Document Detail

Value of triple H therapy in a patient with an ischemic penumbra following subarachnoid hemorrhage: a case study.
MedLine Citation:
PMID:  16396086     Owner:  NLM     Status:  MEDLINE    
We report the case of a 43-year-old patient with delayed ischemic neurological deficit and an ischemic penumbra, reversed with triple H therapy (hypertension, hypervolemia, and hemodilution). The patient presented with subarachnoid hemorrhage caused by an aneurysm of the anterior communicating artery. He underwent surgical clipping and developed cerebral ischemia due to vasospasm. Permanent damage to the area of ischemic brain was prevented by institution of the triple H therapy. He recovered and was discharged with no subsequent neurological deficits.
Biodun Ogungbo; Savithru Prakash; Shungu Ushewokunze; Kevin Etherson; John Sinar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses     Volume:  37     ISSN:  0888-0395     ISO Abbreviation:  J Neurosci Nurs     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-06     Completed Date:  2006-02-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8603596     Medline TA:  J Neurosci Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  326-8, 333     Citation Subset:  IM; N    
James Cook University Hospital, Middlesbrough, United Kingdom.
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MeSH Terms
Brain Ischemia / etiology,  pathology,  therapy*
Combined Modality Therapy
Fluid Therapy / methods
Hemodilution / methods
Subarachnoid Hemorrhage / complications*
Vasospasm, Intracranial / complications

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