Preoperative Management of Ruptured Aneurysm Patients scheduled for Early operation

Abstract

The purpose of this study was to investigate the risk of rebleeding when patients with ruptured cerebral aneurysms, who were scheduled for early operations, underwent their aneurysm surgery the day after admission, instead of immediately that same night. Between 1982 and 1997, there were 72 patients who were candidates for this study admitted to our institution. The patients were managed with bed rest in a dark room and strict control of systemic blood pressure was maintained while they were waiting for their operations. All of the 72 patients underwent aneurysm surgery the following day, 29.3 hours on average after admission, without significant symptoms or signs of rebleeding. In conclusion, this study showed that the risk of rebleeding in patients with ruptured cerebral aneurysms, who underwent their aneurysm surgery the day after admission, instead of immediately that same night, at midnight was minimal when strict preoperative management was exercised.