Management of Subdural Hematoma

Medical Management

• Cerebral perfusion pressure should be maintained between 60-70 mmHg in the absence of multi-modal monitoring, as recommended by the Anaesthesia guideline society 1
• For intracranial hypertension, mannitol 20% or hypertonic saline solution at a dose of 250 mOsm can be administered over 15-20 minutes, according to the Anaesthesia guideline society 1

Chronic Subdural Hematoma Management

• Small or asymptomatic subdural hematomas can be managed conservatively, as suggested by the Journal of Neurology, Neurosurgery and Psychiatry guideline society 2

Post-operative Care

• Patients should be positioned with head elevated as comfortable, as recommended by the Journal of Neurology, Neurosurgery and Psychiatry guideline society 3
• Thromboprophylaxis should be considered during immobilization following procedures, according to the Journal of Neurology, Neurosurgery and Psychiatry guideline society 3

Follow-up and Monitoring

• Patients should be advised to seek urgent medical attention for new-onset severe headache, neurological deficits, or altered mental status, as recommended by the Journal of Neurology, Neurosurgery and Psychiatry guideline society 3