In an AVE or any condition in which the brain is at risk, may be an aneurysm our mission will keep the brain in a normal state as far as possible.
For this we must obviously keep the pressure normal ranges and do we ensure that measures blood flow and oxygen therefore remain intact.
For this we must perform certain actions:
Normotension (eg. PAM 90 to 100 mmHg or systolic level normal for the patient): Adjust fluid and vasoactive agents if necessary.

  • Adequate ventilation (arterial PCO2 approximately 35 mmHg).
  • Maintain adequate oxygen saturation (arterial Po2 from 80 to 100 mmHg): Use the lowest pressure positive end-expiratory possible.



  • Arterial pH = 7.3 to 7.5.
  • Immobilization (neuromuscular paralysis), if necessary.
  • Sedation (eg. Morphine or diazepam), if necessary.
  • Anticonvulsants (eg. Diazepam, phenytoin or barbiturates), if necessary.


  • Standardized blood values (hematocrit, electrolytes, osmolality and glucose). Administer a bolus of glucose if hypoglycemia, administer insulin if glucose> 200 mg%.
    Administer thiamine (100 mg) in case of malnutrition or alcoholism.
  • Osmotherapy (mannitol or glycerol), if required for elevated ICP monitored or secondary neurological deterioration.
  • Avoid hypotonic fluids, keep the serum sodium concentration and prevent fluid overload.
  • If the temperature is> 37.5 ° C, start treatment.
  • Initiate nutritional support within 48 hours.