Anesthetic Considerations for Repair of Thoracoabdominal Aortic Aneurysms

被引:1
作者
Lyubashevsky, David A. [1 ]
Powell, Thomas [1 ]
Khalifa, Ali [1 ]
Orozco-Sevilla, Vicente [2 ]
Tolpin, Daniel A. [1 ]
机构
[1] Baylor Coll Med, Texas Heart Inst, Div Cardiovasc Anesthesiol, Houston, TX USA
[2] Baylor Coll Med, Texas Heart Inst, Div Cardiothorac Surg, Houston, TX USA
关键词
cardiac anesthesia; cardiopulmonary bypass; neurological monitoring; cardiac surgery; cerebrospinal fluid; coagulopathy; hemorrhage; intraoperative assessment; neurologic complications; postoperative care; PREDICTOR;
D O I
10.1177/10892532241302967
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Anesthetic management of open thoracoabdominal aneurysm (TAAA) repair poses a number of challenges for even the most experienced of cardiovascular anesthesiologists. This procedure encompasses a large number of unique anesthetic techniques, including one-lung ventilation, invasive hemodynamic monitoring, left-heart bypass, massive transfusion, selective renal and visceral perfusion, and central nervous system monitoring with CSF drainage. In this article, we aim to describe the anesthetic management for thoracoabdominal aortic aneurysm repair, including preoperative workup, intraoperative management, as well as postoperative concerns in the intensive care unit.
引用
收藏
页码:37 / 48
页数:12
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