Management of bleeding in neuroanesthesia and neurointensive care

Vérzésmegelőzés és -kezelés a neuroanesztézia és neurointenzív ellátás során.

Publisher: Akademiai Kiado Country of Publication: Hungary NLM ID: 0376412 Publication Model: Print Cited Medium: Internet ISSN: 1788-6120 (Electronic) Linking ISSN: 00306002 NLM ISO Abbreviation: Orv Hetil Subsets: MEDLINE

Publication: 2007- : Budapest : Akademiai Kiado
Original Publication: Pest : Markusovszky Lajos

Anticoagulants* ; Cerebral Hemorrhage*/etiology ; Cerebral Hemorrhage*/therapy ; Hemostatics* ; Neurosurgical Procedures*/adverse effects; Humans ; Intracranial Hemorrhages

Intracranial surgical interventions and spontaneous intracerebral hemorrhages challange neuroanesthesia and neurocritical care. First, the brain is the most sensitive organ to tissue hypoxia in the case of severe intraoperative bleedings and, second, a growing hemorrhage within the closed intracranial space may result in a ciritcal elevation of intracranial pressure resulting in an imminent life danger. The authors summerize the potential treatment strategies during neuroanesthesia and neurocritical care. Perioperative organ-specific optimalization of hemoglobin concentration, thrombocyte count and fibrinogen concentrations are key elements in elective neurosurgical interventions. Prior antithrombotic and anticoagulant treatment may indicate targeted pharmacological optimalization and treatment that should be based on laboratory diagnosis. In intracerebral hemorrhages, treatment strategy should be based on the etiology and laboratory diagnostics and targeted pharmacological treatment is preferable. Orv Hetil. 2020; 161(37): 1574-1578.

Keywords: célzott vérzéscsillapítás; intracerebral bleeding; intracerebralis vérzés; intracranial surgery; intracranialis műtétek; targeted bleeding therapy

0 (Anticoagulants)
0 (Hemostatics)

Date Created: 20200907 Date Completed: 20200914 Latest Revision: 20200914

20231215

10.1556/650.2020.31776

32894737