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IVth SECTION
MONITORING, NEURORIANIMATION, SYSTEMIC HOMEOSTASIS, VASOSPASM TREATMENTS  PROCEEDINGS OF THE VIDEOCONFERENCE - October 5, 1996
SUBARACHNOID HEMORRHAGE: A MULTIDISCIPLINARY APPROACH - II
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Minerva Anestesiologica 1998 May;64(5):209-10

Copyright © 1998 EDIZIONI MINERVA MEDICA

language: Italian

Protective hypotension in SAH-patients waiting delayed surgery

Massei R. 1, Tavola M. 1, Mottura G. 1, Ciceri R. 1, Pontiggia M. 2

1 Ospedale - Lecco, 1° Servizio di Anestesia e Rianimazione; 2 Ospedale - Lecco, Divisione di Neurochirurgia


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Systemic hypertension is frequently observed in patients with subarachnoid haemorrhage (SAH). Continuing systemic hypertension might augment the risk of rebleeding and also increase the blood flow and blood volume, resulting in more marked cerebral edema and intracranial hypertension. However, reduction of blood pressure might also decrease cerebral perfusion pressure in patient with an impaired autoregulation and in this way enhance the risk of cerebral ischemia. Anti-hypertensive therapy is not recommended to prevent rebleeding after SAH. The agents of choice for reduction of arterial blood pressure might be mixed alfa and beta adrenergic antagonists and barbiturates.

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