Anesthesia for Open Abdominal Aortic Aneurysm Repair

Gelzinis, Theresa A.; Subramaniam, Kathirvel

doi:10.1007/978-0-387-85922-4_14

Cited by 3 publications

(5 citation statements)

References 125 publications

(115 reference statements)

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“…Uważa się, że zastosowanie hemofiltracji żylno-żylnej, jako metody stabilizującej stan chorego i powodującej normalizację jego parametrów nerkowych, może znacząco poprawić przeżywalność chorych z RAAA [1,17].…”

Section: Dyskusjaunclassified

“…Śmiertelność pooperacyjną związaną z RAAA można podzielić na wczesną (do 24 h po zabiegu operacyjnym) i późną (występującą w kolejnych dobach leczenia) [1].…”

unclassified

“…Wiodącą przyczyną zgonów w pierwszej dobie po zabiegu operacyjnym RAAA jest wstrząs krwotoczny i jego następstwa [1]. Główną przyczynę powikłań pooperacyjnych i śmiertelności późnej stanowi z kolei zespół uogólnionej odpowiedzi zapalnej (SIRS, systemic inflammatory response syndrome).…”

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“…Ważną rolę w rozwoju tego zespołu odgrywają takie czynniki jak: uraz operacyjny, śródoperacyjna hipotensja, masywne przetoczenia preparatów krwiopochodnych, zaklemowanie aorty, niedokrwienie dolnej połowy ciała, zespół reperfuzji, odpowiedź na materiał protezy. Ostatecznie może dojść do rozwoju niewydolności wielonarządowej (MOF, multiple organ failure) i zgonu chorego [1].…”

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Okołooperacyjne czynniki prognostyczne u chorych z pękniętym tętniakiem aorty brzusznej leczonych na oddziale intensywnej terapii

Gierek

Cyzowski

Kaczmarska

et al. 2013

Anaesthesiol Intensive Ther

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Background. The incidence of abdominal aortic aneurysm has been estimated at 20-40 cases per 100,000 per annum. The disease is often asymptomatic; in many cases, its first symptom is shock caused by a ruptured aneurysm. The aim of the present study was to assess retrospectively the selected perioperative factors in patients hospitalised in the intensive care unit (ICU) after repair of ruptured abdominal aortic aneurysm. Methods. Analysis involved medical records of patients after repair of ruptured abdominal aortic aneurysm treated in ICU in the years 2009-2010. Patients were divided into two groups: group I -survivors who were discharged from ICU and group II -non-survivors. Demographic factors, intraoperative data, vital parameters, laboratory results and severity of patient's state on admission to ICU were analysed. Results. Analysis of laboratory results on admission to ICU showed lower values of pH and HCO 3 -concentrations

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Section: Dyskusjaunclassified

“…Śmiertelność pooperacyjną związaną z RAAA można podzielić na wczesną (do 24 h po zabiegu operacyjnym) i późną (występującą w kolejnych dobach leczenia) [1].…”

unclassified

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Okołooperacyjne czynniki prognostyczne u chorych z pękniętym tętniakiem aorty brzusznej leczonych na oddziale intensywnej terapii

Gierek

Cyzowski

Kaczmarska

et al. 2013

Anaesthesiol Intensive Ther

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“…An abdominal aortic repair is a primary surgical treatment used to treat an aortic condition [7]. While the endovascular placement of an aortic stent graft is graded as an intermediate-risk intervention with a cardiac risk between 1% and 5%, the open aortic repair was classified as a high-risk intervention (defined as carrying a risk of cardiovascular death or myocardial infarction of 5% or more within 30 days) [8][9][10]. The most prevalent complications associated with surgical repair of the abdominal aorta are bleeding, ischemic colitis, acute renal failure, thrombosis of Vein Grafts, distal embolisation, pseudoaneurysm formation, infection, neurologic deficits, aortocaval and aorto-enteric fistulae, sexual dysfunction, ureteral obstruction, perigraft seroma and chylous ascites [11,12].…”

Section: Introductionmentioning

confidence: 99%

Optimising anesthesia support during operations on the abdominal aorta and its branches

2022

FEM

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Background: Pathology of the aorta includes aortic aneurysms, coarctation, dissection, atherosclerotic disease, and aortitis. The only two evidence-based treatment options for abdominal aortic repair are endovascular and open surgery. The anesthetic approach and medications may impact the outcomes of the surgical repair of the abdominal aorta and its branches. Aim: to evaluate the use of various analgesic regimens and local, regional, or general anesthesia in "optimising" surgical outcomes in patients undergoing surgical repair of the abdominal aorta and its branches. Methods: In this review, English studies from common databases such as Pubmed/MEDLINE, Google Scholar, Web of Science, Scopus, and the Cochrane Library with the keywords "Abdominal aorta," "operations," "aortic branches," combined with keywords, involving " anesthesia were involved." The end date for this review was November 2022. Scientific novelty: Recent scientific studies have focused on the use of advanced monitoring technologies such as cerebral oximetry and microdialysis to improve the safety and efficacy of anesthesia management in aortic surgery. These technologies provide more accurate and real-time information about cerebral perfusion and metabolism, allowing the anesthesiologist to identify and manage potential complications such as cerebral ischemia more effectively. Additionally, the use of pharmacological agents such as dexmedetomidine and remifentanil has been shown to reduce the risk of postoperative delirium and cognitive dysfunction, further improving patient outcomes. Conclusion: Aortic surgery is a complex and high-risk procedure that requires careful management of anesthesia to ensure patient safety and optimal outcomes. With ongoing advances in anesthesia techniques and monitoring technologies, there is reason to be optimistic about the future of aortic surgery and the prospects for improved patient outcomes. The anesthesiologist plays a critical role in this process, working closely with the surgical team to provide safe and effective anesthesia throughout the procedure and ensuring that the patient receives appropriate pain management and other supportive care in the postoperative period

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