Haemodynamic instability during transhiatal resection of oesophagus results in postoperative metabolic acidosis and hypoxia: is there a need for assisted ventilation?
Oesophagectomy for oesophageal carcinoma is a stressful physical and metabolic challenge for an individual. The metabolic acidosis and hypoxia resulting postoperatively in a 34-year-old male, suffering from oesophageal carcinoma, after transhiatal oesophagectomy was managed without assisted ventilation contrary to the usual teaching. Relevant literature has been reviewed.
Tewari
Prabhat
P
Department of Anaesthesiology and Critical Care, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014.
Garg
Garima
G
D000138:Acidosis / Q000209:etiology / Q000628:therapy*; D000328:Adult; D001707:Biopsy, Needle; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects* / Q000379:methods; D004945:Esophagoscopy / Q000379:methods; D005500:Follow-Up Studies; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D000860:Hypoxia / Q000209:etiology / Q000628:therapy*; D007150:Immunohistochemistry; D007194:India; D008297:Male; D020380:Needs Assessment; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D012121:Respiration, Artificial; D018570:Risk Assessment; D016896:Treatment Outcome