Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


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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