RT Book, Section
A1 Anders, Megan Graybill
A1 Arora, Harendra
A2 Atchabahian, Arthur
A2 Gupta, Ruchir
SR Print(0)
ID 57261747
T1 Chapter 90. Open AAA Surgery
T2 The Anesthesia Guide
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176049-2
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57261747
RD 2024/04/24
AB Large  intra-abdominal  surgery  with  rapid  hemodynamic  changes  and  potential  for  high  blood  lossGoal  is  to  maintain  intravascular  volume  and  perfusion  to  brain,  myocardium,  kidneys,  and  central  nervous  system  while  controlling  hemodynamics  to  prevent  ruptureIndications  for  repair  include  size  >5.5  cm  (>4.5  cm  in  women),  expansion  >0.5  cm  in  6  months,  or  presence  of  symptomsCommon  comorbidities  include  CAD,  PVD,  chronic  obstructive  pulmonary  disease  (COPD),  and  HTNMortality  from  elective  repair  50%Endovascular  repair  has  short-term  mortality  benefit  for  high-risk  surgical  candidates  (e.g.,  severe  CAD  or  COPD),  although  studies  suggest  equivalent  long-term  survival