1st April 2022

A 55-year-old female presents with rigors, jaundice and acute epigastric pain

A 55-year-old female presents with rigors, jaundice and acute epigastric pain. She has raised inflammatory markers, and biliary dilatation on contrast-enhanced CT imaging. She has a heart rate of 105 and a blood pressure or 103/78. She has fluids and IV antibiotics up and running and is deteriorating despite fluid boluses.

What other management is urgently needed for this patient? 

Which is the SINGLE most appropriate option from the list below? Select ONE option only.