Heller myotomy
From WikiAnesthesia
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 | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
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 |