Page 204 - Critical Care Notes

4223_Tab06_175-198 29/08/14 8:27 AM Page 198

GI
Whipple’s procedure or pancreaticoduodenectomy is the removal of the head
of the pancreas, duodenum, part of the jejunum, common bile duct, gallbladder,
and part of the stomach.
Complications
■ Atelectasis, pneumonia, and respiratory failure
■ DVT and pulmonary embolism
■ UGI bleeding
■ Gastritis, esophagitis, dumping syndrome, peritonitis
■ Anastomotic leak: Tachycardia, tachypnea, fever, abdominal pain, anxiety
and restlessness, subcutaneous emphysema (crepitus), and sepsis
■ Hepatorenal failure
Management
■ Provide standard postoperative care, including administration of analgesics
and provision of pulmonary care.
■ Assess for GI bleeding.
■ Provide DVT prophylaxis. Encourage early ambulation.

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