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학습 자료 둘러보기 →The priority in the first 48-72 hours post-esophagectomy is monitoring for an anastomotic leak, which can lead to mediastinitis and sepsis. This complication occurs in 9-11% of cases.
Assess for early signs: tachycardia, tachypnea, fever, new-onset atrial fibrillation, and increased chest tube drainage with turbid or salivary appearance.
Do not rely solely on fever or chest pain. Subtle changes like unexplained tachycardia are often the earliest indicators of a leak before overt sepsis develops.
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