<Home // About Us // Privacy Statement // Advertising Policy // Contact Us

Case 120: Return to theatre

A 64 year old man had a subtotal gastrectomy for cancer earlier in the day. In HDU he required substantial IV filling and inotrope doses. The drain did not produce much blood.

1. What are the signs of post operative haemorrhage?

Pallor
tachycardia
abdominal distension
sweating
peripheral shutdown
thirst
decreased urinary output
confusion
later - hypotension and hypovolaemic shock

2. Why did the drain not reveal the bleeding?

Because it blocked, possibly with clotted blood. Drains are often helpful, but not always. They have a tendency to give the wrong impression if relied upon.



Powerpoint presentation
Postoperative Care: Shock in the Surgical Patient