Haemodynamic management in ruptured abdominal aortic aneurysm.

Brimacombe, J; Berry, A · Postgrad Med J · 1994

review · Level V

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Abstract

Ruptured abdominal aortic aneurysm currently accounts for about 1 in 200 deaths and is a critical surgical emergency with an average hospital mortality of 50%. The combination of acute massive haemorrhage in an elderly patient with pre-existing medical disease is highly lethal and a major challenge for any health care system. This article outlines the general principles of management and discusses the problems of haemodynamic assessment and preclamping fluid resuscitation.

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