CT Case 084
An 88-year-old man presents with right lower abdominal and back pain, with radiation into his right leg. He has a previous history of abdominal aortic aneurysm (AAA)
An 88-year-old man presents with right lower abdominal and back pain, with radiation into his right leg. He has a previous history of abdominal aortic aneurysm (AAA)
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…
Detecting Myocardial Ischaemia Post AAA Repair
OVERVIEW CAUSES MANAGEMENT Resuscitation A – assess for patency and positionB – give FiO2 1.0, check ABGC – check pulses and BP manually, check accuracy of arterial line measurementD – ensure patient adequately sedation and analgesia -> use propofol and…