title: Concerns and challenges during anesthetic management of aneurysmal subarachnoid hemorrhage.
abstract: Anesthetic management of patients with aneurysmal subarachnoid hemorrhage is challenging because of the emergency nature of the presentation, complex pathology, varied intracranial and systemic manifestations and need for special requirements during the course of management. Successful perioperative outcome depends on overcoming these challenges by thorough understanding of pathophysiology of Subarachnoid hemorrhage, knowledge about associated complications, preoperative optimization, choice of definitive therapy, a good anesthetic and surgical technique, vigilant monitoring and optimal postoperative care. Guidelines based on randomized studies and provided by various societies are helpful in the routine management of these patients and wherever there is a lack of high quality evidence, the available data is provided for practical management.
authors.affiliation: Department of Neuro Anesthesia, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: Kamath
authors.initials: K
authors.lastname: Sriganesh
authors.affiliation: Department of Neuro Anesthesia, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
authors.forename: Sudhir
authors.initials: S
authors.lastname: Venkataramaiah
keywords: Anesthetic management; ruptured aneurysm; subarachnoid hemorrhage; surgical clipping