Elective abdominal aortic aneurysm repair

Authors - Drs Adam Pichel and Chris Snowden

Date published - 21 September 2011

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Elective Abdominal Aortic Aneurysm (Drs Adam Pichel and Chris Snowden)

Preoperative

  • Epidemiology and Natural History of AAA
  • Anatomical types of AAA (including thoracic aneurysms)
  • AAA Screening programs – utility and effect on patient mix
  • Preoperative assessment for major abdominal vascular surgery
  • Cardiac and non-cardiac risk for open AAA
  • Indications for EVAR and open surgery

Intraoperative

  • Physiological principles behind aortic cross clamping
  • Physiological and clinical distinction between Suprarenal and Infrarenal clamping
  • Aims of haemodynamic management
  • Physiology and clinical management of aortic de-clamping

Anaesthesia

  • General anaesthetechniques
  • Epidural anaesthesia: indications, contraindications, management, complications

Monitoring regimes including

  • invasive pressures
  • cardiac output monitoring
  • spinal cord function

Postoperative

  • Complications following open AAA repair
  • Physiological principles behind complications.
  • Effectiveness of strategies to reduce complications
  • Complications include: renal injury, spinal cord injury
  • Requirements for postoperative care
  • Requirement for postoperative ventilation
  • HDU and ITU care

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