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

Labs and studies

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

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

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

References