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Critical care management of aneurysmal subarachnoid haemorrhage in Australia and New Zealand: What are we doing, and where to from here?

- Patients with an aneurysmal subarachnoid haemorrhage (SAH) frequently require admission to the intensive care unit. There, a variety of therapeutic strategies are initiated, in addition to definitive procedures aimed at securing the aneurysm. - Despite a substantial investment in caring for these...

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Bibliographic Details
Published in:Critical care and resuscitation 2017-06, Vol.19 (2), p.103-109
Main Authors: Udy, Andrew A, Schweikert, Sacha, Anstey, James, Anstey, Matthew, Cohen, Jeremy, Flower, Oliver, Saxby, Edward, Poll, Andrew van der, Delaney, Anthony
Format: Article
Language:English
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Summary:- Patients with an aneurysmal subarachnoid haemorrhage (SAH) frequently require admission to the intensive care unit. There, a variety of therapeutic strategies are initiated, in addition to definitive procedures aimed at securing the aneurysm. - Despite a substantial investment in caring for these patients, outcomes for this group remain poor. Although the severity of the initial bleed is crucial in this context, many patients undergo further deterioration in the ICU. Delayed cerebral ischaemia is a significant cause of longterm morbidity and mortality after SAH. - There are limited data supporting much of the critical care provided to patients with SAH in the ICU, leading to substantial institutional and practitioner variation in treatment. Whether this infl uences patient outcomes is unknown, although it represents a major knowledge gap in neurocritical practice in Australia and New Zealand.
ISSN:1441-2772
DOI:10.1016/S1441-2772(23)00780-9