Podcast
Questions and Answers
Why does early aneurysm clipping reduce the incidence of medical complications?
Why does early aneurysm clipping reduce the incidence of medical complications?
- It decreases the risk of hydrocephalus
- It decreases the incidence of pneumonia (correct)
- It reduces the need for bed rest
- It increases the risk of deep vein thrombosis
Why may early intervention increase the risk of intraoperative aneurysmal rupture?
Why may early intervention increase the risk of intraoperative aneurysmal rupture?
- Because it allows less time for a clot to organize over the initial bleed site (correct)
- Due to decreased brain edema in the early post-SAH period
- Because it reduces the risk of hydrocephalus
- Due to increased pressure in the subarachnoid space
What is a common consequence of blood contaminating the subarachnoid space after aneurysmal SAH?
What is a common consequence of blood contaminating the subarachnoid space after aneurysmal SAH?
- Decreased intracranial pressure
- Increased risk of ischemic stroke
- High likelihood of meningitis
- Development of hydrocephalus (correct)
Why is there a premium on techniques to reduce intracranial content volume?
Why is there a premium on techniques to reduce intracranial content volume?
What is a significant factor affecting patients scheduled for intracranial aneurysm clipping?
What is a significant factor affecting patients scheduled for intracranial aneurysm clipping?
Why is maintaining a patient on bed rest until day 14 common practice in early neurosurgery?
Why is maintaining a patient on bed rest until day 14 common practice in early neurosurgery?
What is the reported effect of dobutamine on cerebral blood flow in ischemic territories?
What is the reported effect of dobutamine on cerebral blood flow in ischemic territories?
Which calcium-channel blocker is considered standard for the management of SAH?
Which calcium-channel blocker is considered standard for the management of SAH?
What was the outcome of the multicenter trial evaluating nicardipine as an intravenous alternative to nimodipine?
What was the outcome of the multicenter trial evaluating nicardipine as an intravenous alternative to nimodipine?
Which pharmacologic therapy has shown improved mortality without improving outcomes in SAH patients?
Which pharmacologic therapy has shown improved mortality without improving outcomes in SAH patients?
What was the outcome of the larger RCT (STASH) related to statin administration in SAH patients?
What was the outcome of the larger RCT (STASH) related to statin administration in SAH patients?
What is the reported effect of cilostazol following SAH?
What is the reported effect of cilostazol following SAH?
What is the triad of symptoms associated with cerebral salt-wasting syndrome?
What is the triad of symptoms associated with cerebral salt-wasting syndrome?
How is SIADH typically managed?
How is SIADH typically managed?
What is the suspected cause of vasospasm after SAH?
What is the suspected cause of vasospasm after SAH?
How is symptomatic vasospasm historically treated?
How is symptomatic vasospasm historically treated?
What are the components of "Triple H" therapy for vasospasm?
What are the components of "Triple H" therapy for vasospasm?
What should be avoided during surgery for patients with vasospasm?
What should be avoided during surgery for patients with vasospasm?
Which medication is commonly used for pressor support in patients with vasospasm?
Which medication is commonly used for pressor support in patients with vasospasm?
What is the primary objective of administering pressors in vasospasm patients?
What is the primary objective of administering pressors in vasospasm patients?
What is the focus of current management for symptomatic vasospasm?
What is the focus of current management for symptomatic vasospasm?
