University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Critical Care


Dr. Tom Colletti


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.


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