The choice of anesthetics for vascular surgical patients is not only determined by the kind and extent of the surgical procedure but also by patient comorbidities. Frequently, patients have a history of hypertension, peripheral vascular and coronary artery disease,cerebrovascular disease, and renal impairment. The goal of the chosen anesthetic technique is to protect organ function, mainly of the brain and the heart. In some instances regional anesthesia might be preferred, but no difference in outcome between the two techniques has been shown conclusively. Vascular emergencies are particularly challenging for the anesthesiologist, but in recent years the development of stent graft insertion has improved the short-term outcome in many of these procedures.
Does anesthetic technique make a difference? Augmentation of systolic blood pressure during carotid endarterectomy: effects of phenylephrine versus light anesthesia and of isoflurane versus halothane on the incidence of myocardial ischemia
Haemodynamic instability and myocardial ischaemia during carotid endarterectomy: a comparison of propofol and isoflurane
Perioperative morbidity in patients randomized to epidural or general anesthesia for lower extremity vascular surgery. Perioperative Ischemia Randomized Anesthesia Trial Study Group
Anesthesia type does not influence early graft patency or limb salvage rates of lower extremity arterial bypass
Guidelines for assessing and managing the perioperative risk from coronary artery disease associated with major noncardiac surgery. American College of Physicians
The effect of heart rate control on myocardial ischemia among high-risk patients after vascular surgery
Total intravenous anesthesia with remifentanil, propofol and cisatracurium in end-stage renal failure
Continuous spinal anaesthesia/analgesia for abdominal aortic aneurysm repair and post-operative pain management
In-hospital mortality from abdominal aortic surgery in Great Britain and Ireland: Vascular Anaesthesia Society audit
A multicenter experience with the Talent endovascular graft for the treatment of abdominal aortic aneurysms
Intraoperative tachycardia and hypertension are independently associated with adverse outcome in noncardiac surgery of long duration
Stented elephant trunk procedure combined with ascending aorta and arch replacement for acute type A aortic dissection
Pharmacological agents as cerebral protectants during deep hypothermic circulatory arrest in adult thoracic aortic surgery. A survey of current practice
Myocardial protection by anesthetic agents against ischemia-reperfusion injury: an update for anesthesiologists
Hypothermic cardiopulmonary bypass and circulatory arrest for operations on the descending thoracic and thoracoabdominal aorta
Target-controlled infusion for remifentanil in vascular patients improves hemodynamics and decreases remifentanil requirement
Isoflurane preconditioning reduces purkinje cell death in an in vitro model of rat cerebellar ischemia
Epidural analgesia in patients with chronic obstructive pulmonary disease undergoing transperitoneal abdominal aortic aneurysmorraphy--a multi-institutional analysis
Hemodynamic stability, myocardial ischemia, and perioperative outcome after carotid surgery with remifentanil/propofol or isoflurane/fentanyl anesthesia
An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.
Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.