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Erschienen in: Neurocritical Care 2/2015

01.12.2015 | Review Article

Emergency Neurological Life Support: Subarachnoid Hemorrhage

verfasst von: Jonathan A. Edlow, Anthony Figaji, Owen Samuels

Erschienen in: Neurocritical Care | Sonderheft 2/2015

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Abstract

Subarachnoid hemorrhage (SAH) is a neurological emergency because it may lead to sudden neurological decline and death and, depending on the cause, has treatment options that can return a patient to normal. Because there are interventions that can be life-saving in the first hour of onset, SAH was chosen as an Emergency Neurological Life Support protocol.
Literatur
1.
Zurück zum Zitat Connolly ES Jr, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: a Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2012;43:1711–37.CrossRefPubMed Connolly ES Jr, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: a Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2012;43:1711–37.CrossRefPubMed
2.
Zurück zum Zitat Diringer MN, Bleck TP, Jr Claude Hemphill, et al. Critical care management of patients following aneurysmal subarachnoid hemorrhage: recommendations from the Neurocritical Care Society’s Multidisciplinary Consensus Conference. Neurocrit Care. 2011;15:211–40.CrossRefPubMed Diringer MN, Bleck TP, Jr Claude Hemphill, et al. Critical care management of patients following aneurysmal subarachnoid hemorrhage: recommendations from the Neurocritical Care Society’s Multidisciplinary Consensus Conference. Neurocrit Care. 2011;15:211–40.CrossRefPubMed
3.
Zurück zum Zitat Edlow JA, Malek AM, Ogilvy CS. Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med. 2008;34:237–51.CrossRefPubMed Edlow JA, Malek AM, Ogilvy CS. Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med. 2008;34:237–51.CrossRefPubMed
4.
Zurück zum Zitat Linn FH, Wijdicks EF. Causes and management of thunderclap headache: a comprehensive review. Neurologist. 2002;8:279–89.CrossRefPubMed Linn FH, Wijdicks EF. Causes and management of thunderclap headache: a comprehensive review. Neurologist. 2002;8:279–89.CrossRefPubMed
5.
Zurück zum Zitat Schievink WI, Karemaker JM, Hageman LM, van der Werf DJ. Circumstances surrounding aneurysmal subarachnoid hemorrhage. Surg Neurol. 1989;32:266–72.CrossRefPubMed Schievink WI, Karemaker JM, Hageman LM, van der Werf DJ. Circumstances surrounding aneurysmal subarachnoid hemorrhage. Surg Neurol. 1989;32:266–72.CrossRefPubMed
6.
Zurück zum Zitat Pope JV, Edlow JA. Favorable response to analgesics does not predict a benign etiology of headache. Headache. 2008;48:944–50.CrossRefPubMed Pope JV, Edlow JA. Favorable response to analgesics does not predict a benign etiology of headache. Headache. 2008;48:944–50.CrossRefPubMed
7.
Zurück zum Zitat Edlow JA, Panagos PD, Godwin SA, Thomas TL, Decker WW. American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache. Ann Emerg Med. 2008;52:407–36.CrossRefPubMed Edlow JA, Panagos PD, Godwin SA, Thomas TL, Decker WW. American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache. Ann Emerg Med. 2008;52:407–36.CrossRefPubMed
8.
Zurück zum Zitat Edlow JA, Caplan LR. Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage. N Engl J Med. 2000;342:29–36.CrossRefPubMed Edlow JA, Caplan LR. Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage. N Engl J Med. 2000;342:29–36.CrossRefPubMed
9.
Zurück zum Zitat Vermeulen MJ, Schull MJ. Missed diagnosis of subarachnoid hemorrhage in the emergency department. Stroke. 2007;38:1216–21.CrossRefPubMed Vermeulen MJ, Schull MJ. Missed diagnosis of subarachnoid hemorrhage in the emergency department. Stroke. 2007;38:1216–21.CrossRefPubMed
10.
Zurück zum Zitat Kowalski RG, Claassen J, Kreiter KT, et al. Initial misdiagnosis and outcome after subarachnoid hemorrhage. JAMA. 2004;291:866–9.CrossRefPubMed Kowalski RG, Claassen J, Kreiter KT, et al. Initial misdiagnosis and outcome after subarachnoid hemorrhage. JAMA. 2004;291:866–9.CrossRefPubMed
