A System-Based Nursing Approach to Improve Outcomes in the Postoperative Esophagectomy Patient

Semin Oncol Nurs. 2017 Feb;33(1):37-51. doi: 10.1016/j.soncn.2016.11.004. Epub 2017 Jan 3.

Abstract

Objective: To review essential nursing implications in the care of postoperative esophagectomy patients.

Data sources: Peer-reviewed literature, institutional experience, journal articles.

Conclusion: Utilizing a system-based approach to assess the post-esophagectomy patient will assist the nurse in ensuring safe and comprehensive care.

Implications for nursing practice: Nursing care measures to reduce perioperative esophagectomy morbidity includes aggressive fluid management, pain management, use of epidural analgesia, and early ambulation. Therefore, nurses play a significant role in improving the outcomes for the esophagectomy patient.

Keywords: Ivor-Lewis; anastomosis; esophagectomy; pneumonia; transhiatal.

Publication types

  • Review

MeSH terms

  • Esophageal Neoplasms / nursing*
  • Esophageal Neoplasms / surgery*
  • Esophagectomy / nursing*
  • Humans
  • Oncology Nursing / methods*
  • Oncology Nursing / standards*
  • Practice Guidelines as Topic*