SOE 722: Subarachnoid Haemorrhage 2

SOE Format: Please answer the following questions on the given topic The case will be displayed with each question followed by an answer, allowing you to review your given response A timer is available for use to determine the given time period Introduction You are...

What are the causes of subarachnoid haemorrhage (SAH)?

Aneurysmal SAH (aSAH)Cause 75% Saccular (berry) aneurysm ACOM (35%)PCOM and ICA (35%)MCA (20%)Bifurcation of the basilar artery (4%)Posterior circulation (8%)Mycotic aneurysm (rare) Non-aneurysmal SAH Peri mesencephalic haemorrhage (10%)A-V Malformations...

Describe your initial management of patient with suspected SAH?

Resuscitation & Supportive Care Consider need for intubation:Intubation if not maintaining airwayMay require semi-elective intubation if not protecting adequately or for neuroprotective measuresTape tube in positionManage hypertension / hypotensionUntil aneurysm...

Case Information

The patient is admitted to the intensive care unit for monitoring. Three hours later the nurse calls you to review because she is concerned that there is a drop in the...