Anaesthesia Viva

Post-Pancreatectomy Bleeding in Interventional Radiology

Reading Time

2:00

Clinical Stem

2023.1
You are on-call from home for a private hospital that has Intensive Care and Interventional Radiological facilities. You receive a call from the Upper GI surgeon you regularly work with regarding a patient you anaesthetised ten days prior. The patient is a 72-year-old man who had a laparoscopic distal pancreatectomy to remove a pancreatic mass found incidentally. Medical history: Hypertension Hypercholesterolaemia Obesity (weight 108 kg, body mass index 34 kg/m2) Medications: Irbesartan 150 mg daily Rosuvastatin 20 mg daily The patient's surgery and recovery were uneventful and he was discharged home on day four postoperatively. The patient's anaesthetic, including airway management, was also uneventful. The surgeon is calling you because the patient has just gone to radiology for coiling of a possible bleeding vessel and the surgeon wants to give you a "heads up" in case the patient needs to go to the operating theatre.

Sections covered in this viva

After-Hours Management of Bleeding Patient in Remote LocationAgitated Unstable Patient in Interventional RadiologyNon-Sustained Ventricular Tachycardia

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