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Text
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URL Address
<a href="http://doi.org/10.1016/s0002-9610(99)00153-1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0002-9610(99)00153-1</a>
Pages
121–124
Issue
2
Volume
178
Dublin Core
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Title
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Awake aortic aneurysm repair in patients with severe pulmonary disease.
Publisher
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American journal of surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
1999-08
Subject
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*Consciousness; Abdominal/*surgery; Administration; Aged; Albuterol/administration & dosage/therapeutic use; Anesthesia; Aortic Aneurysm; Blood Loss; Bronchodilator Agents/administration & dosage/therapeutic use; Critical Care; Epidural; Forced Expiratory Volume/physiology; General; Home Care Services; Hospitalization; Humans; Hypnotics and Sedatives/administration & dosage; Iliac Aneurysm/*surgery; Inhalation; Intravenous; Length of Stay; Lung Diseases/*complications/drug therapy/therapy; Oxygen Inhalation Therapy; Retroperitoneal Space; Retrospective Studies; Risk Factors; Safety; Steroids/administration & dosage/therapeutic use; Surgical; Theophylline/administration & dosage/therapeutic use; Time Factors; Vital Capacity/physiology
Creator
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McGregor W E; Koler A J; Labat G C; Perni V; Hirko M K; Rubin J R
Description
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BACKGROUND: We report the use of retroperitoneal aortic aneurysm repair utilizing exclusive regional anesthesia (no intubation or inhalation anesthetic) in high pulmonary risk patients. METHODS: Six patients were retrospectively reviewed. Pulmonary disease was diagnosed by clinical history and pulmonary function tests. Patients received intravenous sedation and regional anesthesia. Retroperitoneal aortoiliac aneurysm repair was performed. RESULTS: All patients used inhaled steroids and albuterol. Three required theophylline and home oxygen. FEV1 = 23% +/- 5% predicted, FVC = 34% +/- 5% predicted, and PO2 = 62 +/- 2 mm Hg. Operative time was 247 +/- 25 minutes. Blood loss was 840 +/- 479 mL. Five of six patients (83%) tolerated awake aneurysm repair and had intensive care unit stays of 2.4 +/- 0.6 days, and postoperative hospital stays of 8.2 +/- 1.8 days. One patient was converted to general anesthesia and had a prolonged hospital stay. CONCLUSIONS: With thorough patient communication, awake retroperitoneal aortic aneurysm repair can be safely performed in select patients with severe pulmonary disease.
Identifier
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<a href="http://doi.org/10.1016/s0002-9610(99)00153-1" target="_blank" rel="noreferrer noopener">10.1016/s0002-9610(99)00153-1</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Consciousness
1999
Abdominal/*surgery
Administration
Aged
Albuterol/administration & dosage/therapeutic use
American journal of surgery
Anesthesia
Aortic Aneurysm
Blood Loss
Bronchodilator Agents/administration & dosage/therapeutic use
Critical Care
Epidural
Forced Expiratory Volume/physiology
General
Hirko M K
Home Care Services
Hospitalization
Humans
Hypnotics and Sedatives/administration & dosage
Iliac Aneurysm/*surgery
Inhalation
Intravenous
Koler A J
Labat G C
Length of Stay
Lung Diseases/*complications/drug therapy/therapy
McGregor W E
Oxygen Inhalation Therapy
Perni V
Retroperitoneal Space
Retrospective Studies
Risk Factors
Rubin J R
Safety
Steroids/administration & dosage/therapeutic use
Surgical
Theophylline/administration & dosage/therapeutic use
Time Factors
Vital Capacity/physiology