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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Modern Approach to SAH in Intensive Care Unit (ICU).

N Bruder¹, L Velly, J L Codaccioni

¹CHU Timone; Marseille, France - nicolas.bruder@mail.ap-hm.fr.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences

|June 19, 2010

Summary

This summary is machine-generated.

Subarachnoid hemorrhage (SAH) remains a severe condition with high mortality. Advances in diagnostics and treatments for vasospasm offer improved outcomes for patients with this critical brain injury.

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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Area of Science:

Neurology
Neurosurgery
Intensive Care Medicine

Background:

Subarachnoid hemorrhage (SAH) following aneurysm rupture is a devastating neurological emergency.
High rates of death and severe neurological morbidity persist despite medical advances.
Delayed cerebral ischemia from vasospasm significantly impacts patient outcomes.

Purpose of the Study:

To review current diagnostic, monitoring, and therapeutic strategies for vasospasm after SAH.
To emphasize the importance of ICU management in preventing vasospasm complications.
To highlight the impact of medical complications on SAH patient outcomes.

Main Methods:

Review of diagnostic tools including transcranial Doppler, CT/MRI perfusion scans, and S100B protein levels.
Discussion of bedside cerebral blood flow monitoring techniques.
Overview of medical and interventional treatments for vasospasm, such as hypertension, dobutamine, balloon angioplasty, and vasodilator infusion.

Main Results:

SAH carries a high risk of mortality and severe neurological deficits.
New diagnostic and monitoring methods aid in vasospasm detection and management.
Effective treatments include medical management (hypertension, dobutamine) and interventional procedures (angioplasty).

Conclusions:

SAH remains a critical pathology requiring vigilant management.
Advancements in diagnosing and treating vasospasm are crucial for improving patient outcomes.
Preventing and managing vasospasm and associated medical complications is key in ICU care for SAH.