Postoperative care of the pancreatic surgical patient: the role of the intensivist.

Improved patient selection and intraoperative techniques have reduced the need for an intensivist in the care of the pancreaticoduodenectomy patient. Perioperative hemodynamic fine-tuning and the precise management of postoperative complications, however, are areas in which an intensivist can offer expert help. An approach to hemodynamic management and the use of mechanical ventilation is offered. Meticulous detail in each organ system is stressed.