Aortic aneurysm repair

Aortic aneurysm repair

Anesthesia type	GA
Airway	ETT
Lines and access	Large bore PIV, central access (double stick)
Monitors	Standard ASA, Arterial line
Primary anesthetic considerations
Preoperative	large blood loss possible, blood cooler and transfuser in room, robust access needed. Vasopressor/vasodilator infusions and push doses ready for sharp hemodynamic swings
Intraoperative	Aortic cross clamping will result in significant afterload increase requiring vasodilators. Increased filling pressure can cause poor CO, maintain volume status. Clamp release can result in significant hypotension
Postoperative	Significant intravascular repletion needed in first 12 hours
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Provide a brief summary of this surgical procedure and its indications here.

Preoperative management

Patient evaluation

System	Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Operating room setup

Arterial line/central line setup

Rapid infusion system (e.g. Thermacore, Belmont)

Uppers: norepinephrine infusion, phenylephrine/baby epi push sticks

Downers: Nicardipine infusion, nitroglyceride push sticks

Procedure variants

	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications