Aliases:
Wipples
Whipples
Whipple's procedure
Wipple's operation
Whipple's operation
Wipple's procedure

Topic aliases are alternate phrasings for a particular topic.


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4-7hrs

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arterial line

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central line may be useful to manage fluid shifts

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Gastric outlet obstruction and residual gastric volumes may be present.

Consider a rapid sequence-induction or appropriate technique to minimise risk of pulmonary aspiration

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- Intrathecal morphine technique -

In an appropriate facility where the patient will be monitored in a high dependency or intensive care environment postoperatively (risk of delayed respiratory depression) a single shot of intrathecal morphine (eg 400mcg) prior to induction of anaesthesia may provide excellent postoperative analgesia for up to 18hrs.

This may be backed up with a morphine PCA if inline with local protocols.

#ref

books.google.com.au/books...

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Opiate PCA plus multimodal analgesia

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Postoperative pain, severe

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Thoracic epidural where appropriate may be considered

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Ensure 4 units PRBC cross matched

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Examinig the abdominal CT and noting the proximity of the tumour to the portal vein may give an indication of increased risk of intraoperative bleeding.

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Potential blood loss, moderate (15-40%), although potential for significant unexpected blood loss exists when dissecting around the portal vessels

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Temp probe and warming air-blanket

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Animation of the procedure

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Patient information from the NHS

www.uhbristol.nhs.uk/medi...

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