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September 1, 1980Annals of SurgeryOpen Access

Aortic Aneurysm Repair

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Why the study?

Does controlled perioperative fluid management guided by a pulmonary artery catheter reduce mortality in patients undergoing repair of nonruptured infrarenal aortic aneurysms?

Population

110 consecutive unselected patients undergoing elective or urgent repair of nonruptured infrarenal aortic…

Design

Cohort

Follow-up

5 years

Authors

AWAnthony D. WhittemoreVascular / Pulmonary VascularACAlexander W. ClowesBoston UniversityHHHerbert B. HechtmanHarvard University

Discussion

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Implication

Low mortality with PAC-guided fluid management in elective AAA repair supports further randomized trials; does not yet change practice.

Structured PICO

Does controlled perioperative fluid management guided by a pulmonary artery catheter reduce mortality in patients undergoing repair of nonruptured infrarenal aortic aneurysms?

P
Population
110 consecutive unselected patients undergoing elective or urgent repair of nonruptured infrarenal aortic aneurysms between 1972 and 1979.
I
Intervention
Controlled perioperative fluid management guided by a thermistor-tipped pulmonary artery balloon catheter to maintain optimal left ventricular performance.
O
Outcome
30-day operative mortality and in-hospital mortalityhard clinical

Controlled perioperative fluid management using a pulmonary artery catheter may minimize operative mortality during elective or urgent repair of abdominal aortic aneurysms.

Cite This Study

Whittemore et al. (1980) studied this question.

synapsesocial.com/papers/6a70df3e8031ec7bb1dca434https://doi.org/10.1097/00000658-198009000-00017
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Myocardial ischemia due to infrarenal aortic cross-clamping during aortic surgery in patients with severe coronary artery disease.1976 · 207 citations
  2. 2Surgical management of Abdominal Aortic Aneurysma1975 · 181 citations
  3. 3The Myocardial Contractile State and Its Role in the Response to Anesthesia and Surgery1969 · 30 citations
  4. 4Assessment of Myocardial Performance and Optimal Volume Loading During Elective Abdominal Aortic Aneurysm Resection1977 · 101 citations
  5. 5Clinical Fate of the Patient With Asymptomatic Abdominal Aortic Aneurysm and Unfit for Surgical Treatment1972 · 277 citations