Perioperative management of the patient undergoing vascular surgery

Providing optimal perioperative care to the patient undergoing vascular surgery is a continuum; it starts with an accurate preoperative identification and management of the associated comorbidities, evolves into an adapted selection of the level of intraoperative monitoring and the anesthetic technique, and implies an extension of the vigilant care into the postoperative period. The perioperative consultants, the anesthesiologists, and the surgeons should combine their efforts to accomplish this challenging task. Also, they should continuously upgrade their skills to cope with the development of new techniques, such as endovascular repairs, that may minimize postoperative morbidity.