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Hémorragie sous-arachnoïdienne en réanimation

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La réanimation neurochirurgicale

Part of the book series: Le point sur … ((POINT))

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Abstrait

L’hémorragie sous-arachnoïdienne (HSA), encore souvent appelée hémorragie méningée, est avant tout la conséquence des ruptures d’anévrismes cérébraux. Son incidence est comprise entre 4,5 à 28/100 000, selon les pays et les patients relativement jeunes (en moyenne 50 ans, environ 60% de femmes) (1, 2). La morbidité importante de cette pathologie est largement atténuée par la qualité de la prise en charge neurochirurgicale, neuroradiologique et médicale (occlusion de l’anévrisme, traitement de l’hypertension intracrânienne, prévention, diagnostic et traitement du vasospasme notamment). D’autres enjeux sont à considérer: la complexité de la physiopathologie en cause, la brutalité et la sévérité des aggravations et le caractère technique et multidisciplinaire de la prise en charge. Autant d’aspects que le réanimateur doit maîtriser.

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Authors and Affiliations

  1. Département Anesthésie-Réanimation Chirurgicale B, CHU d’Angers — Hôpital Larrey, 49100, Angers

    Laurent Beydon & Christophe Soltner

  2. Unité de Neuro-Anesthésie-Réanimation, Département d’Anesthésie-Réanimation et Université P. et M. Curie (Paris 6), Hôpital de la Pitié-Salpêtrière, 47-83, Boulevard de l’hôpital, 75013, Paris

    Louis Puybasset

  3. Service d’Anesthésie-Réanimation Chirurgicale, 29, avenue du Maréchal de-Lattre-de-Tassigny, Case Officielle n° 34, 54035, Nancy Cedex

    Gérard Audibert

  4. Département d’Anesthésie-Réanimation, CHU Timone, 264, rue Saint-Pierre, 13385, Marseille

    Nicolas Bruder

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  1. Laurent Beydon
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  2. Christophe Soltner
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  3. Louis Puybasset
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  4. Gérard Audibert
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  5. Nicolas Bruder
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Editors and Affiliations

  1. Département d’Anesthésie-Réanimation, CHU Timone, 264, rue Saint-Pierre, 13385, Marseille

    Nicolas Bruder

  2. Département d’Anesthésiologie et Réanimation, Hôpital Régional, Avenue du grand Champsec 80, CH-1951, Sion (Suisse)

    Patrick Ravussin

  3. Department of Anaesthesia, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8

    Bruno Bissonnette

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Beydon, L., Soltner, C., Puybasset, L., Audibert, G., Bruder, N. (2007). Hémorragie sous-arachnoïdienne en réanimation. In: Bruder, N., Ravussin, P., Bissonnette, B. (eds) La réanimation neurochirurgicale. Le point sur …. Springer, Paris. https://doi.org/10.1007/978-2-287-68199-8_11

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