The prevention of DCI after SAH
Parameters | Explanation |
---|---|
BP, after hemorrhage control | SBP 140–220 mmHg |
Antihypertensive treatment | Nicardipine or labetalol |
ICP control | Osmotic treatment and/or EVD |
Osmotic treatment | Hypertonic saline or mannitol |
Targeted hemoglobin level | More than 9 mg/dL |
Intravenous solution treatment | Isotonic solutions are used for euvolemia |
Oral nimodipine treatment | 30 mg every 2 h (no risk of hypotension)Reduced to 30 mg every 4 h (risk of hypotension) |
Avoided parameters | HyperglycemiaHyperthermiaDehydrationHypoxiaHypocapnia |
BP: blood pressure; SBP: systolic blood pressure; EVD: external ventricular drainage