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Haemodynamic management in ruptured abdominal aortic aneurysm.
  1. J. Brimacombe,
  2. A. Berry
  1. Department of Anaesthesia and Intensive Care, Cairns Base Hospital, Australia.


    Ruptured abdominal aortic aneurysm currently accounts for about 1 in 200 deaths and is a critical surgical emergency with an average hospital mortality of 50%. The combination of acute massive haemorrhage in an elderly patient with pre-existing medical disease is highly lethal and a major challenge for any health care system. This article outlines the general principles of management and discusses the problems of haemodynamic assessment and preclamping fluid resuscitation.

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