In patients undergoing emergency surgery for ruptured abdominal aortic aneurysm, delaying muscle relaxants until after aortic cross-clamping may help manage hemodynamics, though postoperative renal failure remains a major predictor of mortality.
Postoperative renal failure was associated with higher mortality in this tiny ruptured-AAA series; leaves open whether renal-protection strategies warrant prospective testing.
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Michiyabu et al. (1987) studied this question.
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