User's Manual

Pump implantation
67
Post-operative management
Post-operative hospitalization
After implantation, the surgical incision should be inspected for any signs of
unusual swelling, tenderness, pain, or drainage. Potential post-operative compli-
cations include Pump pocket seroma, wound dehiscence, wound infection, and
catheter dislodgment.
Length of post-operative hospitalization depends upon how rapidly the patient
adjusts to the Pump and how quickly blood glucose levels
stabilize. During post-operative hospitalization, the Pump can be reprogrammed
to accommodate the needs of the patient. As post-operative stress decreases,
insulin requirements may decline. It may be necessary to make several changes
in insulin delivery rates during the first few days following implantation.
Patients must be thoroughly educated in all aspects of follow-up care with the
Pump. The Medtronic MiniMed Patient Manual should be used to supplement
patient education. Prior to discharge, patients should:
• Fully understand how to use their PPC;
• Know what to do in the event of Pump or PPC difficulties;
• Have scheduled their first refill appointment;
• Have set an appointment for their first follow-up visit;
Post-operative x-rays
The Catheter has been designed with a radio-opaque stripe for identification after
implantation. A lateral and anterior X-ray is recommended after implantation to
locate and document the position of the Catheter. This radiograph should be kept
with the patient’s records for future reference.