Retroperitoneal Aortic Exposure
■ For thoracoabdominal exposure, the patient is placed in the right lateral decubitus position using a beanbag and axillary role for support. The left arm is protected with adequate padding and…
Extrathoracic Revascularization (Carotid–Carotid, Carotid–Subclavian Bypass and Transposition)
Exposure of Carotid Artery ■ In the medial aspect of the wound, the lateral border of the internal jugular vein is identified and sharply defined. The vein is retracted posteriorly and…
Carotid Surgery: Interposition/Endarterectomy (Including Eversion)/Ligation
■ Arterial blood pressure monitoring is necessary for optimal anesthetic management. Bladder catheterization is performed if the procedure is expected to extend beyond 2 hours. If endarterectomy is performed with regional…
Arch and Great Vessel Reconstruction with Debranching Techniques
■ An arterial phase CT angiogram should evaluate the entire length of the aorta, from the level of the skull base proximally to the femoral heads distally, to ensure visualization of…
Vertebral Transposition Techniques and Stenting
■ Evaluation of patients with posterior circulation ischemia requires defining the precise circumstances that elicit symptoms. Vertigo, instability, and occasional loss of consciousness often accompany positional changes and standing in older…
8: Preoperative Care
Figure 8.2 A day-of-admission unit facility. Figure 8.3 A day-of-admission unit. Inpatient Surgery and Day of Admission The majority of inpatients arrive in the hospital on the day of surgery…
21: Medical Imaging and Radiation
Ionising radiation risks Ionising radiation can cause biological damage to tissues. Damage is at a cellular level and can be minor and imperceptible, posing no long-term risk. It can also…
23: Postoperative Care
From Royal College of Anaesthetists (2009), British Anaesthetic and Recovery Nursing Association (2005) and ASPAN (2010a). The evidence supporting PACU staffing numbers is limited and in the majority of incidences,…
24: Pain Management
Extensive work has also been undertaken by the Oxford Pain Research Group www.medicine.ox.ac.uk/bandolier/painres/PRintro.html) and the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine (ANZCA 2010) who…
