title: [Aneurysmal subarachnoid hemorrhage].
abstract: Acute subarachnoid hemorrhage (SAH) is a severe and acute life-threatening cerebrovascular disease. Approximately 80% of all acute non-traumatic SAHs are the result of a ruptured cerebrovascular aneurysm. Despite advances in diagnosis and treatment a high morbidity and mortality still exists. Apart from the primary cerebral damage there are also secondary complications, such as vasospasm, rebleeding, hydrocephalus, cerebral edema or hydrocephalus. For an appropriate therapy an understanding of the extensive pathophysiology, the options in diagnostics and therapy and the complications of the disease are essential. Anesthesiologists are decisively involved in the therapy of the primary and secondary damages and subsequently in the outcome as well. This article provides an overview of the perioperative and intensive care management of patients with SAH.
authors.affiliation: Klinik für Anästhesiologie und operative Intensivmedizin, Martin-Luther-Universität, Halle-Wittenberg, Ernst-Grube-Str. 40, 06120 Halle a.d. Saale, Deutschland. patrick.kellner@medizin.uni-halle.de
authors.forename: P
authors.initials: P
authors.lastname: Kellner
authors.forename: D
authors.initials: D
authors.lastname: Stoevesandt
authors.forename: J
authors.initials: J
authors.lastname: Soukup
authors.forename: M
authors.initials: M
authors.lastname: Bucher
authors.forename: C
authors.initials: C
authors.lastname: Raspé
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D002533:Cerebral Angiography; D003422:Critical Care; D006331:Heart Diseases / Q000150:complications; D006801:Humans; D006849:Hydrocephalus / Q000150:complications; D019586:Intracranial Hypertension / Q000209:etiology; D008171:Lung Diseases / Q000209:etiology / Q000628:therapy; D018810:Magnetic Resonance Angiography; D019635:Neurosurgical Procedures; D012307:Risk Factors; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy*; D020301:Vasospasm, Intracranial / Q000209:etiology; D014883:Water-Electrolyte Imbalance / Q000209:etiology
chemical_list: D000925:Anticoagulants