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학습 자료 둘러보기 →The highest priority after esophagectomy is preventing pulmonary complications due to thoracic cavity entry and diaphragmatic manipulation. Immediately implement deep breathing exercises and incentive spirometry every 1-2 hours while awake.
Closely monitor respiratory status, including rate, depth, breath sounds, and oxygen saturation. Early signs of atelectasis or pneumonia, such as diminished breath sounds or a drop in SpO2 below 92%, require immediate intervention.
Do not let mild pain (4/10) delay respiratory interventions. Pain can cause splinting and hypoventilation; administer analgesics to facilitate effective coughing and deep breathing, but never prioritize analgesia over airway and breathing assessment.
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