tailieunhanh - Neurointensive care - Textbook (Second edition): Part 2

(BQ) Continued part 1, part 2 of the document Neurointensive care - Textbook (Second edition) has contents: Diagnosis and treatment of altered mental status, complex spine surgery, elevated intracranial pressure, neuroradiological imaging, intraoperative neuroanesthesia, ethical issues in the neurointensive care unit,. and other contents. Invite you to refer. | Aneurysmal Subarachnoid Hemorrhage Evidence-Based Medicine Diagnosis Treatment and Complications 24 Matthew M. Kimball Gregory J. Velat . Mocco and Brian L. Hoh Contents Introduction. 541 Natural History of Aneurysmal SAH. 542 Diagnosis and Initial Management. 542 Presentation. 542 Initial Evaluation and Imaging. 542 Contrast Prophylaxis. 545 Initial Stabilization and Management. 546 Antifibrinolytics. 547 Seizures . 547 Hydrocephalus. 548 Treatment Methods for Ruptured Cerebral Aneurysms. 548 Surgical Treatment Options. 548 Endovascular Treatment. 550 Cerebral Vasospasm and SAH. 551 Modalities for Identifying Cerebral Vasospasm. 551 Vasospasm Prophylaxis and Management. 552 Medical Complications of Subarachnoid Hemorrhage. 556 Cardiac and Pulmonary Complications. 556 Anemia and Transfusion. 557 Hyponatremia. 558 References. 559 Abstract Aneurysmal subarachnoid hemorrhage is a devastating condition with high mortality and morbidity rates for those that survive the initial hemorrhage. There has been significant research on aneurysmal subarachnoid hemorrhage to better understand how we can diagnose treat and manage patients with this disease. Cerebral vasospasm accounts for the majority of morbidity mortality and long-term disability in these patients and a large volume of literature is dedicated to preventing and treating vasospasm. This chapter presents a simplified evidence-based review of the literature about the modes of diagnosis medical and surgical management and treatment options of patients with aneurysmal subarachnoid hemorrhage and cerebral vasospasm. Keywords Cerebral aneurysm Cerebral vasospasm Evidencebased treatment Hydrocephalus Subarachnoid hemorrhage . Kimball MD . Hoh MD FACS FAHA FAANS Department of Neurological Surgery University of Florida College of Medicine 100265 Gainesville FL 32610 USA e-mail . Velat MD Department of Neurosurgery Lee Memorial Hospital Fort .