Focusing on the treatments for delayed cerebral ischemia in neurocritical ill patients

Author: Xiang LI ¹ ; Yi WANG ¹ ; Xiang-you YU ¹
Author Information

1. Center of Critical Care Medicine,First Affiliated Hospital of Xinjiang Medical University Urumqi 830054,China
Publication Type:Journal Article
Keywords: delayed cerebral ischemia; subarachnoid hemorrhage; monitoring techniques; intensive care
From: Chinese Journal of Practical Internal Medicine 2019;39(12):1040-1047
CountryChina
Language:Chinese
Abstract: Delayed cerebral ischemia(DCI)is a disease that seriously threatens the lives of critically ill patients,which is a primary cause of disability and death in patients after subarachnoid hemorrhage(SAH).However,due to severe neurological damage and clinical manifestations being not obvious,and diagnosis being difficult,DCI is not paid attention to by clinicians.The basis for understanding DCI is the transition from emphasizing macroscopic(vasospasm) to microscopic(microcirculation disfunction,impaired autonomic regulation)in pathophysiological processes.Early diagnosis and effective treatment are the key to prevention and treatment of DCI.Through reviewing literatures,this article elaborates on the definition of DCI,monitoring techniques,and treatment methods,and discusses the integrated prevention and treatment strategies of DCI.