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Mervyn D. I

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Articles by Mervyn D. I

Beyond the bleed: complications after aneurysmal subarachnoid hemorrhage. Pathophysiology, clinical implications, and management strategies: a review - Critical Care

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By Elisa Gouvêa, Jose Javier, Mervyn D. I, route de Lennik
| Critical Care
The rebleeding risk for ruptured, unsecured aneurysms is around 12%; most rebleeding occurs within 24 h [74]—acknowledging heterogeneity in the timing of aneurysm securement and definition of rebleeding. Elevated systolic blood pressure (SBP), particularly above 160 mmHg [74], poorer clinical (i.e., higher World Federation of Neurosurgical Societies (WFNS) and Hunt-Hess grades) and radiological grades, and aneurysm characteristics are associated with a higher risk [75, 76].
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Contemporary management of aneurysmal subarachnoid haemorrhage. An update for the intensivist - Intensive Care Medicine

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By Mervyn D. I, Integrated Diagnostics, Milano Bicocca
| link.springer.com
Abstract Aneurysmal subarachnoid haemorrhage (aSAH) is a rare yet profoundly debilitating condition associated with high global case fatality and morbidity rates. The key determinants of functional outcome include early brain injury, rebleeding of the ruptured aneurysm and delayed cerebral ischaemia. The only effective way to reduce the risk of rebleeding is to secure the ruptured aneurysm quickly.
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