Combined Neuraxial and General Anesthesia Significantly Improves Perioperative Outcomes Following Elective Open Abdominal Aortic Aneurysm Repair

Evidence for the use of neuraxial anesthesia (NA) in the context of open abdominal aortic aneurysm (AAA) repair is sparse. The purpose of this study was to determine the 90-day outcomes of combined general and NA versus general anesthesia without neuraxial (GA) for elective open AAA repair.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstracts from the 2019 Canadian Society for Vascular Surgery Annual Meeting Source Type: research

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The purpose of this systematic review was to assess the perioperative clinical outcomes in using local/regional anesthesia (LA/RA) or general anesthesia (GA) in patients undergoing endovascular abdominal aortic aneurysm repair. A comprehensive electronic literature search was undertaken from inception to September 2018, identifying all randomized and nonrandomized studies comparing LA/RA versus GA in patients with abdominal aortic aneurysm who underwent endovascular repair. A total of 12,024 patients (n  = 1,664 LA/RA, n = 10,360 GA) were analyzed from 12 observational studies included in this analysis.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Review Article Source Type: research
ConclusionThe mesh plug repair is safe and useful for the treatment of inguinal hernia after FFB, for which preoperative CT is helpful for understanding precise anatomy which facilitates surgical planning.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
We read with great interest the study by O'Donnell et  al,1 which investigated the risk factors of postoperative renal dysfunction after open repair of abdominal aortic aneurysm (AAA) in a large retrospective cohort.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
Given the various types of anesthesia utilized for endovascular abdominal aortic aneurysm repair (EVAR), we sought to determine the effect of anesthesia type in the outcomes of elective EVAR in a large multi-institutional healthcare maintenance organization.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research
In the article “Limb Remote Ischemic Preconditioning for Intestinal and Pulmonary Protection during Elective Open Infrarenal Abdominal Aortic Aneurysm Repair: A Randomized Controlled Trial” (Li C, Li YS, Xu M, Wen SH, Yao X, Wu Y, Huang CY, Huang WQ, Liu KX: Anesthesiology 2013; 118:842 –52), theP values in table 2 are systematically incorrect, given the descriptive statistics. The authors are unable to locate the primary data to recalculate theP values in these tables. The authors believe that the reported descriptive statistics, including tables 1 and 2, are correct, and that the reportedP values are in...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
To compare postoperative morphine equivalent intake after open abdominal aortic aneurysm (AAA) repair among analgesic modalities: systemic analgesia (SA) only with no regional anesthesia, surgically positioned paravertebral catheter (PVC), and thoracic epidural analgesia (TEA).
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
CONCLUSIONS: RIPC had no significant effect on arterial stiffness, but there was significant improvement in arterial stiffness after surgery in both groups. Arterial stiffness and haemodynamics may be influenced by surgery or anaesthesia or oxidative stress or all factors combined. Further studies are needed to clarify these findings. CLINICALTRIALS.GOV: NCT02689414. PMID: 31126835 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - Category: Surgery Authors: Tags: Eur J Vasc Endovasc Surg Source Type: research
The objective of this study was to compare 30-day postoperative mortality for patients undergoing endovascular repair of ruptured abdominal aortic aneurysm (rAAA) using locoregional vs general anesthesia. Unlike the open approach, endovascular repair of rAAA can be performed using either locoregional or general anesthesia. We hypothesize that mortality after endovascular repair of rAAA is lower when locoregional rather than general anesthesia is used.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
To determine differences in perioperative abdominal aortic aneurysm (AAA) repair outcomes based on patient sociodemographics.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
CONCLUSIONS: Short-stay EVAR pathways are safe and acceptable to patients. With appropriate selection of motivated patients, successful expedited discharge can be achieved with limited readmissions, thus facilitating increased resource efficiency and cost savings for healthcare providers. PMID: 30994308 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: J Cardiovasc Surg (Torino) Source Type: research
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