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Navigating Dynamic Seas: Is It Time For Personalized Blood Pressure Management in Aneurysmal Subarachnoid Hemorrhage?
DescriptionIntroduction:
Blood pressure thresholds evolve through distinct phases of SAH care. Despite the fact that establishing specific blood pressure goals and induced hypertension after SAH are ubiquitous in clinical practice, there remains no evidence supporting this practice, and the latest American Heart Association and Neurocritical Care Society guidelines make no recommendations on specific blood pressure thresholds and make a cautious recommendation on induced hypertension. This talk will explore the supporting literature and pitfalls in the potential role of non-invasive and invasive neuromonitoring as tools for individualizing blood pressure goals and perfusion thresholds in SAH using cerebral autoregulation.

Session Objectives:
Dynamic Blood Pressure Goals: Unpacking the shifting targets in blood pressure management across SAH phases, emphasizing the need for personalized approaches before aneurysm securement, before and after delayed cerebral ischemia.

Current Gaps: Shedding light on the limited evidence for specific blood pressure thresholds and recognizing the gaps that necessitate a more individualized strategy.

Non-Invasive Neuromonitoring: Exploring the potential of non-invasive near-infrared spectroscopy and non-invasive intracranial pressure monitoring as feasible alternatives to invasive methods, allowing for personalized blood pressure management without unnecessary interventions.

Future of Personalized Medicine: Envisioning the role of non-invasive neuromonitoring in shaping the future of personalized medicine for SAH and pave the way for discussions on the current pitfalls, feasibility and need for clinical trials.

Conclusion:
This session invites neurocritical care practitioners to delve into the future of dynamic blood pressure management using invasive and non-invasive neuromonitoring, and discuss the current literature and pitfalls.
Event Type
Breakout Session
TimeThursday, October 17th9:35am - 9:55am PDT
LocationHarbor Ballrooms D-I
Tracks
Clinical Practice
Focus Areas
Intracerebral Hemorrhage
Ischemic Stroke
Multimodal Neuromonitoring (invasive/non-invasive)
Nursing Pharmacology
Pharmacist Practice
Stroke
Subarachnoid Hemorrhage
Target Audiences
Intermediate