I work at a large academic facility and we recently got a new thoracics doc on staff. Up until he came along, all of our esophagectomy patients more or less came up to us the same way: CVL, bridled NG with strict do not manipulate orders, couple of chest tubes and intubated overnight. This new doc rolls with a couple of PIV's, taped NG with routine flushes, usually no chest tubes and extubates in OR.

I'm just curious to hear how they're done elsewhere. This doc is an oddball here and I'm wondering if he'd be an oddball everywhere.