A Case Study on Anaesthesia of a Patient with Pancreatic Necrosis in Bangladesh

Abstract

Acute pancreatitis causes devastating changes in body involves organ dysfunction, metabolic imbalance, electrolyte disturbance as well as acid base disorder. Pancreatic necrosis complicates the condition. Patient may develops systemic inflammatory response syndrome (SIRS) followed by sepsis. Laparotomy and removal of necrotic part along with peritoneal toileting is the surgical management.

We present a case of a 45 years old male admitted with a diagnosis of pancreatic necrosis is scheduled for exploratory laparotomy followed by peritoneal toileting along with excision of necrotic portion. Maintaining a smooth anesthesia is a challenge during surgery. Disease and its complications along with surgery produce extreme condition for anesthesiologist. Patient sometimes response badly therefore may need postoperative intensive care support. Meticulous fluid administration, inotrope support, choice of proper intraoperative drugs, monitoring vital signs including urine output, blood gas analysis- these should be focused during anaesthesia.