Management of subarachnoid hemorrhage in the critical care unit
Donald M. Whiting, MD
Gene H. Barnett, MDAddress reprint requests to G.H.B., Director, Neurosurgical Intensive Care Unit, Department of Neurological Surgery, The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, Ohio 44195.
John R. Little, MD
Subarachnoid hemorrhage from a ruptured intracranial saccular aneurysm is associated with a high rate of morbidity and mortality. Most complications occur two to three weeks after the initial hemorrhage. The key to minimizing morbidity and mortality is early and aggressive intensive-care management. The Cleveland Clinic Neurosurgical Intensive Care Unit approach is reviewed.