Aliases:
Stable AAA repair
Elective open AAA repair

Topic aliases are alternate phrasings for a particular topic.


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Minimise risk of renal damage.
1. Maintain perfusion pressures
2. Avoid nephrotoxic drugs
3. Intravascular volume expansion
4. Tight glycaemic control. #improve

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Jun 14, 2012
See ANZCA part II course notes tab 3
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Risk of dialysis dependent renal failure is 2-3% regardless of aortic clamp position
#ref

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Dec 19, 2012
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Risk of transient renal failure:
10% if infrarenal clamp;
28% if suprarenal clamp;
50% if thoracic clamp

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Dec 19, 2012
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Urea, Electrolytes, and Creatinine to assess baseline renal function and enable comparison with postoperative values

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Feb 26, 2012
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Central venous-line for inotropes.
Insertion after induction is acceptable.

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Dec 19, 2012
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One large IVC for induction, insert another large IVC after induction for volume resuscitation.

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May 18, 2011
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A 5 electrode ECG will be more appropriate than a 2 electrode ECG in this patient population that is at risk of ischaemic heart disease. Monitor lead II & V for ST and T-wave changes

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Sep 26, 2012
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At least second hourly blood gases, or more frequently if major volume shifts occurring

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May 18, 2011
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Intravenous GTN may be useful as a rapid antihypertensive if the patient becomes hypertensive at cross clamping.

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Dec 19, 2012
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Removal of cross clamp will result in systemic release of ischaemic products from lower limb. Have vasopressors ready to manage hypotension

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May 18, 2011
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Hyperventilate to pCO2 ~28mmHg prior to release of aortic cross clamp. Preempts release of acidotic, ischaemic blood from lower limb

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May 18, 2011
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Cross match at least 6 units of blood.

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Apr 25, 2012
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Intraoperative blood salvage will likely be required, book cell saver

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Dec 19, 2012
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Document the cross-clamp time, and note whether this was supra or infra renal.

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