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Among patients with secured subarachnoid hemorrhage who are receiving daily TCDs, what is the appropriate frequency of post operative neurological assessments?
2 Answers
Mednet Member
Neurology · University of Pennsylvania
I think a textbook might state something like "every 1-2 hours in the acute setting." However, in my opinion, the frequency of neurological examinations should be tailored to the individual patient and involves considerable clinical judgement. Factors that might influence this decision include a) se...
Mednet Member
Neurology · Cook County Health
Frequent neurological assessment has been the cornerstone of subarachnoid hemorrhage care, and most Neuro ICU's tend to have standard hourly evaluations as part of the SAH admission algorithm. Recent publications have questioned the need for this intensive level of patient monitoring. Objective eval...