Modern Anesthetic Management of Ruptured Abdominal Aortic Aneurysms

Katrina Hope; Gemma Nickols; Ronelle Mouton

doi:10.1053/j.jvca.2016.03.147

Modern Anesthetic Management of Ruptured Abdominal Aortic Aneurysms

Katrina Hope, Gemma Nickols, Ronelle Mouton

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Abstract

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 language	English
Pages (from-to)	1676-1684
Number of pages	9
Journal	Journal of Cardiothoracic and Vascular Anesthesia
Volume	30
Issue number	6
Early online date	25 Mar 2016
DOIs	https://doi.org/10.1053/j.jvca.2016.03.147
Publication status	Published - 1 Dec 2016

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title = "Modern Anesthetic Management of Ruptured Abdominal Aortic Aneurysms",

abstract = "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",

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AU - Mouton, Ronelle

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AB - 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

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SN - 1053-0770

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JF - Journal of Cardiothoracic and Vascular Anesthesia

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ER -

Modern Anesthetic Management of Ruptured Abdominal Aortic Aneurysms

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