• Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2010

    Review

    [Aneurysmal subarachnoid hemorrhage - therapy and complications].

    • Martin A Seule, Martin N Stienen, Dieter Cadosch, Jean-Yves Fournier, Roger Lussmann, Gerhard Hildebrandt, and Oliver P Gautschi.
    • Neurochirurgie am Kantonsspital St. Gallen. Seine Schwerpunkte sind das Neuromonitoring und zerebrovaskuläre Erkrankungen. martin.seule@kssg.ch
    • Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Jan 1;45(1):8-17.

    AbstractThe management of patients with aneurysmal subarachnoid hemorrhage (SAH) requires a fundamental knowledge of the disease, its therapeutic options and possible complications. The preoperative goal is to prevent rebleeding by controlling blood pressure and treating pain and anxiety as well as stabilizing cardiopulmonary functions. An acute hydrocephalus has to be treated immediately. Microsurgical clipping or endovascular coiling are the therapeutic options available. The postoperative goal aims at securing cardiopulmonary functions as well as recognizing and treating cerebral (cerebral vasospasm, hydrocephalus, epilepsy) and systemic complications (electrolyte disorder, cardiac dysfunction). This article provides an overview about the pre-, peri- and postoperative management of patients with SAH.(c) Georg Thieme Verlag Stuttgart New York.

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