11.
Zurück zum Zitat Perry JJ, Stiell IG, Sivilotti ML, et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013;310:1248–55. Perry JJ, Stiell IG, Sivilotti ML, et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013;310:1248–55.
12.
Zurück zum Zitat Cuvinciuc V, Viguier A, Calviere L, et al. Isolated acute nontraumatic cortical subarachnoid hemorrhage. AJNR Am J Neuroradiol. 2010;31:1355–62.CrossRefPubMed Cuvinciuc V, Viguier A, Calviere L, et al. Isolated acute nontraumatic cortical subarachnoid hemorrhage. AJNR Am J Neuroradiol. 2010;31:1355–62.CrossRefPubMed
13.
Zurück zum Zitat Byyny RL, Mower WR, Shum N, Gabayan GZ, Fang S, Baraff LJ. Sensitivity of noncontrast cranial computed tomography for the emergency department diagnosis of subarachnoid hemorrhage. Ann Emerg Med. 2008;51:697–703.CrossRefPubMed Byyny RL, Mower WR, Shum N, Gabayan GZ, Fang S, Baraff LJ. Sensitivity of noncontrast cranial computed tomography for the emergency department diagnosis of subarachnoid hemorrhage. Ann Emerg Med. 2008;51:697–703.CrossRefPubMed
14.
Zurück zum Zitat Cortnum S, Sorensen P, Jorgensen J. Determining the sensitivity of computed tomography scanning in early detection of subarachnoid hemorrhage. Neurosurgery. 2010;66:900–2.PubMed Cortnum S, Sorensen P, Jorgensen J. Determining the sensitivity of computed tomography scanning in early detection of subarachnoid hemorrhage. Neurosurgery. 2010;66:900–2.PubMed
15.
Zurück zum Zitat Perry JJ, Stiell IG, Sivilotti ML, et al. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ. 2011;343:d4277.PubMedCentralCrossRefPubMed Perry JJ, Stiell IG, Sivilotti ML, et al. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ. 2011;343:d4277.PubMedCentralCrossRefPubMed
16.
Zurück zum Zitat Backes D, Rinkel GJ, Kemperman H, et al. Time-dependent test characteristics of head computed tomography in patients suspected of nontraumatic subarachnoid hemorrhage. Stroke. 2012;43:2115–119. Backes D, Rinkel GJ, Kemperman H, et al. Time-dependent test characteristics of head computed tomography in patients suspected of nontraumatic subarachnoid hemorrhage. Stroke. 2012;43:2115–119.
17.
Zurück zum Zitat Stewart H, Reuben R, McDonald J. LP or not to LP, that is the question: gold standard or unnecessary procedure in subarachnoid haemorrhage? Emerg med. 2014;31:720–23. Stewart H, Reuben R, McDonald J. LP or not to LP, that is the question: gold standard or unnecessary procedure in subarachnoid haemorrhage? Emerg med. 2014;31:720–23.
18.
Zurück zum Zitat Perry JJ, Sivilotti ML, Stiell IG, et al. Should spectrophotometry be used to identify xanthochromia in the cerebrospinal fluid of alert patients suspected of having subarachnoid hemorrhage? Stroke. 2006;37:2467–72.CrossRefPubMed Perry JJ, Sivilotti ML, Stiell IG, et al. Should spectrophotometry be used to identify xanthochromia in the cerebrospinal fluid of alert patients suspected of having subarachnoid hemorrhage? Stroke. 2006;37:2467–72.CrossRefPubMed
19.
Zurück zum Zitat Edlow JA, Bruner KS, Horowitz GL. Xanthochromia. Arch Pathol Lab Med. 2002;126:413–5.PubMed Edlow JA, Bruner KS, Horowitz GL. Xanthochromia. Arch Pathol Lab Med. 2002;126:413–5.PubMed
20.
Zurück zum Zitat Linn FH, Voorbij HA, Rinkel GJ, Algra A, van Gijn J. Visual inspection versus spectrophotometry in detecting bilirubin in cerebrospinal fluid. J Neurol Neurosurg Psychiatry. 2005;76:1452–4.PubMedCentralCrossRefPubMed Linn FH, Voorbij HA, Rinkel GJ, Algra A, van Gijn J. Visual inspection versus spectrophotometry in detecting bilirubin in cerebrospinal fluid. J Neurol Neurosurg Psychiatry. 2005;76:1452–4.PubMedCentralCrossRefPubMed
21.
Zurück zum Zitat Walton J. Subarachnoid hemorrhage. Edinburgh: E & S Livingstone, Ltd.; 1956. Walton J. Subarachnoid hemorrhage. Edinburgh: E & S Livingstone, Ltd.; 1956.
22.
Zurück zum Zitat Shah KH, Edlow JA. Distinguishing traumatic lumbar puncture from true subarachnoid hemorrhage. J Emerg Med. 2002;23:67–74.CrossRefPubMed Shah KH, Edlow JA. Distinguishing traumatic lumbar puncture from true subarachnoid hemorrhage. J Emerg Med. 2002;23:67–74.CrossRefPubMed
