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2005, Number S1

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Rev Mex Anest 2005; 28 (S1)

Update of anesthesia for vascular surgery

Gottlieb A

Language: English
References: 46
Page: 81-86
PDF size: 72.89 Kb.


Text Extraction

I. INTRODUCTION
Patients scheduled for aortic reconstructive surgery are often at increased risk due to:

A. Patient medical condition

Most of the pathology is due to diffuse atherosclerosis, a systemic progressive disease that can cause 1) Arterial plaque enlargement, 2) Arterial embolism, or 3) Complete occlusion of circulation. The plaque location is often at the bifurcation where turbulent flow might exist. Mostly, at the carotid bifurcation, coronary arteries, iliac arteries, aorta and superficial femoral artery. The symptoms might vary with the site and degree of the lesion. Intermittent claudication, rest pain, ulceration, or gangrene is all described. The patients are often older; most of these patients suffer from generalized atherosclerotic cardiovascular disease. Therefore, many of their other systems and organs may be affected as well. They have increased incidence of hypertension, coronary artery disease, myocardial disease, valvular heart disease, renal disease, diabetes and cerebral vascular disease.


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