Noninvasive Ventilation in Esophagectomy Postoperative Surgery
Küçük Resim Yok
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Nova Science Publishers, Inc.
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Although significant advances in anesthesia, pain control, surgical techniques, and postoperative intensive care follow-up and preoperative risk assessment have reduced mortality rates after esophageal resections, post-surgical morbidity and mortality rates are still high. Pulmonary complications after esophagectomy are common, and can be a cause of hospital mortality. Early intervention of aggressive pain control, decreased fluid administration and prophylactic effective chest physiotherapy, is considered as a key factor in preventing respiratory complications. Ventilation management in the patients after esophagectomy is more challenging because of the difficulty in maintaining a balance between avoiding further damage to the anastomosis and adequate ventilation. While noninvasive positive pressure ventilation is associated with fewer complications than endotracheal intubation, it is relatively contraindicated after esophagectomy due to potential injury to the anastomosis. Understanding the impact of esophageal surgery on clinical symptoms is important for successful treatment management and effective NIV administration in esophagectomy patients with acute respiratory failure. © 2022 by Nova Science Publishers, Inc.
Açıklama
Anahtar Kelimeler
esophageal cancer, esophagectomy, NIV, noninvasive ventilation, postoperative complications
Kaynak
Noninvasive Mechanical Ventilation in Anesthesiology and Perioperative Medicine