomy
Anesthesia type

General

Airway

8-O ETT

Lines and access

Large bore PIV Arterial Line NG-tube

Monitors

Standard Arterial Line

Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative

Anastamotic leak

Article quality
Editor rating
Unrated
User likes
0

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

  • 8-O ETT for periemergence bronchoscopy
  • Arterial line
  • Large bore peripheral IV
  • NG tube to decompress stomach

Patient preparation and premedication

  • EKG leads on back of shoulders to facilitate neck prep

Regional and neuraxial techniques

  • Epidural for post-operative pain control

Intraoperative management

Monitoring and access

  • Standard ASA Monitors
  • Arterial line

Induction and airway management

Positioning

  • Supine with both arms tucked

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

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

References