The 10 p.m. SAH Call: Neuroanaesthesia for Aneurysmal Subarachnoid Haemorrhage

from Neuro Resus · host Oliver Flower

In this episode of the Neuro Resus Podcast, Oli Flower speaks with Dr Andy Lindberg, neuroanaesthetist at Royal North Shore Hospital, about the anaesthetic management of aneurysmal subarachnoid haemorrhage. The conversation follows a high-grade SAH patient from emergency airway management through EVD insertion, aneurysm securing, clipping, coiling, intraoperative rupture, vasospasm management, and postoperative wake-up. Andy discusses the practical physiology that matters most: avoiding re-rupture, defending cerebral perfusion pressure, managing ICP, preventing major blood pressure swings, and staying one step ahead of the neurosurgical or neurointerventional procedure. The episode is particularly relevant for anaesthetists, intensivists, neurosurgeons, interventional neuroradiologists, and trainees involved in SAH care. It also highlights why anaesthetists should be part of the International Subarachnoid Haemorrhage Conference 2026 (#ISAH2026), where neurocritical care, neurosurgery, and interventional neuroradiology meet around one devastating disease.

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