2025 Multiprofessional Critical Care Review: Adult Online-7: Severe Stroke Subarachnoid Hemorrhage Management

7: Severe Stroke Subarachnoid Hemorrhage Management

Video Transcription

Video Summary

In this lecture, Andrew Naik discusses severe strokes, such as subarachnoid and intracerebral hemorrhages. Hypertension is a primary risk factor for strokes, leading to common symptoms like weakness and aphasia. Timely vessel imaging and possible endovascular consults are crucial for ischemic stroke management. Hemicraniectomy is recommended for large infarctions to prevent herniation. Effective subarachnoid hemorrhage diagnosis requires neuroimaging and potentially a lumbar puncture. Vasospasm treatment is vital. Intracerebral hemorrhage management involves reversing anticoagulants, controlling blood pressure, and avoiding prophylactic phenytoin. Early neurosurgical involvement is advised for cerebellar hemorrhages.

Keywords

stroke management

subarachnoid hemorrhage

intracerebral hemorrhage

hypertension

neuroimaging

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