Subarachnoid Hemorrhage: An Update  

Oleh:

Dority, Jeremy S. ; Oldham, Jeffrey S.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Anesthesiology Clinics (keterangan: ada di ClinicalKey) vol. 34 no. 03 (Sep. 2016), page 577-600.
Topik: Subarachnoid Hemorrhage; Delayed Cerebral Ischemia; Vasospasm; Cerebral Salt Wasting; Coiling
Fulltext: A34 v34 n3 p577 kelik2016.pdf (1.03MB)

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Perpustakaan FK Nomor Panggil: A34.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Subarachnoid hemorrhage (SAH) is a debilitating, although uncommon, type of stroke with high morbidity, mortality, and economic impact. Modern 30-day mortality is as high as 40%, and about 50% of survivors have permanent disability. Care at high-volume centers with dedicated neurointensive care units is recommended. Euvolemia, not hypervolemia, should be targeted, and the aneurysm should be secured early. Neither statin therapy nor magnesium infusions should be initiated for delayed cerebral ischemia. Cerebral vasospasm is just one component of delayed cerebral edema. Hyponatremia is common in subarachnoid hemorrhage and is associated with longer length of stay, but not increased mortality.

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