Ruptured Abdominal Aortic Aneurysm Open Repair

You are the anaesthetist on-call in a tertiary hospital. The vascular surgeon calls you to advise that an 82-year-old man with a contained rupture of an abdominal aortic aneurysm has just arrived in the emergency department, transferred from a secondary centre. The surgeon advises that the aneurysm is not suitable for an endovascular technique and the patient requires an urgent open repair. You immediately attend the emergency department.