CASE STUDY ABDOMINAL AORTIC ANEURYSM Essay Example | Topics and Well Written Essays - 3000 words

CASE STUDY ABDOMINAL AORTIC ANEURYSM - Essay casingThe initial observations showed. The patient was very cold, tachycardia with a caprice rate 100-105beats/minute, respiration 24-30/min, in respiratory damage and cyanosed. On auscultation had wheeze on both nerves 4liters of oxygen was given. BP Systolic 84-80mmHg, dystolic65-62mmHg. He was complaining of back irritation left side but no chest pain. The GP had been in to see him and thought it was abdominal pain and prescribed cocodamol. The patient was cachexic and pale. The working diagnosis for the ambulance crew was Dysphonic.ACCIDENT AND EMERGENCY DEPARTIMENT- On arival live signs 35 degree centrgrade,pulse122/min,respiration2/min, BP120/81mmHg. fall sugar20.3mmol/L saturating oxygen 97%. On examination femoral pulse was absent. Rectal examination bowel was soft. The chest x-ray showed no focal mass. ECG showed ischemic changes of the heart. Blood gas was within normal. group AB x-ray showed partial gas with mega colon. Full blood count, urea and electrolyte and curdling study were done. Urinalysis showed protein presence. NaCl 0.9% was given for low blood pressure. Morphine 10mg IV was given stat CT gaze abdomen showed ruptured aortic and vascular atherosclerosis. Diagnosis of Abdominal aortal Aneurysm was made. The patient was explained the findings, consent obtained for process and he was prepared for Theatre. A preoperative check list was done and he was taken to area with all the documents. OPERATING THEATRE-The surgeon inserted stent graft, which is a tube of conventional graft fabric containing 2 stent. Because the aneurysm was ruptured the patient received 470mls cell saver blood, 11units RCC, 1000mls gelofusine, 3000mls 0.9%normal saline, 1000mls20%mannitol, 1unit platelet.OPEN AND CLOSE SURGERY ANDVANTAGES AND DISADVATAGESAbdominal aortic aneurysm is the swelling of the aorta. Aorta is the bodys largest artery (the blood vessel that carries oxygen-rich blood). This artery extends f rom the heart down done the chest and abdominal region, where it divides into a blood vessel that supplies each leg. Although an aneurysm can develop anywhere along the aorta, most occur in the section running through the abdomen (abdominal aneurysms). Abdominal Aortic Aorta (AAA) can be treated by means of open surgery and the close or endovascular surgery. sacrifice surgeryThe most common and widely used treatment for aneurysm is the open surgery. This includes the replacement of the egotistic part of the aorta with artificial graft. The graft is made of material that does not wear out. It is sawn in place with a permanent suture material.The open surgery is done by making an incision depending on the berth of the aneurysm. If the aneurysm is confined to the abdomen, then an incision either in the abdomen or on the side or flank may be used. The open surgery may cause a sinful blood loss, greater trauma to the aorta and patient must stay in the intensive care for a longer ti me. This procedure is not recommended to patients who have high risk of complications. The surgery must be mulish by the medical team before proceeding into the operation. Endovascular surgery or closed surgeryIn recent years, a treatment has been developed to repair an aneurysm without major surgery or an