Research advances on perioperative blood pressure management and neurological prognosis of intracranial aneurysm clip-ping
Aneurysmal subarachnoid hemorrhage leads to a sharp increase in intracranial pressure,which causes the risks of cerebral vascular spasm(CVS),delayed cerebral ischemia,and neurological deficits.Intracranial aneurysm clipping is a primary meth-od in the treatment of aneurysms.Intraoperative surgical procedures and perioperative management are closely associated with the neu-rological prognosis of patients.Anesthesiologists should take appropriate perioperative blood pressure management measures according to the corresponding treatment stages to maintain hemodynamic stability of patients and avoid the occurrence of complications related to aneurysm surgery.This review aims to summarize perioperative recommendations of blood pressure management in the order of pre-operative preparation,anesthesia induction,before and after aneurysm clipping,the postoperative period,as well as neurological prog-nosis of intracranial aneurysm clipping.This review also aims to provide a theoretical basis and clinical reference for blood pressure management in perioperative aneurysm clipping procedures so as to enhance patient prognosis.
Clipping of intracranial aneurysmBlood pressureCerebral vascular spasmNeurological prognosis
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