Who to CPEX? All planned Open repair Patients ? Open, ? EVAR EVAR according to Red, Amber, Green score Not capacity for all EVAR
CPEX Caseload 53 AAA patients since established –48 planned open/unsure –2 TEVAR –3 planned EVAR 20 proceeded to open 12 proceeded to EVAR Remaining 21 patients –3 Referred to St Georges –12 Surgery awaited –6 Not to proceed, deceased etc
Can CPEX help us to fast-track Open AAA patients? 11/20 patients AT > 11 ml/kg/min What support was required?
Outcomes – ITU Support Adv. Resp Basic Resp Adv. Cardiac Basic Cardiac Renal AT > 11 (ml/kg/min) 150110 AT < 11 (ml/kg/min) 23290 Median discharge day 3 vs 4
Future Plans CPEX for all Open AAA patients Vascular Anaesthesia Clinic –For all EVAR pts ? Extended recovery/HDU for elective open AAA pts with AT > 11 –Assuming no complications