FRCS Vascular Surgery Practice Questions - Intercollegiate Specialty Fellowship Examination In Vascular Surgery (FRCS Vasc) Exam

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A 78-year-old man presents collapsed with sudden severe back pain, hypotension (BP 80/50) and a known 6 cm AAA. CT angiography confirms a contained retroperitoneal rupture. Which of the following is the most appropriate immediate haemodynamic target while arranging emergency repair?

Aggressive crystalloid resuscitation to a systolic BP > 120 mmHg Withhold all fluids until the aorta is clamped Immediate vasopressor infusion to a mean arterial pressure of 100 mmHg Permissive hypotension, maintaining a systolic BP around 70–90 mmHg if the patient is conscious

Correct Answer:

Permissive hypotension, maintaining a systolic BP around 70–90 mmHg if the patient is conscious

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