What is the postoperative care for abdominal aortic aneurysm (AAA)?

Updated: Jan 08, 2019
  • Author: Saum A Rahimi, MD, FACS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Fluid shifts are common after aortic surgery. Fluid requirements may be high in the first 12 hours, depending on the amount of blood loss and fluid resuscitation in the operating room. The patient should be monitored in the surgical intensive care unit for hemodynamic stability, bleeding, urine output, and peripheral pulses. Postoperative ECG and chest radiography are indicated. Prophylactic antibiotics (eg, cefazolin 1 g) are administered for 24 hours. The patient is seen in 1-2 weeks for suture or skin staple removal, then yearly thereafter.


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