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Open Abdominal Aortic Aneurysm Repair (Open AAA)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Anticoagulation / Antiplatelet Therapy, TEE

Anesthetic Approaches

1GETT, Epidural
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Exposure - midline laparotomy (or left retroperitoneal incision), bowel packed away, aorta exposed at the neck of the aneurysm. Clamping - systemic heparin , then distal (iliac) and proximal aortic...

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