Elective AAA Preoperative Safe for Intervention Checklist
Standard pre-operative assessment and risk scoring is a defined quality standard in the VSGBI framework for improving the results of elective AAA repair (2009).
All patients should undergo standard preoperative assessment and risk scoring,
including cardiac, respiratory, renal, diabetes, peripheral vascular disease, as well as
CT angiography to determine their suitability for EVAR.
The Elective AAA Safe for Intervention Checklist is a best practice traffic light protocol taken from the EVAR 1 and 2 trials. It has been reviewed and adapted for use by the Vascular and Vascular Anaesthesia Society of Great Britain and Ireland. The document forms a preliminary checklist to indicate whether AAA patients should proceed with intervention or whether treatment should be postponed whilst patient fitness is improved. It is advised that all patients being considered for intra-abdominal aneurysm surgery should be assessed against it prior to being investigated for surgery.
Below is the final version endorsed by the Vascular Society and Vascular Anaesthesia Society of Great Britain and Ireland.
This safety checklist is currently being rolled out nationally through our regional action plans. It is a defined quality standard in our AAA pre-operative care bundle and many units have fedback that it is a useful means to ensure risk assessment takes place as standard and stratify patients for further pre-operative investigations.
Clinicians can capture feedback on the use of the safet checklist in practice through Plan, Do, Study, Act (PDSA) templates below and send this back to the AAA QIP Project Team firstname.lastname@example.org