Curriculum Resources

Neurointensive Care - Capability Levels and Curriculum Reference for Stages 1-3

Subarachnoid Haemorrhage & Anaesthesia for Neurovascular Surgery

Published on 18 March, 2022

Last modified on April 1st, 2022

Curriculum Reference

13.11.7 Manages the resuscitation, stabilisation and transfer of patients with acute neurological deterioration.

15.9.2 Delivers safe peri-operative anaesthetic care to adults for emergency intracranial surgery, CSF diversions, spinal surgery and endovascular thrombectomy.

15.9.2 Delivers safe anaesthetic care for neuro-radiological investigations and interventions such as coiling, embolisation and endovascular thrombectomy.

HiLLO 12: Doctors specialising in Intensive Care Medicine understand the special needs of, and are competent to manage patients with neurological diseases, both medical and those requiring surgery, which will include the management of raised intracranial pressure, central nervous system infections and neuromuscular disorders.

Review Articles

Delayed cerebral ischaemia after subarachnoid haemorrhage: looking beyond vasospasm

Pathophysiology of Delayed Cerebral Ischemia After Subarachnoid Hemorrhage: A Review

Perioperative management of hydrocephalus BJA Education 18(5) 140-146 (2018)

Perioperative Management of Aneurysmal Subarachnoid Hemorrhage

BJA Education 18(10) 291-299 (2018)

Further Reading (incl. Key Trials)

Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage: British aneurysm nimodipine trial.

International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial

Cerebral arterial spasm-a controlled trial of nimodipine in patients with subarachnoid haemorrhage

Endocrine dysregulation in aneurysmal subarachnoid haemorrhage

National Guidance/Standards

AHA/ASA Guidelines for the management of aneurysmal subarachnoid haemorrhage

European Stroke Organisation Guidelines

(Draft) NICE Guideline for Subarachnoid Haemorrhage

Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms


Anaesthesia (e-LA) – Acute management of aneurysmal subarachnoid haemorrhage

Online Resources

Life in the Fast Lane (LITFL)

Anesthesia for intracranial neurovascular procedures in adults – UpToDate (paywall)

RCoA Audit Compendium

12.3 Subarachnoid haemorrhage

NACCS Article

3/9/2016 14.00 anaemia and transfusion after SAH

Upcoming live events

Neurovascular surgery in the endovascular era, May 10th Birmingham NACCS ASM

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