Abdominal Aortic Surgery: Anesthetic Implications

Management of anesthesia in a patient with ruptured abdominal aortic aneurysm: A case report

Introduction: Abdominal aortic aneurysm is a multifactorial condition which associated with aging and atherosclerosis. During aneurysm surgery, hypotension after aortic clamp removing occure commonly that require specific treatments. This case report showes administration of blood and hemodynamic control methods after aortic unclumping during aortic aneurysm surgery. Patient: A 75–years-o...

Cervical plexus block for carotid endarterectomy followed by general anesthesia for abdominal aortic surgery--a case report.

The aim of this clinical report is to describe the use of sequential regional and general anesthesia for concomitant carotid and abdominal aortic surgery. We performed, in a 70-year-old man, a cervical plexus block for carotid endarterectomy (CEA) followed immediately by general anesthesia for resection of an abdominal aortic aneurysm. This anesthetic approach provided adequate surgical conditi...

Combined Epidural v/s General Anaesthesia (CEGA) alone in Vascular Surgery

The role of regional techniques, primarily epidural anaesthesia, in the anaesthetic management of aortic surgery patients is still a subject of discussion. As opposed to general anaesthesia alone, many clinicians use an epidural catheter for intraoperative anaesthesia and postoperative pain management in combination with a general anaesthetic, sufficient to produce unconsciousness, amnesia, and...

Intraoperative Anesthetic Management for Vascular and Endovascular Abdominal Aortic Surgery

Transient hyperglycemia during abdominal aortic surgery.

A 64-year-old man undergoing abdominal aortic aneurysm repair with no history of diabetes mellitus had an episode of marked hyperglycemia during surgery. The peak concentration of glucose in plasma was 43.2 mmol/L. This hyperglycemia responded immediately to administration of 30 units of regular insulin. Factors involved in the hyperglycemia included surgical stress, multiple medications, and t...