Clinical Procedure
Aliases:
Topic aliases are alternate phrasings for a particular topic.
Open repair of ruptured abdominal aortic aneurysm
If the aneurism is ruptured, consider allowing permissive hypotension (eg titrate IV volume boluses to the patient's concious state) to minimise bleeding until the aorta is clamped
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
Dec 19, 2011
If the aneurism is ruptured, transfer to the operating theater urgently for surgical hemostasis. Prior to transfer, ensure the patient's airway and breathing are stabilised, and large bore intravenous access is obtained to facilitate intravascular volume resuscitation as required.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
Dec 19, 2011
If free intraperitoneal rupture, goal is rapid aortic cross clamping. Insert 1 large IVC prior to induction. Don't delay by placing ART line or central line
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
Pieter Peach
,
more...
Private
only
only
Dec 19, 2011
Intra-arterial blood pressure monitoring will be required, but arterial catheter insertion should not delay clamping of the aorta in patients with an uncontained rupture.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
Pieter Peach
,
more...
Private
only
only
Dec 19, 2011
If ruptured, surgeon to be scrubbed & patient prepped prior to induction to minimise time between induction & cross clamping
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
Pieter Peach
,
more...
Private
only
only
Dec 19, 2011
Slow wake and wean in intensive care unit postoperatively to manage respiratory and cardiovascular consequences of large intraoperative fluid shifts and likely massive transfusion.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
Cancel
Endorsed by
,
more...
Private
only
only
May 05, 2012