Modern Anesthetic Management of Ruptured Abdominal Aortic Aneurysms

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RUPTURED ABDOMINAL AORTIC ANEURYSM (rAAA) is a surgical emergency for which anesthesia as a specialty has developed a more or less classic textbook approach.1 However, recent initiatives such as the Abdominal Aortic Aneurysm Quality Improvement Programme,2 the centralization of vascular services in the United Kingdom, and the Immediate Management of Patients with Ruptured Aneurysm: Open Versus Endovascular Repair (IMPROVE) trial3 have challenged some of the traditional perceptions of the optimal anesthetic management of rAAA in contemporary practice. This review focuses on all the factors involved in modern anesthesia for rAAA, including the impact of centralization; different surgical and anesthetic techniques, including the use of local anesthesia only for endovascular aneurysm repair (EVAR); perioperative resuscitation; and fluid management
Original languageEnglish
Pages (from-to)1676-1684
Number of pages9
JournalJournal of Cardiothoracic and Vascular Anesthesia
Issue number6
Early online date25 Mar 2016
Publication statusPublished - 1 Dec 2016


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