Factors influencing the need for post operative ventilation in patients with aneurysmal subarachnoid hemorrhage

Introduction: Patients with aneurysmal subarachnoid hemorrhage (aSAH) frequently require monitoring, however planned ventilatory support may not be necessary in the post-operative period. In resource constraints scenarios, reserving an intensive care unit (ICU) bed and ventilator lead to problems like delay surgery definite care. With this study, we aim identify factors that influence need for ventilation patients aSAH. Methodology: A retrospective study over a period of six years who underwent surgical clipping aneurysm were intubated pre-operatively was conducted. Aneurysm confirmed by Digital Subtraction Angiography (DSA) or Computerized Tomographic (CTA). Demographic data clinico-radiological Hunt Hess grade, Modified Fischers Grade location collected. Results: Of 62 identified period, 17 excluded as they preoperative 45 included, there 15 male patients. these only 23 (51.11%) failed successfully extubated. Clinical such score ≥ 3 (p value<0.001), WFNS grade ≥3 value<0.001) intraoperative blood loss 425 ml value=0.001) associated higher chances failure extubate. Presenting GCS ≥14 had extubation postoperatively. However, radiological no significant association. Conclusion: The demand ICU SAH is estimated. Simple clinical can better predict reduce burden bed.