Management of sub-arachnoid haemorrhage
| Autor: | Ugan Reddy, Kate Sherratt |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Endovascular coiling
Resuscitation business.industry medicine.medical_treatment 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine medicine.disease nervous system diseases Hydrocephalus 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Aneurysm Cerebral vasospasm medicine.artery Anesthesia medicine cardiovascular diseases Airway business 030217 neurology & neurosurgery Circle of Willis Intracranial pressure |
| Zdroj: | Anaesthesia & Intensive Care Medicine. 18:249-254 |
| ISSN: | 1472-0299 |
| Popis: | Spontaneous subarachnoid haemorrhage (SAH) is a neurovascular emergency with sudden onset, which requires rapid recognition and early treatment to minimize the occurrence of serious complications. The most common cause is a cerebral aneurysm, which develops at areas of turbulent flow, especially within the circle of Willis. Initial aims are to provide appropriate resuscitation to the patient and to maintain cerebral oxygenation and perfusion. Anaesthesia involves prompt airway control and precise management of physiological parameters to reduce further neurological injury, such as from re-bleeding or delayed cerebral ischaemia. Once stabilized SAH patients should be admitted to a neurointensive care unit and managed by a skilled multidisciplinary team. Definitive treatment then involves either endovascular coiling or surgical clipping, preferably in hospitals managing high volumes of SAH cases per year. Care should be also taken throughout to avoid non-neurological complications such as infections or venous thromboembolism. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect