Texas A&M School of Medicine, Bryan, Texas, US.
Houston Methodist Hospital, Houston, Texas, US.
Methodist Debakey Cardiovasc J. 2023 Mar 7;19(2):78-89. doi: 10.14797/mdcvj.1177. eCollection 2023.
Ruptured abdominal aortic aneurysm (RAAA) is an acute aortic condition that requires emergent intervention and appropriate continuity of care to optimize patient outcomes. We describe the standardized RAAA protocol at the Houston Methodist Hospital Acute Aortic Treatment Center, developed to navigate critical patient transfer periods safely and efficiently, make crucial decisions about surgical intervention, and clearly communicate these plans with other care team providers. Our workflow is organized into five phases: prehospital, preoperative, intraoperative, postoperative, and post-discharge. We identify the transfer center, anesthesia, operating room nursing staff, surgeons, and intensive care unit as key entities of our acute aortic pathology care team. This systematic protocol for the management of acute aortic emergencies such as RAAA identifies critical decision points, potential complications at each stage, and recommendations for best practice.
破裂性腹主动脉瘤（RAAA）是一种急性主动脉疾病，需要紧急干预和适当的连续性护理，以优化患者的治疗效果。我们介绍了休斯顿卫理公会医院急性主动脉治疗中心的标准化 RAAA 方案，旨在安全有效地进行关键的患者转院阶段，对手术干预做出关键性决策，并与其他护理团队提供者清晰沟通这些计划。我们的工作流程分为五个阶段：院前、术前、术中、术后和出院后。我们确定了转院中心、麻醉科、手术室护理人员、外科医生和重症监护病房作为急性主动脉病理护理团队的关键实体。这种用于管理 RAAA 等急性主动脉急症的系统性方案确定了关键的决策点、各阶段的潜在并发症以及最佳实践建议。
