Securing of the aneurysm should be performed as early as is feasible in the majority of patients to reduce rebleeding The aim should be to intervene within 72 hours of first symptoms ESO Guidelines G Related Pages: (5.8)...
Seizures 6-18% Re-bleeding<72 hours5-10% HydrocephalusDay 1-320-30% Vasospasm & Delayed Cerebral IschaemiaDay 4-1470% Systemic Conditions May indicate a re-bleed and should be treated aggressively Perform an EEG in patients with neurological deterioration or...
Physical Induced HypertensionImproves CBF (possibly more in areas of vasospasm) with associated clinical improvementNoradrenaline safe and usually first line - no risk of increased vasospasmNo evidence of new rupture riskNo clear BP target or duration:Evidence...
