Article (Scientific journals)
Management of Aneurysmal Subarachnoid Haemorrhage and its Complications: A Clinical Guide
Dilmen, Özlem Korkmaz; Bonhomme, Vincent
2023In Turkish Journal of Anaesthesiology and Reanimation, 51 (3), p. 170 - 178
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Keywords :
Brain ischemia; intracranial aneurysm; pulmonary edema; subarachnoid hemorrhage; vasospasm; Emergency Medicine; Anesthesiology and Pain Medicine; General Earth and Planetary Sciences; General Environmental Science
Abstract :
[en] Aneurysmal subarachnoid hemorrhage (aSAH) is an emergency that needs prompt diagnosis and treatment with endovascular coiling or surgical clipping of the aneurysm to prevent re-bleeding. In addition to neurologic manifestations, aSAH can cause respiratory and cardiovascular complications. The prevention of hypoxemia and hypercarbia, control of intracranial pressure, and restoration of cerebral perfusion pressure should be the primary aims of early management. Secondarily, the most important causes of persistent neurological deficits and physical dependence in aSAH are vasospasm and delayed ischemia following bleeding. During that period, a focus on the detection, prevention, and treatment of vasospasm should be the rule. Transcranial Doppler allows detection and follow-up of vasospasm, especially in severe cases. Nimodipine is the only drug that has proven efficacy for treating vasospasm. Balloon angioplasty is performed in cases of resistance to medical treatment. Along with angioplasty, intra-arterial vasodilators can be administered. New diagnostic and therapeutic advances will hopefully improve outcomes in the near future.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Dilmen, Özlem Korkmaz;  Department of Anaesthesiology and Reanimation, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey
Bonhomme, Vincent  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service d'anesthésie - réanimation
Language :
Title :
Management of Aneurysmal Subarachnoid Haemorrhage and its Complications: A Clinical Guide
Publication date :
June 2023
Journal title :
Turkish Journal of Anaesthesiology and Reanimation
Publisher :
Volume :
Issue :
Pages :
170 - 178
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 21 November 2023


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