Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-10_Stroke

10_Stroke_Subarachnoid Hemorrhage

Pdf Summary

The document provides insights from the 2024 Society of Critical Care Medicine regarding severe strokes, subarachnoid hemorrhage, and intracerebral hemorrhage. It covers various aspects such as common risk factors, clinical presentations, treatment options, and recommendations for managing these conditions. Key points discussed include the importance of hypertension as a predominant risk factor, dysphagia assessment, specific characteristics of severe strokes like middle cerebral artery occlusion, and acute stroke therapeutics such as tissue plasminogen activator and endovascular interventions. It also emphasizes the significance of hemicraniectomy in middle cerebral artery infarction, diagnosis strategies for subarachnoid hemorrhage, and the management of complications like vasospasm through induced hypertension and volume status monitoring. Additionally, it touches on hematoma expansion in intracerebral hemorrhage, blood pressure management, seizure occurrences, and the need for early neurosurgical consultation in cerebellar hemorrhages. Overall, the document provides a comprehensive overview of the challenges, assessments, and treatment strategies for severe strokes and hemorrhagic strokes, offering valuable guidelines for critical care physicians managing such cases.

Keywords

severe strokes

subarachnoid hemorrhage

intracerebral hemorrhage

hypertension

dysphagia assessment

tissue plasminogen activator

hemicraniectomy

vasospasm management

hematoma expansion

neurosurgical consultation

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