[Guidelines for the treatment of aneurysmal subarachnoid hemorrhage. A consensus conference].
The subarachnoid hemorrhage (SAH) by aneurysmatic rupture is responsible for 6% of the cerebral vascular accidents. The cerebral aneurysms are present in 0.2-9.9% of the population and the bleeding rate is of 10 out of 100,000 inhabitants per year. The consensus conference analyzed the different schemes of treatment and made therapeutic recommendations according to the criteria of medicine based on evidence. Levels of evidence were determined from I to V. The recommendation degrees were classified in: A, determined by evidence level I, B by evidence level II, and C suggested by evidence levels III, IV and V. These recommendations should be adapted to each patient. However, grade A recommendations are treatment standards. Seriousness of patients was evaluated on the basis of Hunt and Hess scale upon admission. Successive analyses covered: general medical treatment measures, cerebral vasospasm, diagnostic procedures and treatment of the hyponatremia and convulsion prevention.
Dorfman
B S
BS
Sociedad Argentina de Terapia Intensiva (SATI), Buenos Aires, Argentina. sati@ba.net
Previgliano
I J
IJ
D017542:Aneurysm, Ruptured / Q000150:complications*; D019317:Evidence-Based Medicine; D006801:Humans; D007010:Hyponatremia / Q000175:diagnosis / Q000188:drug therapy; D002532:Intracranial Aneurysm / Q000150:complications*; D013345:Subarachnoid Hemorrhage / Q000188:drug therapy* / Q000209:etiology; D020301:Vasospasm, Intracranial / Q000188:drug therapy / Q000517:prevention & control