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Aneurysmal Subarachnoid Haemorrhage Part 2: Post-operative nursing management - diagnosis, complications and treatment. A composite case study
Andrew Scanlon
Department of Neurosurgery, Austin Health; La Trobe University/Austin Health Clinical School of Nursing, Heidelberg VIC
Abstract
Patients who have been diagnosed with an Aneurysmal Subarachnoid Haemorrhage (ASAH) frequently require surgical intervention to prevent further complications.
Due to the complex nature of ASAH it is imperative to be meticulous in monitoring the patient's neurological condition. This is even more relevant post operatively as complications such as cerebral vasospasm peak incidence is between days four to fourteen and as well as complications of surgical and medical intervention may become evident.
Keywords
post-operative, nursing management, intraoperative, surgical interventions, Glasgow Coma scale, hydrocephalus, external ventricular drains, cerebral oedema, seizures, triple H therapy, cerebral balloon angioplasty, intra-arterial papaverine
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