Abstract
Vascular surgery has become a clearly recognized surgical subspecialty. Innovative surgical techniques and refinements in critical care have led to improved operative results with a wide range of complex vascular operations. These advances necessitate an increasingly specialized focus by anesthesiologists on the unique challeges and special intraoperative requirements of vascular surgery.1,2 The present discussion will provide an overview of some anesthetic considerations for major vascular surgery, which for practical purposes, will be limited to operations on the abdominal or descending thoracic aorta that require a temporary period of aortic crossclamping.
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