Related Experiment Video

Updated: Apr 2, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

8.8K

Bundled Care Interventions for the Management of Intracerebral Hemorrhage: A Review

Samantha Rodriguez1, Brian Gilbert2, Kathryn Qualls3

  • 1Samantha Rodriguez is a critical care clinical pharmacy specialist, Wesley Medical Center, Wichita, Kansas.

Critical Care Nurse
|March 31, 2026
PubMed

Insights

Bundled care protocols, including blood pressure control and anticoagulation reversal, improve outcomes for patients with spontaneous intracerebral hemorrhage (ICH). Early recognition and implementation of these interventions are crucial for better patient results.

Area of Science:

  • Neurology
  • Critical Care Medicine
  • Public Health

Background:

  • Spontaneous intracerebral hemorrhage (ICH) impacts ~80,000 US individuals annually, leading to significant disability and mortality.
  • Protocolized care, a structured approach to managing acute conditions, has demonstrated benefits in various medical scenarios.
  • The 2024 American Heart Association/American Stroke Association guidelines advocate for bundled care interventions in ICH management.

Purpose of the Study:

  • To evaluate the evidence supporting bundled care interventions for intracerebral hemorrhage (ICH).
  • To provide practical guidance for nurses in optimizing patient care for ICH.
  • To assess the rationale behind recommended ICH management strategies.

Main Methods:

  • A narrative review was conducted.
  • Literature supporting bundled care interventions for ICH was assessed.
  • Recommendations from the 2024 American Heart Association/American Stroke Association guidelines were analyzed.

Main Results:

  • Protocolized care shows promise in improving outcomes for intracerebral hemorrhage (ICH) patients, similar to its benefits in acute ischemic stroke.
  • Critical care nurses play a vital role in facilitating timely ICH interventions, especially concerning blood pressure management and neurological status monitoring.
  • Further research is required to establish optimal timing and targets for interventions to maximize patient outcomes.

Conclusions:

  • Current evidence and guidelines support the implementation of bundled care protocols to enhance outcomes for intracerebral hemorrhage (ICH) patients.
  • Prompt recognition of ICH and understanding of bundled care interventions can significantly benefit affected individuals.
  • Standardized care protocols are essential for improving the prognosis of patients with spontaneous intracerebral hemorrhage.
Abstract

More Related Videos

Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model08:18

Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model

Published on: February 8, 2022

3.1K
Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model09:14

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Published on: June 18, 2021

2.9K

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
466
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
585
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
467
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
453
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
382