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08 Blood in the Brain is Bad (BBB)
Manage episode 312718386 series 3243074
Innehåll tillhandahållet av Stroke FM. Allt poddinnehåll inklusive avsnitt, grafik och podcastbeskrivningar laddas upp och tillhandahålls direkt av Stroke FM eller deras podcastplattformspartner. Om du tror att någon använder ditt upphovsrättsskyddade verk utan din tillåtelse kan du följa processen som beskrivs här https://sv.player.fm/legal.
Key Terms: ICH, blood pressure control, spot sign
Hosts: Phavalan Rajendram, Neha Patel, Houman Khosravani
Summary:
- Hemorrhagic strokes (HS) account for ~15-20% of all strokes
- There is a significant morbidity and mortality associated with HS
- Early blood pressure control is key in the management of HS
- CTA can identify a spot sign (may indicate increased risk of hematoma expansion)
- Etiologies
- Find out if the patient is on anticoagulation so that it can be reversed
- Make sure the patient is stable before CT scan (may need anti-emetics, intubation, etc.)
- Early blood pressure control is key
- Blood pressure target < 140/90
- Consult NSx early as surgical options may be available
- See STICH-2 trial on surgical management of superficial ICH without IVH
- See STICH-2 trial on surgical management of superficial ICH without IVH
- Prognostication can be aided with “ICH Score”
27 episoder
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