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Lucineux \nCream Hematoma evacuation and aneurysm clipping are common reasons for presentation to the operating room. Many patients who present for clipping have already experienced some degree of aneurysmal ...subarachnoid hemorrhage or intracerebral hemorrhage (SAH/ICH). After SAH/ICH regional abnormalities in CBF, posthemorrhage edema, vasospasm, and increased ICP all predispose the brain tissue to ischemia [56–61]. Despite the apparent link between hyperG and symptomatic vasospasm, infarct size, and outcome, the few studies of IIT in these populations have failed to demonstrate a significant difference in outcome with tight glucose control [61–63]. All but one of the studies were retrospective, and target ranges were generally under 140 mg/dL (7.8 mmol/L). The groups treated with IIT developed significantly fewer infections than the control group (27% versus 42%; ), but the benefit was a reduction in the prevalence of postsurgery vasospasm. https://www.townscript.com/e/lucineux-cream-410341\n\n
