Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-25T09:28:06.223Z Has data issue: false hasContentIssue false

Section 5 - Management and critical care

Published online by Cambridge University Press:  04 May 2010

J. Ricardo Carhuapoma
Affiliation:
Johns Hopkins Hospital, Baltimore
Stephan A. Mayer
Affiliation:
Columbia University, New York
Daniel F. Hanley
Affiliation:
Johns Hopkins Hospital, Baltimore
Get access

Summary

This chapter discusses the basic principles of management of intracerebral hemorrhage (ICH), including initial stabilization, the prevention of hematoma growth, and hemodynamic goal-setting. It also talks about the treatment of potential complications such as cerebral edema, herniation and seizures, and identification of the underlying etiology. The occurrence of ICH is strongly related to premorbid blood pressure; however, the relationship between the growth of hematoma and uncontrolled blood pressure remains to be clarified. The medical management of acute ICH revolves around the concept of hematoma stabilization. Recently published research may help identify patients that are at greater risk of hematoma expansion by the presence of tiny enhancing foci following CT angiography. Amyloid angiopathy is a common etiological factor in older patients, especially those older than 65 years who have multiple lobar hemorrhages. In hemorrhages in patients who are on anticoagulation, a risk-benefit ratio needs to be established before restarting anticoagulation.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×