The prevention of DCI after SAH

ParametersExplanation
BP, after hemorrhage controlSBP 140–220 mmHg
Antihypertensive treatmentNicardipine or labetalol
ICP controlOsmotic treatment and/or EVD
Osmotic treatmentHypertonic saline or mannitol
Targeted hemoglobin levelMore than 9 mg/dL
Intravenous solution treatmentIsotonic solutions are used for euvolemia
Oral nimodipine treatment30 mg every 2 h (no risk of hypotension)
Reduced to 30 mg every 4 h (risk of hypotension)
Avoided parametersHyperglycemia
Hyperthermia
Dehydration
Hypoxia
Hypocapnia

BP: blood pressure; SBP: systolic blood pressure; EVD: external ventricular drainage