Haemodynamic management in ruptured abdominal aortic aneurysm.
Ruptured abdominal aortic aneurysm currently accounts for about 1 in 200 deaths and is a critical surgical emergency with an average hospital mortality of 50%. The combination of acute massive haemorrhage in an elderly patient with pre-existing medical disease is highly lethal and a major challenge for any health care system. This article outlines the general principles of management and discusses the problems of haemodynamic assessment and preclamping fluid resuscitation.
Brimacombe
J
J
Department of Anaesthesia and Intensive Care, Cairns Base Hospital, Australia.
Berry
A
A
D000368:Aged; D001019:Aortic Rupture / Q000601:surgery*; D005440:Fluid Therapy; D006439:Hemodynamics; D006470:Hemorrhage / Q000601:surgery*; D006801:Humans; D011182:Postoperative Care