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Evidenced Based Guidelines for the Management of Good Grade Subarachnoid Haemorrhage Patients in Leeds, UK

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Early Brain Injury or Cerebral Vasospasm

Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 110/2))

Abstract

Aneurysmal Subarachnoid Haemorrhage (SAH) is a common neurosurgical condition with high morbidity and mortality, with our trust treating over 120 patients annually. Although there are recommendations for the management of some aspects of subarachnoid haemorrhage, a comprehensive guideline document has not been produced. Our guidelines seek to address all aspects of acute patient care in our neurosurgical unit, using evidence based medicine with a multi-disciplinary team to produce care pathways establishing a standard of care for our patients.

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References

  1. Bederson JB, Connolly ES, Jr, Batjer HH, Dacey RG, Dion JE, Diringer MN, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke 2009;40(3):994–1025.

    Article  PubMed  Google Scholar 

  2. Molyneux A, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J, et al., International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet 2002;360(9342):1267–1274.

    Article  PubMed  Google Scholar 

  3. Awad IA, Carter LP, Spetzler RF, Medina M, Williams FC, Jr. Clinical vasospasm after subarachnoid haemorrhage: response to hypervolaemic haemodilution and arterial hypertension. Stroke 1987;18:365–372.

    Article  PubMed  CAS  Google Scholar 

  4. Charpentier C, Audibert G, Guillemin F, Civit T, Ducrocq X, Bracard S, et al. Multivariate analysis of predictors of cerebral vasospasm occurrence after aneurysmal subarachnoid hemorrhage. Stroke 1999;30(7):1402–1408.

    Article  PubMed  CAS  Google Scholar 

  5. Qureshi Al, Sung GY, Razumovsky AY, Lane K, Straw RN, Ulatowski JA. Early identification of patients at risk for symptomatic vasospasm after aneurysmal subarachnoid hemorrhage. Crit Care Med. 2000;28(4):984–990.

    Article  Google Scholar 

  6. Rosenberg W, Donald A. Education and debate evidence based medicine: an approach to clinical problem-solving. BMJ. 1995;310:1122–1125.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

Ms. D. Bhargava, Specialist Registrar (Neurosurgery), Leeds; Dr. S. Holbrook, Consultant Anaesthetist, St James University Hospital, Leeds; Dr. M. Clark, Consultant Neuro-anaesthetist, The General Infirmary, Leeds; Dr. D. Gray, Consultant Anaesthetist, St James University Hospital, Leeds; Dr. T. Collyer, Consultant Anaesthetist, Harrogate Hospital, Harrogate; Dr. J. Adams, Consultant Anaesthetist, The General Infirmary, Leeds; Dr. J. McKinley, Consultant Anaesthetist, The General Infirmary, Leeds; Dr. J. Oram, Consultant Anaesthetist, The General Infirmary, Leeds; Dr. T. Goddard, Consultant Radiologist, The General Infirmary, Leeds; Dr. A. Bennett, Senior Charge Nurse, Neuro HDU, The General Infirmary, Leeds; Dr. C. Day, Locum Consultant Anaesthetist, The General Infirmary, Leeds; Ms. T. Kershaw, Staff Nurse, Clinical Educator, The General Infirmary, Leeds; Ms. E. Andrews, Matron Neurosciences, The General Infirmary, Leeds; Ms. L. Dunsmure, Senior Pharmacist, The General Infirmary, Leeds; Ms. K. Warner, Senior Physiotherapist, The General Infirmary, Leeds; Mr. M. Stone, Senior Charge Nurse, Neuro ICU, The General Infirmary, Leeds.

Conflict of interest statementWe declare that we have no conflict of interest.

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Correspondence to A. C. Quinn .

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© 2011 Springer-Verlag/Wien

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Quinn, A.C., Hall, G., Marsh, S., Clark, M., Ross, S. (2011). Evidenced Based Guidelines for the Management of Good Grade Subarachnoid Haemorrhage Patients in Leeds, UK. In: Feng, H., Mao, Y., Zhang, J.H. (eds) Early Brain Injury or Cerebral Vasospasm. Acta Neurochirurgica Supplements, vol 110/2. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0356-2_29

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  • DOI: https://doi.org/10.1007/978-3-7091-0356-2_29

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0355-5

  • Online ISBN: 978-3-7091-0356-2

  • eBook Packages: MedicineMedicine (R0)

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