Measurement of extra-vascular lung water during abdominal aortic surgery

Measurement of extravascular lung water during abdominal aortic surgery.

Cross-clamping of the abdominal aorta can be associated with significant changes in haemodynamic variables. However, intraoperative changes in extravascular lung water (EVLW) have not been studied. Nine patients undergoing elective surgery, either aortic aneurysm repair or aorto-bifemoral grafting, were monitored invasively with arterial lines, pulmonary artery catheters and Edwards lung water ...

Transient hyperglycemia during abdominal aortic surgery.

A 64-year-old man undergoing abdominal aortic aneurysm repair with no history of diabetes mellitus had an episode of marked hyperglycemia during surgery. The peak concentration of glucose in plasma was 43.2 mmol/L. This hyperglycemia responded immediately to administration of 30 units of regular insulin. Factors involved in the hyperglycemia included surgical stress, multiple medications, and t...

Intraoperative Anesthetic Management for Vascular and Endovascular Abdominal Aortic Surgery

Use of near-infrared spectroscopic measurement at the buttocks during abdominal aortic surgery.

During abdominal aortic surgery, dynamic changes occur in the pelvic circulation. Near-infrared spectroscopy (NIRS) was used in this study to evaluate arterial flow in the buttocks as a monitor of arterial flow in the pelvic area during abdominal aortic surgery. Twenty-two patients who underwent abdominal aortic aneurysmectomy comprised the study group. The NIRS probe was mounted on the left bu...

complications of elective abdominal aortic aneurysm surgery

because of significant reduction of rupture rate and increase in the patient’s life expectancy, elective surgical treatment in patients with abdominal aortic aneurysm has been widely accepted. the present article aims at assessing the postoperative complications and mortality rate in patients who had been submitted to elective surgery for abdominal aortic aneurysms. this is a retrospective stud...