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

Volume : VIII, Issue : XI, November - 2019

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.