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Critical care management of patients with spontaneous subarachnoid haemorrhage - a review

Critical care management of patients with spontaneous subarachnoid haemorrhage - a review


Title: Critical care management of patients with spontaneous subarachnoid haemorrhage - a review
Alternative Title: Critical care management of patients with spontaneous subarachnoid haemorrhage - a review
Author: Kristinsdottir, Eyrun Arna
Asgeirsdottir, Sigrun
Skulason, Halldor
Björnsson, Aron Hjalti
Vilmarsson, Vilhjálmur
Sigvaldason, Kristinn
Date: 2021-11
Language: Icelandic
Scope: 5
Department: Læknadeild
Lyflækninga- og bráðaþjónusta
Hjarta- og æðaþjónusta
Skurðstofur og gjörgæsla
Series: Laeknabladid; 107(11)
ISSN: 0023-7213
DOI: https://doi.org/10.17992/lbl.2021.11.661
Subject: Æðagúll; Slagæðargúlpur; Gjörgæslulækningar; critical care treatment; hyponatremia; poyuria; rebleeding; Subarachnoid hemorrhage; vasospas; Aneurysm, Ruptured; Critical Care; Humans; Intracranial Aneurysm; Subarachnoid Hemorrhage/diagnosis; Vasospasm, Intracranial/diagnosis; Læknisfræði (allt)
URI: https://hdl.handle.net/20.500.11815/3046

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Citation:

Kristinsdottir , E A , Asgeirsdottir , S , Skulason , H , Björnsson , A H , Vilmarsson , V & Sigvaldason , K 2021 , ' Critical care management of patients with spontaneous subarachnoid haemorrhage - a review ' , Laeknabladid , bind. 107 , nr. 11 , bls. 529-533 . https://doi.org/10.17992/lbl.2021.11.661

Abstract:

Spontaneous subarachnoid haemorrhage is characterized by extravasation of blood into the subarachnoid space without a preceding trauma. The leading cause is a ruptured intracranial aneurysm. Serious neurologic complications can occur, such as rebleeding, cerebral vasospasm and delayed cerebral ischemia. Subarachnoid haemorrhage is a serious condition with a high mortality rate and those who survive often suffer long-term consequences. Prevention of rebleeding by aneurysm repair is essential and guidelines recommend this procedure should be done as soon as possible or within 72 hours. Management requires intensive care with emphasis on accurate blood pressure control, maintaining normal fluid and electrolyte balance and monitoring the level of consciousness. All patients should be treated with the calcium channel blocker nimodipine to reduce the risk of vasospasm and delayed cerebral ischemia which are among the most serious complications of subarachnoid haemorrhage.

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