Ruptured abdominal aortic aneurysm repair

Authors - Drs Adam Pichel and Chris Snowden

Date published - 21 September 2011

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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

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