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Anesthetic Management of Aneurysmal Subarachnoid Hemorrhage (aSAH)

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Management of Subarachnoid Hemorrhage

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Abstract

Rupture of cerebral aneurysm is the most common leading cause of non-traumatic aneurysmal subarachnoid hemorrhage (aSAH), it is a devastating disease associated with significant neurological and non-neurological life-threatening complications. Globally, the prognosis of aneurysmal subarachnoid hemorrhage is extremely poor with mortality of 35%. Third of subarachnoid hemorrhage patients need life-long care and another third suffer from impaired cognitive dysfunction. The immediate diagnosis and intervention are vital to improve the outcome. Endovascular coiling or surgical clipping are the main treatment options. Consequently, anesthetic management of these patients can be challenging. Anesthesiologists may be involved at different phases in the management of aneurysmal subarachnoid hemorrhage such as initial resuscitation, transport suspected cases to radiology department or intensive care unit, during the imaging of suspected cases in neuroradiology suite, intraoperative management, and postoperative management. This chapter aims to provide the knowledge required for the optimal anesthetic management of aSAH patients at various stages of presentation, translating into improved neurological outcome.

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Authors and Affiliations

  1. Anesthesia, Perioperative Medicine and Critical Care Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar

    Adel E. Ahmed Ganaw, Ahamed Lafir Aliyar, Moad Ehfeda & Nabil A. Shallik

Authors
  1. Adel E. Ahmed Ganaw
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  2. Ahamed Lafir Aliyar
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  3. Moad Ehfeda
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  4. Nabil A. Shallik
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Corresponding author

Correspondence to Adel E. Ahmed Ganaw .

Editor information

Editors and Affiliations

  1. Anesthesia, Perioperative Medicine and Critical Care Department, Hamad General Hospital Hamad Medical Corporation, Doha, Qatar

    Adel E. Ahmed Ganaw

  2. Department of Anesthesia Perioperative Medicine and Critical Care, Surgical Intensive Care Unit Hamad Medical Corporation, Doha, Qatar

    Nissar Shaikh

  3. Faculty of Medicine, Tanta University, Tanta, Egypt

    Nabil A. Shallik

  4. Department of Anesthesiology, University of Muenster, Muenster, Germany

    Marco Abraham E. Marcus

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Ganaw, A.E.A., Aliyar, A.L., Ehfeda, M., Shallik, N.A. (2022). Anesthetic Management of Aneurysmal Subarachnoid Hemorrhage (aSAH). In: Ganaw, A.E.A., Shaikh, N., Shallik, N.A., Marcus, M.A.E. (eds) Management of Subarachnoid Hemorrhage. Springer, Cham. https://doi.org/10.1007/978-3-030-81333-8_7

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  • DOI: https://doi.org/10.1007/978-3-030-81333-8_7

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-81333-8

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