Depends largely on the suspected complication. In the acutely unwell surgical patient the following baseline investigations are often helpful:
- Full blood count, urea and electrolytes, C- reactive protein (trend rather than absolute value), serum calcium, liver function tests, clotting (don't forget to repeat if on-going bleeding)
- Arterial blood gases
- ECG (+cardiac enzymes if MI suspected)
- Chest x-ray to identify collapse/ consolidation
- Urine analysis for UTI
These will often identify the most common complications.
Special tests
- CT scanning for identification of intra-abdominal abscesses, air and if luminal contrast is used an anastamotic leak
- Gatrograffin enema- for rectal anastamotic leaks
- Doppler USS of leg veins- for identification of DVT
- CTPA for PE
- Sending peritoneal fluid for U+E (if ureteric injury suspected) or amylase (if pancreatic injury suspected)
- Echocardiogram if pericardial effusion suspected post cardiac surgery and no pleural window made.