Hello,
I would like to ask about your practice of extubation following total gastrectomy. During this procedure of course gets some GIT content up to mouth. Do you feel ,frequent missed microaspirations of this content in yet intubated patient occur?How do you prevent aspiration?
How do you proceed,if a distal part of oesophagus is also resected and in the end of surgery you change from double-lumen endotracheal tube to single lumen one?
Do you experience more respirátory complications following this procedure?
Thanks very much for your answers  Frank