Triple-H therapy in the management of aneurysmal subarachnoid haemorrhage
Sen, Jon, Belli, Antonio, Albon, Helen, Morgan, Laleh, Petzold, Axel and Kitchen, Neil (2003) Triple-H therapy in the management of aneurysmal subarachnoid haemorrhage. Lancet Neurology, 2, (10), 614-620. (doi:10.1016/S1474-4422(03)00531-3).
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Cerebral vasospasm is a recognised but poorly understood complication for many patients who have aneurysmal subarachnoid haemorrhage and can lead to delayed ischaemic neurological deficit (stroke). Morbidity and mortality rates for vasospasm are high despite improvements in management. Since the middle of the 1970s, much has been written about the treatment of cerebral vasospasm. Hypervolaemia, hypertension, and haemodilution (triple-H) therapy in an intensive-care setting has been shown in some studies to improve outcome and is an accepted means of treatment, although a randomised controlled trial has never been undertaken. In this review, the rationale for this approach will be discussed, alongside new thoughts and future prospects for the management of this complex disorder.
|Subjects:||R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RM Therapeutics. Pharmacology
|Divisions:||University Structure - Pre August 2011 > School of Medicine > Clinical Neurosciences
|Date Deposited:||25 Apr 2006|
|Last Modified:||01 Jun 2011 04:16|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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