Subarachnoid Hemorrhage and Pulmonary Complications: A Case Study

Authors

Kimberlee Mauck, University of LynchburgFollow

Specialty

Critical Care

Advisor

Dr. Tom Colletti

Abstract

Subarachnoid hemorrhage (SAH) is an intracranial bleed specifically in the subarachnoid space, most commonly a result of a ruptured intracranial aneurysm.¹ Management of SAH requires a multidisciplinary approach, including neurosurgical and intensive care interventions. Patients with SAH often remain in the intensive care unit for 14-21 days for close monitoring of their neurological status and prevention of further complications.² Alone, SAH has a 30-day mortality rate of 35% which can be exacerbated by both intracranial and extracranial sequelae.^2,3 This discussion will focus on the extracranial complications, specifically pulmonary-related and, their association with mortality and vasospasm risk according to the Hunt-Hess (Figure 1) and modified Fisher scales (Figure 2). The management and prevention of pulmonary complications will also be discussed.

Recommended Citation

Mauck K. Subarachnoid Hemorrhage and Pulmonary Complications: A Case Study. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2021; 3(3).