Category Vascular Surgery
CCC Critical Care compendium 340

Abnormal LFTs Post Vascular Surgery

CAUSES pre-existing liver disease (+/- exacerbation) drug induced (paracetamol, statins, amiodarone, antibiotics, NSAIDs, beta-blockers, ranitidine, volatiles) ischaemic (post clamping above hepatic artery, thrombosis, embolic, hypotension) surgical injury nutrition (TPN, EN) acalculous cholecystitis transfusion related hepatitis ASSESSMENT History pre-operative liver function…

CCC Critical Care compendium 340

Carotid Endarterectomy

Carotid Endarterectomy = removal of atheromatous plaque from the ICA. Artery clamped, open, plaque stripped and then closed directly or with a Gore-Tex vein patch.

CCC Critical Care compendium 340

AAA Repair Patient Hot Case

GENERAL APPROACH Emergency or Elective End-organ damage Complications– brain injury– spinal cord ischaemia– ileus– MI– lower limb ischaemia– compartment syndromes– renal injury INTRODUCTION CUBICLE dialysis INFUSIONS vasoactives fluid boluses sedation analgesia transpyloric feeding: ileus, ischaemia TPN VENTILATOR mode level of…

CCC Critical Care compendium 340

Abdominal aortic aneurysm (AAA)

Abdominal Aortic Aneurysm (AAA) is a permanent localised or diffuse dilatation of the abdominal aorta to 1.5 times its normal diameter that involving all three layers of the vessel wall

Henri-Marie-René-Leriche-1879–1955 1200

René Leriche

Henri Marie René Leriche (1879–1955) French surgeon. Described as the father of vascular surgery. Leriche syndrome (1940), Leriche operation (1913)