Skip to main content

Perioperative and Postoperative Management

  • Chapter
Surgery of the Esophagus

Abstract

Developments in surgical as well as anesthetic management have meant that the morbidity and the mortality of esophageal surgery have substantially reduced during the last decade. Modern anesthetic management allows targeted risk stratification, especially of cardiac and pulmonary risk factors, thus providing a rationale for intraoperative monitoring and choice of anesthetic technique as well as postoperative pain and intensive care therapy. It is essential for the attending anesthesiologist to understand the underlying principles of the pathophysiology and surgery of esophageal diseases and to cooperate closely with the surgeon in order to provide the best care possible for the patient.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Greenhow D (1988) Esophageal surgery. In: Marshall B, Longnecker D, Fairley H (eds) Anesthesia for thoracic procedures. Blackwell Scientific Publications, Boston

    Google Scholar 

  2. Allen S, Riddell G, Butchart E (1981) Bleomycin therapy and anesthesia: the possible hazards of oxygen administration to patients after treatment with bleomycin. Anaesthesia 36:60–63

    Article  PubMed  CAS  Google Scholar 

  3. Hickling K (1990) Ventilatory management of ARDS. Can it affect the outcome? Intensive Care Med 16:219–226

    Article  PubMed  CAS  Google Scholar 

  4. Tonner PH, Scholz J, Schulte am Esch J (1996) Anesthesia for non-cardiac surgery in patients at high cardiac risk. Anaesthesiol Intensivmed 37:373–385

    Google Scholar 

  5. Izbicki JR, Knöfel WT, Passlick B, Habekost M, Karg O, Thetter O (1995) Risk analysis and longterm survival in patients undergoing extended resection of locally advanced lung cancer. J Thorac Cardiovasc Surg 110:386–395

    Article  PubMed  CAS  Google Scholar 

  6. Connors A, Speroff T, Dawson N, Thomas C, Harrell F, Wagner D, Desbiens N, Goldman L, Wu A, Califf R, Fulkerson W, Vidaillet H, Broste S, Bellamy P, Lynn J, Knaus W for the SUPPORT investigators (1996) The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA 276:889–897

    Article  PubMed  Google Scholar 

  7. Fratacci M, Kimball W, Wain J et al (1993) Diaphragmatic shortening after thoracic surgery in humans: effects of mechanical ventilation and thoracic epidural anesthesia. Anesthesiology 79:654–665

    Article  PubMed  CAS  Google Scholar 

  8. Blomberg S, Emanuelsson H, Kvist H et al (1990) Effects of thoracic epidural anesthesia on coronary artery disease. Anesthesiology 73:840–847

    Article  PubMed  CAS  Google Scholar 

  9. Norlander O (1988) Combined epidural and general anesthesia for abdominal operations-a good technique. Acta Anaesth Belg 39:203–208

    PubMed  CAS  Google Scholar 

  10. Mackie A, Watson C (1984) Anaesthesia and mediastinal masses. Anaesthesia 39:899–903

    Article  PubMed  CAS  Google Scholar 

  11. Benumof J, Alfery D (1995) Anesthesia for thoracic surgery. In: Miller R (ed) Anesthesia. Churchill Livingstone, New York

    Google Scholar 

  12. Smith G, Hirsch N, Ehrenwerth J (1986) Sight and sound. Can double-lumen endotracheal tubes be placed accurately without fiberoptic bronchoscopy? Anesth Analg 65:S 1

    Google Scholar 

  13. Campos JH, Reasoner DK, Moyers JR (1996) Comparison of a modified double-lumen endotracheal tube with a single-lumen tube with enclosed bronchial blocker. Anesth Analg 83:1268–1272

    Article  PubMed  CAS  Google Scholar 

  14. Hedenstierna G, Baehrendtz S, Klingstedt C, Santesson J, Söderborg B, Dahlborn M, Bindslev L (1984) Ventilation and perfusion of each lung during differential ventilation with selective PEEP. Anesthesiology 61:369–376

    Article  PubMed  CAS  Google Scholar 

  15. Kurz A, Sessler D, Lenhardt R for the Study of Wound Infection and Temperature Group (1996) Perioperative normothermia to reduce the incidence of surgical wound infection and shorten hospitalization. N Engl J Med 334:1209–1215

    Article  PubMed  CAS  Google Scholar 

  16. Kido Y, Ogawa Y, Kawasaki K, Shiozaki H, Morimoto S, Mori T (1988) Pulmonary complications following surgery for esophageal cancer. In: Siewert H, Hölscher A (eds) Diseases of the esophagus. Springer, Berlin Heidelberg New York

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

J. R. Izbicki D. C. Broering E. F. Yekebas A. Kutup A. F. Chernousov Y. I. Gallinger P. M. Bogopolski N. Soehendra

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Steinkopff Verlag

About this chapter

Cite this chapter

Scholz, J., Tonner, P.H., von Knobelsdorff, G. (2009). Perioperative and Postoperative Management. In: Izbicki, J.R., et al. Surgery of the Esophagus. Steinkopff. https://doi.org/10.1007/978-3-7985-1743-1_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-7985-1743-1_6

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1309-9

  • Online ISBN: 978-3-7985-1743-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics