Pathway: Esophagectomy

Question 1

Pre-operative Required Labs

Answer 1

CBC
CMP
Prealbumin
Type & Cross 1 Unit

+/- Coags

Question 2

Pre-Operative Labs

Answer 2

CBC
CMP
Prealbumin
Type & Cross (1 unit)
\+/- Coags

Question 3

Pre-Operative Tests

Answer 3

EKG w/ Cardiac Clearance

Question 4

Pre-Operative Imaging

Answer 4

CXR

Restaging PET/CT

Question 5

Pre-Operative Diet Orders

Answer 5

Clear liquids x 24 hrs prior
NPO x 12 hrs prior
Bowel Prep

Question 6

Intra-op Fluids

Answer 6

4-5L Crystalloid w/ 500ml colloid

Question 7

Intra-op Pain/Anti-emetics

Answer 7

Gabapentin Liquid 300 mg PO
Tylenol Liquid 1000 mg PO
Scopolamine Patch

Question 8

POD 0 Labs

Answer 8

CBC
BMP
ABG (if intubated)

Question 9

POD 0 Diet Orders

Answer 9

Strict NPO

No Tube Feed or Flush

Question 10

POD 0 Analgesia & Anti-Emetics

Answer 10

Dilaudid PCA
Ondansetron 4 mg IV q 6hrs PRN
Toradol 15 mg IV q6hrs for 48 hrs

Question 11

POD 0 Analgesia & Anti-Emetics

Answer 11

Dilaudid PCA
Ondansetron 4 mg IV q 6hrs PRN
Toradol 15 mg IV q6hrs for 48 hrs

Question 12

Pre-Op Meds

Answer 12

cefazolin 2 gm IV 1 hour prior or vancomycin 1g IV if PCN Allergy

Question 13

Intra Op Pressor Use

Answer 13

never use!