Intracerebral haemorrhage (ICH): anticoagulation management

Evidence-based neurology checklist on intracerebral haemorrhage (ich): anticoagulation management: General management Stop anticoagulation immediately Avoid platelet transfusion for patients on Aspirin See Neurochecklists “Anticoagulant-induced ICH” Reversal of warfarin anticoagulation Reversal of…

General management

  • Stop anticoagulation immediately
  • Avoid platelet transfusion for patients on Aspirin
  • See Neurochecklists “Anticoagulant-induced ICH”

Reversal of warfarin anticoagulation

Reversal of Dabigatran and factor Xa inhibitors anticoagulation

References

  1. Morgenstern LB, Hemphill III JC, Anderson C, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Strike Association. Stroke 2010; 41:2108-2129.
  2. Mayer SA, Chong J. Critical care management of increased intracranial pressure. J Int Care Med 2002; 17: 55-67.
  3. Greenberg SM, Ziai WC, Cordonnier C, et al. 2022 guideline for the management of patients with spontaneous intracerebral hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke 2022; 53:e282-e361.
  4. Burroughs-Ray DC, VanDillen AF, Jackson CD. Clinical guideline highlights for the hospitalist: 2022 American Heart Association/American Stroke Association Guideline for the management of patients with spontaneous intracerebral hemorrhage. J Hosp Med 2023; 18:624-626.

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