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Related Concept Videos

Aneurysm IV: Nursing Management01:22

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Related Experiment Video

Updated: Dec 25, 2025

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Monitored Anesthesia Care Is Associated With a Decrease in Morbidity After Endovascular Angioplasty in Aortoiliac

Nancy M Boulos1, Brittany N Burton2, Devon Carter3

  • 1Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA.

Journal of Cardiothoracic and Vascular Anesthesia
|March 21, 2020
PubMed
Summary

Monitored anesthesia care (MAC) is associated with fewer complications and shorter hospital stays compared to general anesthesia (GA) for endovascular angioplasty in patients with aortoiliac occlusive disease.

Keywords:
American College of Surgeons National Surgical Quality Improvement Programaortoiliac occlusionendovascular angioplastypostoperative outcomes

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Area of Science:

  • Vascular Surgery
  • Anesthesiology
  • Health Outcomes Research

Background:

  • Endovascular angioplasty and stenting are common treatments for aortoiliac occlusive disease.
  • The choice of anesthesia, specifically monitored anesthesia care (MAC) versus general anesthesia (GA), and its impact on outcomes is not well-established.
  • Limited research exists on anesthesia type and postprocedural complications in this patient population.

Purpose of the Study:

  • To evaluate the association between primary anesthesia type and postprocedural complications.
  • To compare outcomes for endovascular angioplasty of aortoiliac occlusion under MAC versus GA.
  • To identify potential differences in complication rates and length of stay based on anesthesia choice.

Main Methods:

  • Retrospective, multi-institutional cohort study.
  • Utilized the American College of Surgeons National Surgical Quality Improvement Program database (2012-2016).
  • Included 3,110 patients undergoing endovascular angioplasty for aortoiliac occlusive disease, comparing 1,974 MAC cases with 1,136 GA cases.

Main Results:

  • After adjusting for covariates, MAC was associated with significantly lower odds of postoperative complications (pulmonary, infection, transfusion, reoperation, amputation).
  • Patients receiving MAC also experienced a shorter length of hospital stay compared to those under GA.
  • The analysis included 3,110 patients, with 63% receiving MAC and 37% receiving GA.

Conclusions:

  • Monitored anesthesia care (MAC) may be a favorable anesthesia option for endovascular angioplasty in patients with aortoiliac occlusion.
  • MAC was associated with reduced postoperative complications and shorter hospital stays.
  • Further research, including larger observational studies and randomized controlled trials, is warranted to confirm these findings.