Anesthetic Management of Post Acid Ingestion Esophagopleural Fistula Posted for Fistula Repair – Case Report

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.