Procedure

Excision of aortic aneurysmal sac extending above the origin of the renal arteries and replacement with a synthetic graft. May involve thoracotomy and the need for one lung ventilation

Time

3–6hr

Pain

++++

Position

Supine, arms out (crucifix), may be R lateral if thoracotomy

Blood loss

1000ml–+++, X-match 8U, plus platelets and FFP

Practical techniques

DLT + IPPV, art + CVP lines. Thoracic epidural

Procedure

Excision of aortic aneurysmal sac extending above the origin of the renal arteries and replacement with a synthetic graft. May involve thoracotomy and the need for one lung ventilation

Time

3–6hr

Pain

++++

Position

Supine, arms out (crucifix), may be R lateral if thoracotomy

Blood loss

1000ml–+++, X-match 8U, plus platelets and FFP

Practical techniques

DLT + IPPV, art + CVP lines. Thoracic epidural

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