ANESTHETIC MANAGEMENT OF POST ACID INGESTION ESOPHAGOPLEURAL FISTULA POSTED FOR FISTULA REPAIR – CASE REPORT

Dr. Shakuntala Goswami, Dr. Dhwani Trambadia, Dr. Aarti vaghasia, Dr. Payal Yadav, Dr. Anjali Sahoo, Dr. Monika

Abstract


Introduction:--The esophagopleural fistula can occure as an iatrogenic complication due to trauma followed by repeated dilatation of esophagus in a   patient's of post acid ingetion stricture of esophagus.  There  are chances of difficult airway  in such kind of patient  due to  distorted oral,pharyngeal and glottic anatomy. In this case lung isolation provided with double lumen tube insertion. Aims :- are protection of the healthy lung, improve exposure of surgical field, provide hemodynamic stability     and adequate   analgesia for pain relief.Patient was managed successfully with GA+thoracic epidural  with double lumen tube insertion.Result:-P erioperative  period  was uneventful with  lung  isolation and  excellent pain relief with thoracic epidural analgesia.                                                                                                      conclusion:Such  patient can be managed   successfully  with  good  lung  isolation  ,adequate  analgesia  and  continuous hemodynamic monitoring with  IBP  and CVP

Keywords


ESOPHAGOPLEURAL FISTULA, POST ACID INESTION

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