Anesthetic Management of Thoracic and abdominal aortic Surgery in a Tertiary Level Teaching Hospital

Abstract

Introduction: Aortic aneurysm surgeries are one of the most challenging surgeries from anesthetic point of view, not only because the patients have extremes of hemodynamic stresses perioperatively, but also because of the association of various co-morbidities. This demands meticulous attention & extreme caution in perioperative and postoperative management of the patients. This study focuses on various strategies adopted in our center for various organ protection perioperatively and postoperatively.

Methods: This is a retrospective analytical study of the outcome of the patients undergoing thoracic and abdominal aortic aneurysm surgeries of two years duration in a tertiary level teaching hospital.

Results: Total number of aortic aneurysm surgeries in two years was twenty among which 3 were thoracic and 17 were abdominal aortic aneurysm (Suprarenal – 5, Infrarenal – 12). 4 patients had renal dysfunction. Survival was 17 (85%) among which 12 (70%) were operated electively and 5 (30%) had emergency surgeries.

Conclusion: Management of the patients’ in this center following evidence based guidelines perioperatively and postoperatively yielded comparable outcome of the patients to other centers with long term experiences.