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Fig. 1 | Journal of Anesthesia, Analgesia and Critical Care

Fig. 1

From: Early management of patients with aneurysmal subarachnoid hemorrhage in a hospital with neurosurgical/neuroendovascular facilities: a consensus and clinical recommendations of the Italian Society of Anesthesia and Intensive Care (SIAARTI)–Part 1

Fig. 1

Consensus flow-chart. * according to patient’s clinical history (i.e., arterial hypertension, etc.) and/or radiological signs of intracranial hypertension. ** in case of ICP monitoring; for an accurate CPP estimation the arterial transducers need to be zeroed at the level of the tragus. *** SAH patients candidates for neurosurgical intervention. **** if available, to assess and optimize the coagulation function in salvageable SAH patients taking the NOACs and/or antiplatelet drugs. ***** before aneurysm treatment, in case of intracranial hypertension, drain small volumes of CSF to reduce the risk of rebleeding. SAH subarachnoid hemorrhage, CTA computed tomography angiography, DSA digital subtraction angiography, POC pint-of-care, EVD external ventricular drain, ICP intracranial pressure, GCS Glasgow coma scale, CPP cerebral perfusion pressure, SAP systolic arterial pressure, PLTs platelets, PT prothrombin time, aPTT activated partial thromboplastin time, MV mechanical ventilation

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Journal of Anesthesia, Analgesia and Critical Care

ISSN: 2731-3786

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