Is intensive care necessary after elective abdominal aortic aneurysm repair?

被引:0
|
作者
Lawlor, K [1 ]
Lovell, MB [1 ]
DeRose, G [1 ]
Forbes, TL [1 ]
Harris, KA [1 ]
机构
[1] Univ Western Ontario, Div Vasc Surg, London Hlth Sci Ctr, Dept Surg, London, ON N6A 4G5, Canada
关键词
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: To review morbidity and mortality of patients undergoing elective, open repair of infrarenal abdominal aortic aneurysms and were admitted postoperatively to a surgical stepdown unit rather than routinely to the intensive care unit (ICU), we carried out a retrospective review. Methods: All patients undergoing this type of repair in our centre, a division of vascular surgery in a tertiary-care teaching hospital in Ontario, over a 27-month period were reviewed. A consecutive 230 patients who underwent aneurysm repair from September 1999 through November 2001 were routinely admitted to a surgical stepdown unit postoperatively, with only a minority of patients requiring admission to ICU. We reviewed the rate of initial ICU admission and that of subsequent ICU admission after stepdown-unit admission. We also assessed morbidity, mortality and length of hospital stay for patients admitted to ICU as well as those admitted to the stepdown unit. Results: ICU admission was avoided in 204 (89%) of these patients. The remaining 26 patients (11%) required ICU admission at some point during their hospital stay. Only 3 patients(1%) originally admitted to the stepdown unit subsequently required postoperative admission to ICU. Conclusions: Our experience demonstrates that proper preoperative assessment and selection allows the majority of elective infrarenal aneurysm repairs to be safely cared for postoperatively in a stepdown unit, and that subsequent ICU admissions are rare.
引用
收藏
页码:359 / 363
页数:5
相关论文
共 50 条
  • [21] Analysis of Early Death after Elective Open Abdominal Aortic Aneurysm Repair
    Cheng, Thomas W.
    Farber, Alik
    Levin, Scott R.
    Arinze, Nkiruka
    Garg, Karan
    Eslami, Mohammad H.
    King, Elizabeth G.
    Patel, Virendra I.
    Rybin, Denis
    Siracuse, Jeffrey J.
    ANNALS OF VASCULAR SURGERY, 2023, 96 : 71 - 80
  • [22] Frailty in patients with abdominal aortic aneurysm predicts prognosis after elective endovascular aneurysm repair
    Morisaki, Koichi
    Furuyama, Tadashi
    Yoshiya, Keiji
    Kurose, Shun
    Yoshino, Shinichiro
    Nakayama, Ken
    Yamashita, Sho
    Kawakubo, Eisuke
    Matsumoto, Takuya
    Mori, Masaki
    JOURNAL OF VASCULAR SURGERY, 2020, 72 (01) : 138 - 143
  • [24] Why routine intensive care unit admission after elective open infrarenal Abdominal Aortic Aneurysm repair is no longer an evidence based practice
    Ryan, David
    McGreal, Gerard
    SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND, 2010, 8 (06): : 297 - 302
  • [25] Effect of Statin Intensity on Postoperative Mortality after Open Repair of Intact Abdominal Aortic Aneurysm: Is Intensive Therapy Necessary?
    Alshaikh, Husain
    Bohsali, Fuad
    Gani, Faiz
    Nejim, Besma
    Locham, Satinderjit S.
    Aridi, Hanaa
    Malas, Mahmoud
    JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2017, 225 (04) : S216 - S217
  • [26] Pancreatic dysfunction following elective abdominal aortic aneurysm repair
    Krasinski, Z
    Oszkinis, G
    Dzieciuchowicz, L
    Pukacki, F
    Gabriel, M
    Begier-Krasinska, B
    Zapalski, S
    8TH WORLD CONGRESS OF THE INTERNATIONAL GASTRO-SURGICAL CLUB, 1998, : 339 - 344
  • [27] Midline extraperitoneal approach for elective abdominal aortic aneurysm repair
    Quick, CRG
    Chan, CLH
    Sonoda, LI
    Hart, AJ
    EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 1997, 14 (01) : 63 - 68
  • [28] Interaction between frailty and sex on mortality after elective abdominal aortic aneurysm repair
    Pounds, Lori L.
    Barbey, Sarah M.
    JOURNAL OF VASCULAR SURGERY, 2019, 70 (06) : 1843 - 1843
  • [29] Female Sex Predicts Reintervention After Elective Endovascular Abdominal Aortic Aneurysm Repair
    Corsi, Taylor
    Ciaramella, Michael
    Palte, Nadia
    Carlson, John
    Rahimi, Saum
    Beckerman, William
    JOURNAL OF VASCULAR SURGERY, 2021, 74 (04) : E363 - E363
  • [30] Predicting 1-year mortality after elective abdominal aortic aneurysm repair
    Beck, Adam W.
    Goodney, Philip P.
    Nolan, Brian W.
    Likosky, Donald S.
    Eldrup-Jorgensen, Jens
    Cronenwett, Jack L.
    JOURNAL OF VASCULAR SURGERY, 2009, 49 (04) : 838 - 843