Case Series Report: Subarachnoid Hemorrhage and ICU Management

Authors

  • Retnaningsih Neurology Department, Dr. Kariadi General Center Hospital Semarang, Indonesia, Indonesia
  • Dodik Tugasworo Neurology Department, Dr. Kariadi General Center Hospital Semarang, Indonesia, Indonesia
  • Yovita Andhitara Neurology Department, Dr. Kariadi General Center Hospital Semarang, Indonesia, Indonesia
  • Rahmi Ardhini Neurology Department, Dr. Kariadi General Center Hospital Semarang, Indonesia, Indonesia
  • Aditya Kurnianto Neurology Department, Dr. Kariadi General Center Hospital Semarang, Indonesia, Indonesia
  • Daynuri Neurology Program Study, Faculty of Medicine, Diponegoro University Semarang, Indonesia, Indonesia
  • Erlangga Pradipta Harianto Faculty of Medicine, Diponegoro University Semarang, Indonesia, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v10i3.745

Keywords:

Subarachnoid hemorrhage, aneurysm, vasospasm, early brain injury

Abstract

Background: Subarachnoid hemorrhage is a neurological syndrome with complex systemic complications. Rupture of an intracranial aneurysm causes acute extravasation of arterial blood under high pressure into the subarachnoid space and often into the brain parenchyma and ventricles. Bleeding triggers a complex series of events, which can ultimately lead to early brain injury, delayed cerebral ischemia, and systemic complications.

Cases: There were six cases of subarachnoid hemorrhage. Some patients come clinically with severe headache and loss of consciousness. The patient has been treated quickly and aggressively and even put on a ventilator for complications of respiratory failure, support for shock and management of aneurysm clipping and EVD. Rapid and precise diagnosis in the management of patients with SAH is of paramount importance, within the first few hours after the onset of SAH. The risk for early neurologic damage and high rates of severe long-term complications necessitated aggressive early management.

Conclusion: Rapid diagnosis and attentive management of patients with SAH are essential, as early deterioration is possible within the first few hours after the onset of SAH. The risk for early neurologic damage and high rates of severe long-term complications necessitated aggressive early management. Prevention and Management of Complications. The most common complications were pneumonia, aspiration, respiratory failure/distress, sepsis and imbalance electrolyte (hyponatremia). Approximately 50% of deaths after SAH are due to medical complications.

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Additional Files

Published

2023-11-29

How to Cite

1.
Retnaningsih, Tugasworo D, Andhitara Y, Ardhini R, Kurnianto A, Daynuri, Harianto EP. Case Series Report: Subarachnoid Hemorrhage and ICU Management. Medica Hospitalia J. Clin. Med. [Internet]. 2023 Nov. 29 [cited 2024 May 26];10(3):370-6. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/745

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