First Things First (assess & treat for the following)
- Check level of consciousness; determine airway patency and risk of aspiration.
- Secure airway (i.e., intubate) if GCS is < 8; also consider early intubation if GCS is initially better but worsening.
- Obtain a non-contrast CT scan of the head as soon as the patient is stable.
- Monitor BP closely. Once presence of SAH is established, treat hypertension aggressively to limit further bleeding, until controlled by surgical clip or other intervention.
- Maintain normocapnia and adequate oxygenation in intubated and mechanically ventilated patient.
There's more to see -- the rest of this topic is available only to subscribers.
Last updated: May 5, 2010
"Subarachnoid Hemorrhage (SAH)." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534044/all/Subarachnoid_Hemorrhage__SAH_.
Subarachnoid Hemorrhage (SAH). Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534044/all/Subarachnoid_Hemorrhage__SAH_. Accessed November 29, 2023.
Subarachnoid Hemorrhage (SAH). (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534044/all/Subarachnoid_Hemorrhage__SAH_
Subarachnoid Hemorrhage (SAH) [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2023 November 29]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534044/all/Subarachnoid_Hemorrhage__SAH_.
TY - ELEC
T1 - Subarachnoid Hemorrhage (SAH)
ID - 534044
Y1 - 2010/05/05/
BT - Pocket ICU Management
UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534044/all/Subarachnoid_Hemorrhage__SAH_
PB - PocketMedicine.com, Inc
DB - Anesthesia Central
DP - Unbound Medicine