Intracranial Pressure Monitoring and Management in Aneurysmal Subarachnoid Hemorrhage

Aneurysmal subarachnoid hemorrhage is a medical condition that can lead to intracranial hypertension, negatively impacting patients’ outcomes. This review article explores the underlying pathophysiology that causes increased intracranial pressure (ICP) during hospitalization. Hydrocephalus, brain sw...

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Bibliographic Details
Published in:Neurocritical care 2023-08, Vol.39 (1), p.59-69
Main Authors: Addis, Alberto, Baggiani, Marta, Citerio, Giuseppe
Format: Article
Language:English
Subjects:
Aneurysms
Blood
Catheters
Coma
Consciousness
Critical Care Medicine
Cytotoxicity
Edema
Fainting
Hemorrhage
Hydrocephalus
Intensive
Internal Medicine
Intracranial pressure
Ischemia
Medicine
Medicine & Public Health
Mortality
Neurology
Neurosurgery
Optic nerve
Pathophysiology
Practice Guidance for the Critical Care Management of SAH
Synapses
Tomography
Traumatic brain injury
Ultrasonic imaging
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Summary:Aneurysmal subarachnoid hemorrhage is a medical condition that can lead to intracranial hypertension, negatively impacting patients’ outcomes. This review article explores the underlying pathophysiology that causes increased intracranial pressure (ICP) during hospitalization. Hydrocephalus, brain swelling, and intracranial hematoma could produce an ICP rise. Although cerebrospinal fluid withdrawal via an external ventricular drain is commonly used, ICP monitoring is not always consistently practiced. Indications for ICP monitoring include neurological deterioration, hydrocephalus, brain swelling, intracranial masses, and the need for cerebrospinal fluid drainage. This review emphasizes the importance of ICP monitoring and presents findings from the Synapse-ICU study, which supports a correlation between ICP monitoring and treatment with better patient outcomes. The review also discusses various therapeutic strategies for managing increased ICP and identifies potential areas for future research.
ISSN:1541-6933
1556-0961
1556-0961
DOI:10.1007/s12028-023-01752-y