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Case 26: Aortic Aneurysm

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Complications and Mishaps in Anesthesia

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Abstract

The last few days, Doug Berg had become more and more uneasy. He was 65 years old and had retired 2 years ago. He enjoyed his free days and the time he spent with his wife. Many afternoons he was with his grandchildren, whom he picked up from kindergarten. This morning he woke up very early and had hardly slept at all. He knew from the suitcase packed in the corner that this was not a dream. He had to go in for his surgery today, and he couldn’t postpone the appointment again. After a light breakfast with his wife and after taking his daily medications, he arrived at the hospital on time. His room wasn’t yet ready for him, but the nurses said they had a lot of appointments planned for him anyway. With a heavy heart, Doug Berg said goodbye to his wife, trying to look as optimistic as he could for her sake. Then his hospital stay began.

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Literature

  1. Aronson S, Dyke M, Stierer KA, et al. The ECLIPSE trials: comparative studies of clevidipine to nitroglycerin, sodium nitroprusside, and nicardipine for acute hypertension treatment in cardiac surgery patients. Anesth Analg. 2008;107:1110–21.

    Article  CAS  PubMed  Google Scholar 

  2. Duda D, Lorenz W, Celik I. Histamine release in mesenteric traction syndrome during abdominal aneurysm surgery: prophylaxis with H1 und H2 antihistamines. Inflamm Res. 2002;51:495–9.

    Article  CAS  PubMed  Google Scholar 

  3. Ellenberger C, Schweizer A, Diaper J, Kalangos A, Murith N, Katchatourian G, Panos A, Licker M. Incidence, risk factors, and prognosis of changes in serum creatinine early after aortic abdominal surgery. Intensive Care Med. 2006;32:1808–16.

    Article  PubMed  Google Scholar 

  4. Espinola-Klein C, Neufang A, Düber C. Infrarenal aortic aneurysm. Internist. 2008;49:955–66.

    Article  CAS  PubMed  Google Scholar 

  5. Gogarten W, Vandermeulen E, Van Aken H, Kozek S, Llau JV, Samama CM, European Society of Anaesthesiology. Regional anaesthesia and antithrombotic agents: recommendations of the European Society of Anaesthesiology. Eur J Anaesthesiol. 2010;27:999–1015.

    Article  CAS  PubMed  Google Scholar 

  6. Grines CJ, Bonow RO, Casey DE, Gardner TJ, Lockhart PB, Moliterno DJ, O’Gara P, Whitlow P. Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents. A science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians. Circulation. 2007;115:813–8.

    Article  PubMed  Google Scholar 

  7. Hersey P, Poullis M. Does the administration of mannitol prevent renal failure in open abdominal aortic aneurysm surgery? Interact Cardiovasc Thorac Surg. 2008;7:906–9.

    Article  PubMed  Google Scholar 

  8. Hirsch AT, et al. ACC/AHA 2005 practice guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): executive summary. Circulation. 2006;21:1474–547.

    Google Scholar 

  9. Horlocker TT, Wedel DJ, Rowlingson JC, et al. Regional anesthesia in the patient receiving antithrombotic or thrombotic therapy. American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). Reg Anesth Pain Med. 2010;35:64–99.

    Article  CAS  PubMed  Google Scholar 

  10. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, Ballard DJ, Messina LM, Gordon IL, Chute EP, Krupski WC, Busuttil SJ, Barone GW, Sparks S, Graham LM, Rapp JH, Makaroun MS, Moneta GL, Cambria RA, Makhoul RG, Eton D, Ansel HJ, Freischlag JA, Bandyk D, for the Aneurysm Detection and Management Veterans Affairs Cooperative Study Group. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med. 2002;346:1437–44.

    Article  PubMed  Google Scholar 

  11. McArdle GT, Price G, Lewis A, Hood JM, McKinley A, Blair PH, Harkin DW. Positive fluid balance is associated with complications after elective open infrarenal abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg. 2007;34:522–7.

    Article  CAS  PubMed  Google Scholar 

  12. Porhomayon J, Zadeil G, Congello S, Nader ND. Applications of minimally invasive cardiac output monitors. Int J Emerg Med. 2012;5:18.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Sakalihasan N, Limet R, Defawe OD. Abdominal aortic aneurysm. Lancet. 2005;365:1577–89.

    Article  CAS  PubMed  Google Scholar 

  14. Seltzer JL, Goldberg ME, Larijani GE, Ritter DE, Starsnic MA, Stahl GL, Lefer AM. Prostacyclin mediation of vasodilation following mesenteric traction. Anesthesiology. 1988;68:514–8.

    Article  CAS  PubMed  Google Scholar 

  15. Tallgen M, Niemi T, Pöyhiä R, Raininko E, Railo M, Salmenperä M, Lepäntalo M, Hynninen M. Acute renal injury and dysfunction following elective abdominal aortic surgery. Eur J Vasc Endovasc Surg. 2006;33:550–5.

    Article  Google Scholar 

  16. Walther A, Bardenheuer HJ. The abdominal aortic aneurysm. Anesthesiologic considerations and perioperative management in conservative surgical treatment. Anaesthesist. 2000;49:690–703.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Intensive Care, Städtisches Klinikum Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen/Rhine, Germany

    Jana Kötteritzsch MD

  2. Department of Anesthesiology and Intensive Care, University Hospital Carl Gustav Carus, Technical University Dresden, Fetscherstrasse 74, 01307, Dresden, Germany

    Mike Hänsel & Matthias Hübler MD, DESA

  3. Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA

    Karen B. Domino MD, MPH

Authors
  1. Jana Kötteritzsch MD
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  2. Mike Hänsel
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  3. Karen B. Domino MD, MPH
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  4. Matthias Hübler MD, DESA
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Corresponding author

Correspondence to Matthias Hübler MD, DESA .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, University Hospital Carl Gustav Carus, Dresden, Germany

    Matthias Hübler

  2. Department of Anesthisology, University Hospital Carl Gustav Carus, Dresden, Germany

    Thea Koch

  3. Department of Anesthesiology, University of Washington, Seattle, Washington, USA

    Karen B. Domino

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Kötteritzsch, J., Hänsel, M., Domino, K.B., Hübler, M. (2014). Case 26: Aortic Aneurysm. In: Hübler, M., Koch, T., Domino, K. (eds) Complications and Mishaps in Anesthesia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45407-3_26

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  • DOI: https://doi.org/10.1007/978-3-642-45407-3_26

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45406-6

  • Online ISBN: 978-3-642-45407-3

  • eBook Packages: MedicineMedicine (R0)

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