Triple H Therapy for Subarachnoid Hemorrhage

Triple H Therapy is utilized to prevent vasospasm in patients with subarachnoid hemorrhage. These patients can be tricky as they will often look great right after their aneurysm has been treated (coiled or clipped), but they are not out of the woods yet. Vasospasm can occur up to two weeks after the initial insult (I’ve even heard of it occurring up to three weeks out…scary!). Most of the time, your greatest risk is within 4-12 days, and this is where the typical ICU nurse’s hyper-vigilence comes in…frequent neuro checks and maintenance of prescribed therapy are key components to helping prevent this devastating complication.

One of the ways we try to prevent vasospasm is through Triple H Therapy…hypertension, hypervolemia and hemodilution. Here’s a handy little one-sheet that outlines the basics of this therapy. Enjoy!

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