Guidelines for the anesthetic management of aSAH

Subarachnoid Hemorrhage Microchapters
Home
Patient Information
Overview
Classification
Pathophysiology
Causes
Differentiating Subarachnoid Hemorrhage from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (2012) Risk Factors/Prevention Natural History/Outcome Clinical Manifestations/Diagnosis Medical Measures to Prevent Rebleeding Surgical and Endovascular Methods Hospital Characteristics/Systems of Care Anesthetic Management Cerebral Vasospasm and DCI Hydrocephalus Seizures Associated With aSAH Medical Complications
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Guidelines for the anesthetic management of aSAH On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Guidelines for the anesthetic management of aSAH All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Guidelines for the anesthetic management of aSAH
CDC on Guidelines for the anesthetic management of aSAH
Guidelines for the anesthetic management of aSAH in the news
Blogs on Guidelines for the anesthetic management of aSAH
Directions to Hospitals Treating Subarachnoid hemorrhage
Risk calculators and risk factors for Guidelines for the anesthetic management of aSAH

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Sara Mehrsefat, M.D. [2]

2012 AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage

Anesthetic Management During Surgical and Endovascular Treatment: Recommendations

Class III (Harm)

"1. Induced hypothermia during aneurysm surgery is not routinely recommended but may be a reasonable option in selected cases (Level of Evidence: B)"

Class IIa

"1. Minimization of the degree and duration of intraoperative hypotension during aneurysm surgery is probably indicated (Level of Evidence: B)"

"2. There are insufficient data on pharmacological strategies and induced hypertension during temporary vessel occlusion to make specific recommendations, but there are instances when their use may be considered reasonable (Level of Evidence: C)"

Class IIb

"1. Prevention of intraoperative hyperglycemia during aneurysm surgery is probably indicated (Level of Evidence: B)"

"2. The use of general anesthesia during endovascular treatment of ruptured cerebral aneurysms can be beneficial in selected patients (Level of Evidence: C)"