Early management of patients with aneurysmal subarachnoid hemorrhage in a hospital with neurosurgical/neuroendovascular facilities: a consensus and clinical recommendations of the Italian Society of Anesthesia and Intensive Care (SIAARTI)–Part 1

Autor: Edoardo Picetti, Andrea Barbanera, Claudio Bernucci, Alessandro Bertuccio, Federico Bilotta, Edoardo Pietro Boccardi, Tullio Cafiero, Anselmo Caricato, Carlo Alberto Castioni, Marco Cenzato, Arturo Chieregato, Giuseppe Citerio, Paolo Gritti, Luigi Lanterna, Roberto Menozzi, Marina Munari, Pietro Panni, Sandra Rossi, Nino Stocchetti, Carmelo Sturiale, Tommaso Zoerle, Gianluigi Zona, Frank Rasulo, Chiara Robba
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Anesthesia, Analgesia and Critical Care, Vol 2, Iss 1, Pp 1-8 (2022)
Druh dokumentu: article
ISSN: 2731-3786
DOI: 10.1186/s44158-022-00042-x
Popis: Abstract Background Issues remain on the optimal management of subarachnoid hemorrhage (SAH) patients once they are admitted to the referring center, before and after the aneurysm treatment. To address these issues, we created a consensus of experts endorsed by the Italian Society of Anesthesia and Intensive Care (SIAARTI). In this manuscript, we aim to provide a list of experts’ recommendations regarding the early management of SAH patients from hospital admission, in a center with neurosurgical/neuro-endovascular facilities, until securing of the bleeding aneurysm. Methods A multidisciplinary consensus panel composed of 24 physicians selected for their established clinical and scientific expertise in the acute management of SAH patients with different background (anesthesia/intensive care, neurosurgery, and interventional neuroradiology) was created. A modified Delphi approach was adopted. Results Among 19 statements discussed. The consensus was reached on 18 strong recommendations. In one case, consensus could not be agreed upon and no recommendation was provided. Conclusions This consensus provides practical recommendations for the management of SAH patients in hospitals with neurosurgical/neuroendovascular facilities until aneurysm securing. It is intended to support clinician’s decision-making and not to mandate a standard of practice.
Databáze: Directory of Open Access Journals
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