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[Perioperative problems posed by patients suffering from vascular diseases. The viewpoint of the anesthetist-resuscitator].

Patients undergoing vascular surgery present a major challenge for the medical and surgery teams because patients admitted for vascular surgery frequently have other associated disorders. Vital functions must be optimized preoperatively in this population. Several problems may arise in the preoperative and postoperative periods. The risk of hypothermia or cardiovascular instability and early treatment of postoperative complications require careful management. Several diagnostic and therapeutic tools are available but their routine use has not always been validated by clinical trials in the pathophysiological setting of vascular disease. We present several examples of discordance between the pathophysiological models and results of clinical studies and raise the question of therapeutic objectives.