NHS SCREENING PROGRAMMES
ABDOMINAL AORTIC ANEURYSM
PATIENT EXPERIENCE: CRITICAL CARE
AFTER OPEN SURGERY
It's a fairly major procedure,
to have an
aneurysm repair done
by the open method.
DR IAN CRABB,
ANAESTHETICS AND CRITICAL CARE
Puts a fair amount of strain
on the body as a whole
that they get a high degree
and medical monitoring in
the immediate post-operative period.
That's what we can achieve here.
So the sort of things we need to do
is make sure that
their blood pressure is adequate,
heart's beating effectively,
their kidneys are working and so on.
The level at which we can do that
here on the critical care unit
than can be achieved
on a normal ward environment.
Normally, we'd expect to be able to
wake the patient up straight away
procedure's been straightforward,
as it usually is.
The patient gets woken up and taken
the recovery area for an hour or so,
stabilised there and then brought here
for us to
continue the level of care
as I was saying just now.
Occasionally, if the procedure is
more complex or takes a bit longer,
keep the patient asleep
and bring them round sedated
on the ventilator,
on the breathing machine
and stabilise them for a few hours here
waking them up
and continuing the care.
We'd normally expect to keep them
for 48-72 hours, that's fairly standard.
If there are other issues,
they may stay a day or so longer,
about two to three days
in other words.