الفهرس | Only 14 pages are availabe for public view |
Abstract Patient undergoing emergent vascular surgery such as ruptured abdominal aortic aneurysm acute limb ischaemia revascularization and cerebral haemorrhage have significantly higher morbidity and mortality than for the equivalent elective procedures this is partly caused by the high risk of the procedures in addition these patient have significant comorbidity and are usually under assessed and under prepared for such surgery and often present out of normal working hours. Careful selection and application of anesthetic techniques is important to minimize this morbidity but also experienced anaesthetists and surgeons should be involved from the outset in managing these patients. Emergency vascular procedures have a greater incidence of associated morbidity and mortality than elective procedures. Increased morbidity and mortality rate in vascular emergencies due to lack of time for adequate preoperative evaluation probable contribute to this. The emergency surgery may involve massive blood transfusion marked fluid shifts severe metabolic acidosis and acute renal failure. |