Anaes SAQs · Thoracic anaesthesia
Anaesthesia for oesophagectomy
Final-examination SAQ for oesophagectomy-anaesthesia.
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Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Outline the anaesthetic management of open Ivor Lewis oesophagectomy for mid-oesophageal carcinoma.
Model answer
Preop (3). Staging fitness, nutrition, aspiration risk, optimisation, HDU plan.[1]
Airway/OLV (4). RSI if indicated; DLT/blocker; FOB confirm; OLV hypoxia algorithm.[1]
Haemodynamics/fluids (3). Maintain MAP for conduit; balanced fluids avoid overload.[2]
Analgesia (3). Thoracic epidural or multimodal regional + systemic — epidural valued for cough preservation when manageable.[2]
Postop (2). HDU, leak/AF/pneumonia surveillance, physiotherapy.[1][2]
References3ShowHide
- [1]Veelo DP, Geerts BF Anaesthesia during oesophagectomy. Journal of Thoracic Disease, 2017.PMID 28815066
- [2]Deana C, Vetrugno L, Bignami E, Bassi F Peri-operative approach to esophagectomy: a narrative review from the anesthesiological standpoint. Journal of Thoracic Disease, 2021.PMID 34795950
- [3]Nightingale CE, Margarson MP, Shearer E, et al. Peri-operative management of the obese surgical patient 2015. Anaesthesia, 2015.PMID 25950621