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Critical Care Management of Subarachnoid Hemorrhage (SAH)

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Practical Trends in Anesthesia and Intensive Care 2017

Abstract

SAH is a neurological emergency associated with high morbidity and mortality. It is more common in females than males and in ethnic minorities compared to white Americans. When treating a SAH patient, the determining factors are prompt assessment and diagnosis, transfer to an appropriate center, rapid diagnosis and treatment of the source of bleeding, and overall management in neurosurgical intensive care unit consistent with the available guidelines. The main neurological complications of SAH include hydrocephalus, seizures, cerebral edema, DCI, and neuroendocrine disorders. Frequently patients manifest cardiopulmonary complications, which may be potentially fatal [97]. Following SAH patient discharge, it is reasonable to conduct a comprehensive assessment, including cognitive, behavioral, and psychosocial status [2].

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Authors and Affiliations

  1. Dipartimento di Scienze e Biotecnologie Medico Chirurgiche, Sapienza University of Rome, Policlinico Umberto I Hospital, 00161, Rome, Italy

    Luciana Mascia

  2. Dipartimento di Anestesiologia e Rianimazione, Università di Torino, Ospedale S. Giovanni Battista-Molinette, Torino, Italy

    Anna Teresa Mazzeo & Simone Caccia

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  1. Luciana Mascia
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  2. Anna Teresa Mazzeo
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Correspondence to Luciana Mascia .

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  1. Department of “Scienze della Salute”, University of Milan, Milan, Italy

    Davide Chiumello

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Mascia, L., Mazzeo, A.T., Caccia, S. (2018). Critical Care Management of Subarachnoid Hemorrhage (SAH). In: Chiumello, D. (eds) Practical Trends in Anesthesia and Intensive Care 2017. Springer, Cham. https://doi.org/10.1007/978-3-319-61325-3_10

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