Augmentation de la performance cardiaque pour la prévention et le traitement de l'ischémie cérébrale retardée par vasospasme [Enhancement of cardiac performance for prevention and treatment of delayed cerebral ischemia caused by vasospasm]

Détails

ID Serval
serval:BIB_2155BBCD45DC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Augmentation de la performance cardiaque pour la prévention et le traitement de l'ischémie cérébrale retardée par vasospasme [Enhancement of cardiac performance for prevention and treatment of delayed cerebral ischemia caused by vasospasm]
Périodique
Annales Françaises d'Anesthésie et de Réanimation
Auteur⸱e⸱s
Archer D.P., Bissonnette B., Ravussin P.
ISSN
0750-7658
Statut éditorial
Publié
Date de publication
1996
Peer-reviewed
Oui
Volume
15
Numéro
3
Pages
359-365
Langue
français
Résumé
Following subarachnoid haemorrhage, delayed cerebral ischaemia from cerebral vasospasm remains the most important cause of mortality and morbidity in patients with surgically secured aneurysms. Therapy with haemodilution, hypertension and volume expansion has been recommended to prevent and treat delayed cerebral ischaemia in these patients on the basis of uncontrolled clinical series (level of evidence III to V, grade C recommendation). Despite the lack of controlled studies, the maintenance of a cardiac index > 3.5 L.min-1.m-2 and a systolic arterial pressure between 120 and 150 mmHg before clipping and 160 to 200 mmHg thereafter is recommended as a prophylactic or therapeutic measure for vasospasm. Close monitoring of neurological and cardiorespiratory status is important to avoid neurologic and systemic complications.
Mots-clé
Cerebrovascular Circulation, Hemodilution/methods, Hemodynamics, Humans, Intensive Care/methods, Intracranial Aneurysm/complications, Intracranial Aneurysm/surgery, Ischemic Attack, Transient/etiology, Ischemic Attack, Transient/physiopathology, Subarachnoid Hemorrhage/complications
Pubmed
Web of science
Création de la notice
17/01/2008 16:20
Dernière modification de la notice
20/08/2019 12:57
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