Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 171: Anesthetic Management of Ruptured Cerebral Aneurysm with Dave Mintz

5 snips
Apr 20, 2020
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ADVICE

Reverse Anticoagulation

  • Reverse anticoagulation preoperatively in ruptured aneurysm patients.
  • Use protamine for heparin, reversal agents for oral anticoagulants, or activated PCCs if needed.
ADVICE

Preoperative Optimization

  • Evaluate and optimize urgent medical issues before aneurysm surgery.
  • Address issues like DKA in diabetic patients preoperatively.
ADVICE

Preoperative Assessment

  • Note baseline mental status, neurological exam, and EKG.
  • Be aware of common EKG changes in subarachnoid hemorrhage (ST depressions, T-wave changes, etc.).
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