Considerations in Perioperative and Anesthetic Management for Geriatric Patient with Esophageal Tumor Resection, at Buleleng General Hospital, Bali, Indonesia: A Case Report

Kadek Anggie Wigundwipayana, I Gede Nova Wirahjasa

Abstract: Introduction: Geriatric populations in general experience anatomical and physiological changes in several systems of their body and very sensitive to anesthetic drugs. Case Report: A 75-year-old male with esophageal tumor was sent for esophagectomy. Patient was assessed with ASA III physical status, proceeding with General Anesthesia-Oral Tracheal Tube (GA-OTT). During the procedure, patient?shemodynamic was observed closely. The patient was transported to post operative surgical Intensive Care Unit (ICU) for mechanical ventilator. Conclusion: Consideration in perioperative management and the use of anesthetic agents are absolutely necessary especially in geriatric patients. Clinical evaluation should be highly considered individually. Esophagectomy is one of the major surgical prosedure that needs special attention in anesthesia management to avoid morbidity and mortality.

Keywords: Anesthesia, Perioperative Management, Geriatric, Esophagectomy