Key result
Perioperative anesthesia practices including fluid restriction and protective ventilation improve outcomes after high-risk esophagectomy.
Why the study?
Morbidity and mortality after oesophagectomy remain high despite multidisciplinary and enhanced recovery pathways, highlighting the anaesthetist's critical role in perioperative care.
Optimized perioperative anaesthesia practices, including fluid management and protective lung ventilation, are important for improving outcomes in high-risk oesophagectomy patients.
May support targeted anaesthesia strategies in oesophagectomy; leaves open confirmation by prospective trials.
In this review, we will provide an overview of the current state of the art of perioperative practices for open and laparoscopic oesophagus surgery from the anaesthetist's perspective. Morbidity and mortality after oesophagectomy is still high despite multidisciplinary and enhanced recovery pathways showing promising results. The anaesthetist has an important role in the complex care of the oesophageal cancer patient. Minimizing unnecessary fluid administration, adequate pain management, hypotension, and protective lung ventilation are examples of proven strategies that can improve outcome after this high-risk surgery.
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Veelo et al. (2017) conducted a review in Oesophageal cancer undergoing oesophagectomy. Perioperative anaesthesia practices was evaluated. Perioperative anaesthesia practices, including minimizing fluid administration, adequate pain management, and protective lung ventilation, can improve outcomes after high-risk oesophagectomy.
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