Abstract
Subarachnoid haemorrhage (SAH) accounts for about 5% of all strokes and affects 6– 12/ 100 000 of the UK population per year, the majority of whom are young. Mortality is around 50%, with up to 25% dying before reaching hospital. One-third of survivors are dependent for care and almost half will have cognitive impairment sufficient to affect their quality of life. 1,2 SAH requires a multi-disciplinary approach to management 3 in a neurosciences centre, 4 with treatment directed towards securing the ruptured aneurysm, minimizing secondary brain injury, and preventing and treating systemic complications. In 2011, the Neurocritical Care Society issued consensus guidelines for the critical care management of aneurysmal SAH with the aim of improving outcome. 4
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