| Autor: |
Edoardo Picetti, Maurizio Berardino, Alessandro Bertuccio, Rita Bertuetti, Edoardo Pietro Boccardi, Anselmo Caricato, Carlo Alberto Castioni, Marco Cenzato, Arturo Chieregato, Giuseppe Citerio, Paolo Gritti, Luca Longhi, Costanza Martino, Marina Munari, Sandra Rossi, Nino Stocchetti, Tommaso Zoerle, Frank Rasulo, Chiara Robba |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Journal of Anesthesia, Analgesia and Critical Care, Vol 1, Iss 1, Pp 1-7 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2731-3786 |
| DOI: |
10.1186/s44158-021-00012-9 |
| Popis: |
Abstract Background The immediate management of subarachnoid hemorrhage (SAH) patients in hospitals without neurosurgical/neurointerventional facilities and their transfer to a specialized center is challenging and not well covered in existing guidelines. To address these issues, we created a consensus of experts endorsed by the Italian Society of Anesthesia and Intensive Care (SIAARTI) to provide clinical guidance. Methods A multidisciplinary consensus panel composed by 19 physicians selected for their established clinical and scientific expertise in the acute management of SAH patients with different specializations (anesthesia/intensive care, neurosurgery and interventional neuroradiology) was created. A modified Delphi approach was adopted. Results A total of 14 statements have been discussed. Consensus was reached on 11 strong recommendations and 2 weak recommendations. In one case, where consensus could not be agreed upon, no recommendation could be provided. Conclusions Management of SAH in a non-specialized setting and early transfer are difficult and may have a critical impact on outcome. Clinical advice, based on multidisciplinary consensus, might be helpful. Our recommendations cover most, but not all, topics of clinical relevance. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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