What is included in ICU care of cerebral aneurysms?

Updated: Dec 06, 2018
  • Author: David S Liebeskind, MD, FAAN, FAHA, FANA; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Following neurosurgical or endovascular intervention, continued care in the ICU generally includes the following:

  • Serial neurologic examinations

  • Avoidance of hypotension or hypertension (mean arterial pressure [MAP] should be in the range of 70-130 mm Hg)

  • Use of isotonic solutions, such as normal saline, to minimize cerebral edema

  • Treatment or prophylaxis of seizures

  • Treatment of urinary tract infections

  • Prevention of venous thrombosis

  • Prophylaxis for gastric ulcers

  • Physical, occupational, and speech therapy

  • Repeat CT scan in case of clinical deterioration


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