Ruptured abdominal aortic aneurysm repair
Authors - Drs Adam Pichel and Chris Snowden
Date published - 21 September 2011
Background and preoperative evaluation & preparation
- Epidemiology
- Presentation and diagnosis
- The decision to operate
- Indications for open repair and endovascular repair
- Preoperative evaluation and investigation
- Haemodynamic assessment prior to surgery
- Fluid management and analgesia prior to surgery
Anaesthesia & intra-operative management
- Induction, maintenance of anaesthesia in open and EVAR
- Monitoring during surgery (specifically: cardiac output, invasive, point of care testing)
- Physiology and clinical management of aortic cross clamp
- Physiology and clinical management of aortic de-clamping
- Rational use of inotropes and vasoconstrictors
- Renal protection strategies / maximising renal function
- Management of massive haemorrhage
- Physiological basis for consumptive coagulopathy
- Death in theatre
Postoperative care
- Postoperative management in critical care
- Postoperative complications
- Intra-abdominal hypertension
Symptomatic urgent aneurysm
