Management of raised intracranial pressure in aneurysmal subarachnoid hemorrhage: time for a consensus?

被引：40

作者：

Alotaibi, Naif M. ^{[1
,2
,3
]}

Wang, Justin Z. ^{[2
]}

Pasarikovski, Christopher R. ^{[2
]}

Guha, Daipayan ^{[1
,2
]}

Al-Mufti, Fawaz ^{[4
]}

Mamdani, Muhammad ^{[5
]}

Saposnik, Gustavo ^{[6
,7
]}

Schweizer, Tom A. ^{[1
,2
,6
]}

Macdonald, R. Loch ^{[1
,2
,6
]}

机构：

[1] Univ Toronto, Fac Med, Inst Med Sci, Toronto, ON, Canada

[2] Univ Toronto, St Michaels Hosp, Dept Surg, Div Neurosurg, Toronto, ON, Canada

[3] King Fahad Med City, Natl Neurosci Inst, Dept Neurosurg, Riyadh, Saudi Arabia

[4] Robert Wood Johnson Univ Hosp, Dept Neurol & Crit Care, New Brunswick, NJ USA

[5] Univ Toronto, Inst Clin Evaluat Sci, Li Ka Shing Ctr Healthcare Analyt Res & Training, Toronto, ON, Canada

[6] Univ Toronto, Neurosci Res Program, Keenan Res Ctr, Li Ka Shing Knowledge Inst,St Michaels Hosp, Toronto, ON, Canada

[7] Univ Toronto, St Michaels Hosp, Stroke Outcomes & Decis Neurosci Res Unit, Toronto, ON, Canada

来源：

NEUROSURGICAL FOCUS | 2017年 / 43卷 / 05期

关键词：

aneurysm; subarachnoid hemorrhage; aSAH; intracranial pressure; ICP; management; CEREBRAL PERFUSION-PRESSURE; CRITICAL-CARE MANAGEMENT; TRAUMATIC BRAIN-INJURY; DECOMPRESSIVE CRANIECTOMY; THERAPEUTIC HYPOTHERMIA; HYPERTONIC SALINE; BARBITURATE COMA; CLINICAL CHARACTERISTICS; GRADE; VASOSPASM;

D O I：

10.3171/2017.7.FOCUS17426

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Elevated intracranial pressure (ICP) is a well-recognized phenomenon in aneurysmal subarachnoid hemorrhage (aSAH) that has been demonstrated to lead to poor outcomes. Despite significant advances in clinical research into aSAH, there are no consensus guidelines devoted specifically to the management of elevated ICP in the setting of aSAH. To treat high ICP in aSAH, most centers extrapolate their treatment algorithms from studies and published guidelines for traumatic brain injury. Herein, the authors review the current management strategies for treating raised ICP within the aSAH population, emphasize key differences from the traumatic brain injury population, and highlight potential directions for future research in this controversial topic.

引用

页数：8

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