Recently we operated a patient of ca head of the pancreas with duodenal infiltration leading to gastric outlet obstruction. Preoperative biochemical analysis revealed hypokalemia & creatinine was initially 1.7 which normalised with IV fluids, rest was WNL. Pt. underwent classic Whipple's surgery. Intra-op stomach was hugely dilated and stomach wash was given intra-op (although it was given even preoperatively but solid residue couldn't be removed, and was intraoperatively removed). I' m mentioning this because this was the only source of contamination apart from bile.
As per my anaesthetist pt was normotensive throughout the procedure and was transfused with 2 units of PCV intact op and 2 units in the immediate post op. Pt was shifted to ICU but was kept on elective ventilation. Soon after pt developed hypotension. Two drains were kept in the abdomen. Output was around 100cc. IV…
