History and examination (make sure to document whether the peripheral pulses are palpable)
ECG and Chest x-ray
Ultrasound aorta will usually have been done as an outpatient and need not normally be repeated.
CT abdomen (3mm slices, aortic protocol)
T/S & XM for 6 units
Cardiac assessment: If no history of cardiac disease or hypertension, Echo to evaluate ejection fraction. If cardiac disease (previous CABG, PCI or unstable angina) or echo less than 40%, cardiology consult. Please have ECG, CXR, +/- ECHO and Holter, cardiac meds and cardiac enzyme profile (as appropriate) available at the time of consult.
Pulmonary assessment: CXR; PFTs; ABG if significant respiratory disease. Consult respiratory physician if attending regularly, PFTs significantly abnormal abnormal or significant respiratory disease. Blood gases may be required in those with abnormal PFTs.
Ensure patient and family have been informed of the risks of surgery and been given an information leaflet
Pre and post operative chest physiotherapy
Book PACU/ICU as appropriate.