What question did this study set out to answer?

To address the anesthetic management and outcomes of interventions in ruptured aortic aneurysm cases.

May 10, 2026Open Access

Perioperative Anesthetic Management of Ruptured Aortic Aneurysms: A Case Series from a Tertiary Care Hospital

Key Points

To address the anesthetic management and outcomes of interventions in ruptured aortic aneurysm cases.
Focused on multidisciplinary intervention for ruptured aortic aneurysms in a tertiary care setting.
Emphasized goal-directed fluid resuscitation and permissive hypotension during surgery.
Adapted anesthesia type based on specific patient needs and procedural requirements.
Demonstrated improved outcomes with timely intervention in high-volume centers for ruptured aortic aneurysms.
Outcomes detailed for various procedural interventions, including discharge dispositions.
Identified critical management strategies that address acidosis, hypothermia, and coagulopathy during surgery.

Abstract

A ruptured aortic aneurysm is an ASA physical class 5 emergency associated with high perioperative morbidity and mortality, necessitating rapid multidisciplinary decision-making and intervention. The ruptured aortic aneurysm cases must be centralized to high-volume centers capable of performing both open and endovascular repair to minimize morbidity and mortality. During intervention, the priorities include goal-directed fluid resuscitation, implementing permissive hypotension without compromising end-organ perfusion, and managing massive transfusion while counteracting the lethal triad of acidosis, hypothermia, and coagulopathy. Based on the patient’s status and procedural management, anesthesia will be tailored to general or local/monitored anesthesia. This case series highlights outcomes and discharge dispositions of various procedural interventions for ruptured aortic aneurysms.

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