23.
Zurück zum Zitat Schull MJ. Lumbar puncture first: an alternative model for the investigation of lone acute sudden headache. Acad Emerg Med. 1999;6:131–6.CrossRefPubMed Schull MJ. Lumbar puncture first: an alternative model for the investigation of lone acute sudden headache. Acad Emerg Med. 1999;6:131–6.CrossRefPubMed
24.
Zurück zum Zitat Carstairs SD, Tanen DA, Duncan TD, et al. Computed tomographic angiography for the evaluation of aneurysmal subarachnoid hemorrhage. Acad Emerg Med. 2006;13:486–92.CrossRefPubMed Carstairs SD, Tanen DA, Duncan TD, et al. Computed tomographic angiography for the evaluation of aneurysmal subarachnoid hemorrhage. Acad Emerg Med. 2006;13:486–92.CrossRefPubMed
25.
Zurück zum Zitat McCormack RF, Hutson A. Can computed tomography angiography of the brain replace lumbar puncture in the evaluation of acute-onset headache after a negative noncontrast cranial computed tomography scan? Acad Emerg Med. 2010;17:444–51.CrossRefPubMed McCormack RF, Hutson A. Can computed tomography angiography of the brain replace lumbar puncture in the evaluation of acute-onset headache after a negative noncontrast cranial computed tomography scan? Acad Emerg Med. 2010;17:444–51.CrossRefPubMed
26.
Zurück zum Zitat Edlow JA. What are the unintended consequences of changing the diagnostic paradigm for subarachnoid hemorrhage after brain computed tomography to computed tomographic angiography in place of lumbar puncture? Acad Emerg Med. 2010;17:991–5.CrossRefPubMed Edlow JA. What are the unintended consequences of changing the diagnostic paradigm for subarachnoid hemorrhage after brain computed tomography to computed tomographic angiography in place of lumbar puncture? Acad Emerg Med. 2010;17:991–5.CrossRefPubMed
27.
Zurück zum Zitat Bardach NS, Zhao S, Gress DR, Lawton MT, Johnston SC. Association between subarachnoid hemorrhage outcomes and number of cases treated at California hospitals. Stroke. 2002;33:1851–6.CrossRefPubMed Bardach NS, Zhao S, Gress DR, Lawton MT, Johnston SC. Association between subarachnoid hemorrhage outcomes and number of cases treated at California hospitals. Stroke. 2002;33:1851–6.CrossRefPubMed
28.
Zurück zum Zitat Berman MF, Solomon RA, Mayer SA, Johnston SC, Yung PP. Impact of hospital-related factors on outcome after treatment of cerebral aneurysms. Stroke. 2003;34:2200–7.CrossRefPubMed Berman MF, Solomon RA, Mayer SA, Johnston SC, Yung PP. Impact of hospital-related factors on outcome after treatment of cerebral aneurysms. Stroke. 2003;34:2200–7.CrossRefPubMed
29.
Zurück zum Zitat Rabinstein AA, Lanzino G, Wijdicks EF. Multidisciplinary management and emerging therapeutic strategies in aneurysmal subarachnoid haemorrhage. Lancet Neurol. 2010;9:504–19.CrossRefPubMed Rabinstein AA, Lanzino G, Wijdicks EF. Multidisciplinary management and emerging therapeutic strategies in aneurysmal subarachnoid haemorrhage. Lancet Neurol. 2010;9:504–19.CrossRefPubMed
30.
Zurück zum Zitat Hillman J, Fridriksson S, Nilsson O, Yu Z, Saveland H, Jakobsson KE. Immediate administration of tranexamic acid and reduced incidence of early rebleeding after aneurysmal subarachnoid hemorrhage: a prospective randomized study. J Neurosurg. 2002;97:771–8.CrossRefPubMed Hillman J, Fridriksson S, Nilsson O, Yu Z, Saveland H, Jakobsson KE. Immediate administration of tranexamic acid and reduced incidence of early rebleeding after aneurysmal subarachnoid hemorrhage: a prospective randomized study. J Neurosurg. 2002;97:771–8.CrossRefPubMed
Metadaten
Titel
Emergency Neurological Life Support: Subarachnoid Hemorrhage
verfasst von
Jonathan A. Edlow
Anthony Figaji
Owen Samuels
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Neurocritical Care / Ausgabe Sonderheft 2/2015
Print ISSN: 1541-6933
Elektronische ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-015-0183-0

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