ANAESTHETIC MANAGEMENT IN A CASE OF CARCINOMA OESOPHAGUS AND CARCINOMA THYROID.

Dr. Parvathy Vijay; Dr. Narendra Patil; Dr R P Gehdoo

Volume : VIII, Issue : XII, December - 2019

ANAESTHETIC MANAGEMENT IN A CASE OF CARCINOMA OESOPHAGUS AND CARCINOMA THYROID.

Dr. Parvathy Vijay, Dr. Narendra Patil, Dr R P Gehdoo

Abstract :

Oesophageal cancer is eighth common malignancy in the world and at an increasing incidence1. It is associated with higher occurrence of metastases at the time of presentation. Moreover it shows a change in the pathology and its patient characteristics. The incidence of synchronous or metachronous multiple primary malignancies2 are rising in patients with oesophageal carcinoma. Because of such reasons, oesophagectomy is often associated with a number of morbid complications1. Therefore, careful assessment and optimization is essential before planning a surgery3. The anaesthetist has an important role in the complex care of the oesophageal cancer patient. Optimal fluid and electrolyte management, adequate pain management, hypotension, and protective lung ventilation are examples of proven strategies that can improve outcome after this high-risk surgery. Therefore, this case report of successful anaesthetic management in a 52 year old female posted for total oesophagectomy with total thyroidectomy and modified radical neck dissection.