You’ll need an A-line and two large bore IV’s. Anticipate having a Neo drip ready and “downers” as well (Cardizem, Nitroglycerine, etc.). Heparin will be used, so anticipate ACT’s being drawn at regular intervals. Labile hemodynamics are common and will require vigilant monitoring. ICU transport post-op.
A pseudoaneurysm is a pulsatile, contained hematoma of an artery. All layers of the vessel have been damaged. Surrounding tissues may also become ischemic and/or necrotic including neighboring blood vessels, nerves, muscle, etc. For this reason and the possibilities of rupture with subsequent massive blood loss, these kinds of cases are generally considered emergencies.
