Key result
Early clipping plus PEEP successfully treats two patients with ruptured intracranial aneurysms and neurogenic pulmonary edema.
Why the study?
Does very early surgery combined with aggressive management of pulmonary edema improve outcomes in patients with ruptured intracranial aneurysms associated with neurogenic pulmonary edema?
Population
2 female patients with ruptured intracranial aneurysm associated with neurogenic pulmonary edema, both Hunt…
Design
Case_series
Follow-up
Until discharge
Authors
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May support ultra-early clipping plus PEEP in select aneurysmal SAH with NPE; hypothesis-generating and should not yet change practice.
Case Report (n=2)
Does very early surgery combined with aggressive management of pulmonary edema improve outcomes in patients with ruptured intracranial aneurysms associated with neurogenic pulmonary edema?
Very early surgery combined with aggressive respiratory management using positive end-expiratory pressure can be successful in patients with ruptured intracranial aneurysms complicated by neurogenic pulmonary edema.
Kondoh et al. (1988) conducted a case report in Ruptured intracranial aneurysm associated with neurogenic pulmonary edema (n=2). Early surgery (clipping) with positive end-expiratory pressure (PEEP) was evaluated on Clinical outcome at discharge. Early surgical clipping combined with positive end-expiratory pressure successfully treated two patients with ruptured intracranial aneurysms and neurogenic pulmonary edema, resulting in discharge without major neurological deficits.
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