Perioperative respiratory care in patients undergoing esophagectomy

Jun Okuda, Takeshi Suzuki, Hiroshi Morisaki

Research output: Contribution to journalArticle

Abstract

Despite recent advances in surgical techniques and perioperative management, the rate of perioperative complications after esophagectomy, one of major surgical interventions, remains high compared to those of other surgical procedures. Respiratory complications are often observed and sometimes serious and life-threatening unless treated appropriately. Thus, certain prevention and adequate treatment of perioperative respiratory complications during perioperative periods are imperative to improve the outcome of patients with esophageal cancer. Prior to surgery, smoking cessation is extremely important to reduce the risk of respiratory complications. Moreover, preoperative oral care has been shown to prevent postoperative pneumonia During surgery, lung protective strategy and goal-directed fluid management have been reported to prevent the development of acute lung injury and to reduce postoperative respiratory complications. Postoperatively, sufficient analgesia and early mobilization therapy could promote recovery of respiratory function after esophagectomy. Compared with conventional oxygen therapy, nasal high-flow therapy might promote better recovery of respiratory functions owing to clearance of tracheal secretions, additional positive end-expiratory pressure, and reduced work of breathing.

Original languageEnglish
Pages (from-to)462-469
Number of pages8
JournalJapanese Journal of Anesthesiology
Volume67
Issue number5
Publication statusPublished - 2018 May 1

Fingerprint

Perioperative Care
Esophagectomy
Recovery of Function
Work of Breathing
Preoperative Care
Early Ambulation
Perioperative Period
Positive-Pressure Respiration
Acute Lung Injury
Smoking Cessation
Esophageal Neoplasms
Secondary Prevention
Nose
Analgesia
Pneumonia
Therapeutics
Oxygen
Lung

Keywords

  • Esophagectomy
  • Perioperative management respiratory care

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Perioperative respiratory care in patients undergoing esophagectomy. / Okuda, Jun; Suzuki, Takeshi; Morisaki, Hiroshi.

In: Japanese Journal of Anesthesiology, Vol. 67, No. 5, 01.05.2018, p. 462-469.

Research output: Contribution to journalArticle

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