66-year-old woman undergoing laparotomy for rupture AAA. Prolonged surgery and blood loss of about 4L. Core temperature has dropped to 35°C.

• Hypothermia

  • Define Hypothermia
  • How to measure core body temperature
  • Risk factors for hypothermia
  • Mechanisms of heat loss
  • What are the intraoperative complications of hypothermia?
  • Complications of hypothermia in general
  • How to prevent perioperative hypothermia?

• DIC

  • Define
  • Causes of DIC in this patient
  • Mechanism of action of heparin
  • Management
  • Indications for platelet transfusion? Shelf life?
  • Stages of hemostasis? How does a vascular surgeon reverse in AAA?

• Blood Transfusions

  • What are the factors deficient in stored blood?
  • How to reduce blood loss intra-op?
  • Define massive transfusion
  • Complications of Massive Blood Transfusion

• AAA

  • Early post-op complications of AAA?

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