[Immediate treatment of factors leading to death or sever cerebral damage in patients with subarachnoid hemorrhage].
Subarachnoid haemorrhage (SAH) is a medical emergency. Extracerebral factors may cause avoidable deaths, secondary cerebral damage and ultraearly rebleeding. Severe hypertension, hypotension, arrhythmias and pulmonary edema frequently occur; rapid referral with adequate treatment and monitoring (clinical, ABP, SO2, ECG) to neurosurgical centers is warranted. Practice guidelines should be addressed to obtain quality and continuity of management in the early diagnostic phase; intensive global medical approach should be ensured by neuranesthesists and intensivists to achieve optimal cerebral conditions before surgical or endovascular treatment.
Procaccio
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3rd Servizio di Anestesia e Rianimazione, Ospedale Maggiore Borgo Trento, Verona.
D001925:Brain Damage, Chronic / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D013345:Subarachnoid Hemorrhage / Q000401:mortality / Q000628:therapy*
Trattamento immediato delle minacce alla sopravvivenza ed all'omeostasi cerebrale nel paziente con ESA.