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    Critical care management of aneurysmal subarachnoid haemorrhage in Australia and New Zealand: What are we doing, and where to from here?

    Access Status
    Fulltext not available
    Authors
    Udy, A.
    Schweikert, S.
    Anstey, J.
    Anstey, Matthew
    Cohen, J.
    Flower, O.
    Saxby, E.
    Van Der Poll, A.
    Delaney, A.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Udy, A. and Schweikert, S. and Anstey, J. and Anstey, M. and Cohen, J. and Flower, O. and Saxby, E. et al. 2017. Critical care management of aneurysmal subarachnoid haemorrhage in Australia and New Zealand: What are we doing, and where to from here?. Critical Care and Resuscitation. 19 (2): pp. 103-109.
    Source Title
    Critical Care and Resuscitation
    ISSN
    1441-2772
    School
    Department of Health Policy and Management
    URI
    http://hdl.handle.net/20.500.11937/56350
    Collection
    • Curtin Research Publications
    Abstract

    © 2017, Australasian Medical Publishing co. All rights reserved. Patients with an aneurysmal subarachnoid haemorrhage (SAH) frequently require admission to the intensive care unit. There, a variety of therapeutic strategies are initiated, in addition to definitive procedures aimed at securing the aneurysm. • Despite a substantial investment in caring for these patients, outcomes for this group remain poor. Although the severity of the initial bleed is crucial in this context, many patients undergo further deterioration in the ICU. Delayed cerebral ischaemia is a significant cause of long-term morbidity and mortality after SAH. • There are limited data supporting much of the critical care provided to patients with SAH in the ICU, leading to substantial institutional and practitioner variation in treatment. Whether this influences patient outcomes is unknown, although it represents a major knowledge gap in neurocritical practice in Australia and New Zealand.

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