Hypotension Post TAA

Scenario Description

Patient is s/p TEVAR for type B descending thoracic aortic aneurysm. Report from anesthesia states hemostasis achieved to bilateral groins and site looks fine. Two hours later, the patient begins to complain of overall “soreness” and pain in groins for which Morphine IV was given. Reassessment shows BP 98/70, HR 95, abdomen more distended, cool extremities, and no urine output. Neuro exam remains intact. Learners will need to recognize hypotension and treat hypotension through use of fluids and vasopressors.