Neurocritical Care Management of Aneurysmal Subarachnoid Hemorrhage
Summary of Recommendations
(, )
Recommendation Grading
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Overview
Title
Neurocritical Care Management of Aneurysmal Subarachnoid Hemorrhage
Authoring Organization
Neurocritical Care Society
Publication Month/Year
May 18, 2023
Last Updated Month/Year
April 1, 2024
Document Type
Guideline
Country of Publication
US
Document Objectives
The neurointensive care management of patients with aneurysmal subarachnoid hemorrhage (aSAH) is one of the most critical components contributing to short-term and long-term patient outcomes. Previous recommendations for the medical management of aSAH comprehensively summarized the evidence based on consensus conference held in 2011. In this report, we provide updated recommendations based on appraisal of the literature using the Grading of Recommendations Assessment, Development, and Evaluation methodology. These guidelines provide recommendations for or against interventions proven to be effective, ineffective, or harmful in the medical management of patients with aSAH based on a rigorous review of the available literature. They also serve to highlight gaps in knowledge that should guide future research priorities. Despite improvements in the outcomes of patients with aSAH over time, many important clinical questions remain unanswered.
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Emergency care, Hospital, Operating and recovery room
Intended Users
Nurse, nurse practitioner, health systems pharmacist, physician, physician assistant
Scope
Management
Diseases/Conditions (MeSH)
D013345 - Subarachnoid Hemorrhage
Keywords
Aneurysmal Subarachnoid Hemorrhage, subarachnoid hemorrhage (SAH), aSAH, subarachnoid hemorrhage
Source Citation
Treggiari MM, Rabinstein AA, Busl KM, Caylor MM, Citerio G, Deem S, Diringer M, Fox E, Livesay S, Sheth KN, Suarez JI, Tjoumakaris S. Guidelines for the Neurocritical Care Management of Aneurysmal Subarachnoid Hemorrhage. Neurocrit Care. 2023 May 18. doi: 10.1007/s12028-023-01713-5. Epub ahead of print. PMID: 37202712.