• Critical care clinics · Oct 2014

    Review

    Critical Care Management of Intracerebral Hemorrhage.

    • Sheila Chan and J Claude Hemphill.
    • Neurocritical Care Program, Department of Neurology, University of California, San Francisco, 1001 Potrero Avenue, San Francisco, CA 94110, USA.
    • Crit Care Clin. 2014 Oct 1; 30 (4): 699-717.

    AbstractPrimary, spontaneous intracerebral hemorrhage (ICH) confers significant early mortality and long-term morbidity worldwide. Advances in acute care including investigative, diagnostic, and management strategies are important to improving outcomes for patients with ICH. Physicians caring for patients with ICH should anticipate the need for emergent blood pressure reduction, coagulopathy reversal, cerebral edema management, and surgical interventions including ventriculostomy and hematoma evacuation. This article reviews the pathogenesis and diagnosis of ICH, and details the acute management of spontaneous ICH in the critical care setting according to existing evidence and published guidelines. Copyright © 2014 Elsevier Inc. All rights reserved.

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