Critical care of aneurysmal subarachnoid hemorrhage: State of the art

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Subarachnoid hemorrhage (SAH) from a ruptured aneurysm is a very complex disease. The brain can be injured from the immediate effects of the acute bleeding, but can also be threatened by secondary insults hours and days later. Early and delayed systemic complications are common and can be very serious. This brief paper summarizes key practical concepts regarding the neurocritical care of patients with aneurysmal SAH (aSAH). It proposes as a framework the division of the time course of the disease into a fi rst phase (from aneurysm rupture to aneurysm treatment) of resuscitation and stabilization and a second phase (from aneurysm treatment to the end of the acute hospitalization) of prevention and treatment of secondary insults. The main mechanisms of cerebral injury and the principal systemic complications are discussed and diagnostic and therapeutic advice is provided based on a combination of available evidence and clinical experience.

Original languageEnglish (US)
Pages (from-to)239-242
Number of pages4
JournalActa Neurochirurgica, Supplementum
Volume120
DOIs
StatePublished - Jan 1 2015

Fingerprint

Subarachnoid Hemorrhage
Critical Care
Aneurysm
Ruptured Aneurysm
Therapeutics
Secondary Prevention
Resuscitation
Rupture
Patient Care
Hospitalization
Hemorrhage
Wounds and Injuries
Brain

Keywords

  • Aneurysmal subarachnoid hemorrhage
  • Hydrocephalus
  • Intensive care
  • Neurocritical care
  • Vasospasm Ischemia

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Critical care of aneurysmal subarachnoid hemorrhage : State of the art. / Rabinstein, Alejandro.

In: Acta Neurochirurgica, Supplementum, Vol. 120, 01.01.2015, p. 239-242.

Research output: Contribution to journalArticle

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