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Titolo:
PERIOPERATIVE MANAGEMENT OF ANEURYSMAL SU BARACHNOID HEMORRHAGE - CURRENT PRACTICES IN 32 CENTERS
Autore:
AUDIBERT G; POTTIE JC; HUMMER M; TORRENS J;
Indirizzi:
HOP CENT,SERV ANESTHESIE REANIMAT,29 AVE MARECHAL LATTRE TASSIGNY F-54037 NANCY FRANCE
Titolo Testata:
Annales francaises d'anesthesie et de reanimation
fascicolo: 3, volume: 15, anno: 1996,
pagine: 338 - 341
SICI:
0750-7658(1996)15:3<338:PMOASB>2.0.ZU;2-U
Fonte:
ISI
Lingua:
FRE
Soggetto:
ENDOVASCULAR TREATMENT; COILS;
Keywords:
BRAIN; ARTERIAL ANEURYSM; SUBARACHNOID HEMORRHAGE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
7
Recensione:
Indirizzi per estratti:
Citazione:
G. Audibert et al., "PERIOPERATIVE MANAGEMENT OF ANEURYSMAL SU BARACHNOID HEMORRHAGE - CURRENT PRACTICES IN 32 CENTERS", Annales francaises d'anesthesie et de reanimation, 15(3), 1996, pp. 338-341

Abstract

Objective: To assess the current practices in anaesthesia and intensive care in patients experiencing subarachnoid haemorrhage(SAH). Study design: Analysis of questionnaire sent to the members of the French speaking Association of neuroanesthesia and intensive care. Methods: Thesurvey, performed in the summer of 1995, included questions on the composition of the neuroanesthesia team, anaesthesia, as well as medicaland surgical treatments. Results: Twenty-nine French and three non French centers answered the questionnaire. In 14 centers, more than 60 SAH had been treated in the previous year. Angiography was performed under sedation with a benzodiazepine associated with an opioid (54%). Criteria for choosing an endovascular approach were the site of the aneurysm (81%), its neck size (42%) and the underlying disease (42%). Anaesthesia was induced with either propofol (60%) or thiopentone (40%) associated with an opioid and a muscle relaxant. It was maintained with either isoflurane (59%) or propofol (41%). Nitrous oxide was often associated (62%). During anaesthesia, nimodipine (84%), mannitol (69%), anticonvulsants (47%), dopamine (31%) and lidocaine (9%) were also administered. Postoperatively, nimodipine was administered for prophylaxisof vasospasm (97%) and transcranial Doppler was employed to diagnose vasospasm (50%). Other techniques of care included hypervolaemia (89%), controlled arterial hypertension (36%) and haemodilution (36%).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 10:25:53