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Current intensive care management proposals after aneurysmal subarachnoid hemorrhage

Publication ,  Journal Article
Treggiari-Venzi, MM; Romand, JA; Suter, PM
Published in: Intensivmedizin und Notfallmedizin
February 1, 2001

Aneurysmal subarachnoid (SAH) is a serious disease associated with considerable mortality and morbidity: it accounts for 6-10% of all strokes and 22-25% of cerebrovascular deaths (46). The most common causes of death or disability include direct effect of initial bleed and rebleeding (5). Subsequent causes of death include vasospasm (43), hydrocephalus, and surgical and medical complications of SAH treatment. After surgery patients remain at risk of developing secondary neurologic deficits and medical complications for at least 2 to 3 weeks. During this period patients are closely monitored for early detection of onset of delayed ischemic symptoms. As no good evidence exists to support hypertensive and hemodilution therapy to prevent vasospasm, the initial goal should be oriented to maintain euvolemia, considering that patients potentially have pronounced negative fluid balance and then considerable maintenance fluids and sodium must be substituted. However, if symptoms of delayed cerebral ischemia appear, the goals of treatment are immediately converted to hypertensive hypervolemic and hemodilution therapy. Oral, when possible, otherwise intravenous Nimodipine is recommended, its dosage must be adapted to maintain the desired blood pressure.

Duke Scholars

Published In

Intensivmedizin und Notfallmedizin

DOI

ISSN

0175-3851

Publication Date

February 1, 2001

Volume

38

Issue

1

Start / End Page

7 / 14

Related Subject Headings

  • Emergency & Critical Care Medicine
 

Citation

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Treggiari-Venzi, M. M., Romand, J. A., & Suter, P. M. (2001). Current intensive care management proposals after aneurysmal subarachnoid hemorrhage. Intensivmedizin Und Notfallmedizin, 38(1), 7–14. https://doi.org/10.1007/s003900170104
Treggiari-Venzi, M. M., J. A. Romand, and P. M. Suter. “Current intensive care management proposals after aneurysmal subarachnoid hemorrhage.” Intensivmedizin Und Notfallmedizin 38, no. 1 (February 1, 2001): 7–14. https://doi.org/10.1007/s003900170104.
Treggiari-Venzi MM, Romand JA, Suter PM. Current intensive care management proposals after aneurysmal subarachnoid hemorrhage. Intensivmedizin und Notfallmedizin. 2001 Feb 1;38(1):7–14.
Treggiari-Venzi, M. M., et al. “Current intensive care management proposals after aneurysmal subarachnoid hemorrhage.” Intensivmedizin Und Notfallmedizin, vol. 38, no. 1, Feb. 2001, pp. 7–14. Scopus, doi:10.1007/s003900170104.
Treggiari-Venzi MM, Romand JA, Suter PM. Current intensive care management proposals after aneurysmal subarachnoid hemorrhage. Intensivmedizin und Notfallmedizin. 2001 Feb 1;38(1):7–14.
Journal cover image

Published In

Intensivmedizin und Notfallmedizin

DOI

ISSN

0175-3851

Publication Date

February 1, 2001

Volume

38

Issue

1

Start / End Page

7 / 14

Related Subject Headings

  • Emergency & Critical Care Medicine