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Aneurysmal subarachnoid haemorrhage (aSAH) is a life-threatening neurological emergency requiring meticulous critical care management to reduce morbidity and mortality. In this February 2026 updated lecture, Anaesthesia Review Hub provides a comprehensive, exam-oriented and clinically relevant overview of the critical care management of aneurysmal subarachnoid haemorrhage, with emphasis on peri-interventional and ICU principles. 🔹 Topics covered include: Pathophysiology and grading of aSAH Initial stabilization and airway management Blood pressure control and cerebral perfusion targets Prevention and management of rebleeding Vasospasm: monitoring, prophylaxis, and treatment Fluid therapy and electrolyte disturbances Role of nimodipine and other neuroprotective strategies ICP management and sedation strategies Critical care considerations post-clipping or coiling Current guideline-based updates (2026) 📌 Ideal for anaesthesia residents, intensivists, neurosurgical trainees, and critical care practitioners, as well as candidates preparing for postgraduate exams and fellowships. 👉 Subscribe to Anaesthesia Review Hub for concise, high-yield updates in anaesthesia, critical care, and perioperative medicine.