Intracerebral hemorrhage

ich · society: AHA/ASA

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Summary

2022 AHA/ASA guideline for management of spontaneous (nontraumatic, non-structural) intracerebral hemorrhage in adults, updating the 2015 version. Key updates include refined acute BP targets emphasizing smooth sustained control, expanded anticoagulation reversal recommendations (4F-PCC, idarucizumab, andexanet alfa), evidence against prophylactic corticosteroids/hyperosmolar therapy/platelet transfusions/antiseizure prophylaxis, support for minimally invasive hematoma evacuation to reduce mortality, and broader criteria for cerebellar ICH surgery (now including volume >15 mL).

Current guideline: 2022 AHA/ASA ICH Guideline · download Anki sub-deck

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