RUPTURED ABDOMINAL AORTIC ANEURYSM REPAIR (EMERGENCY OPEN)
Indication: Clinical diagnosis of ruptured AAA (classic triad: back pain, hypotension, pulsatile abdominal mass). Immediate operative intervention without delay for imaging in haemodynamically unstable patients. Permissive hypotension (systolic 70–80 mmHg) maintained until aortic control achieved.
Patient Position: Supine. Large-bore IV access, arterial line, Foley catheter. Operating team and scrub team prepared before anaesthetic induction (induction may precipitate cardiovascular collapse).
Anaesthesia: General. Blood products (packed red cells, FFP, platelets) pre-prepared. Cell saver used.