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 |
| Article quality | |
| Editor rating | |
| User likes | 0 |
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
Top contributors: Tony Wang