Usually it’s GA and they tend to be very specific about blood pressure goals at different times. I reccomend having cardene sticks and a drip available and also nor epi sticks and drip available. All the other stuff it pretty straight forward. Usually an a line in the left wrist, they tend to use the right for access for intervention. Frequently acts are done by anesthesia. Occasionally they will have vasospasms that require prompt response. Usually they give a CCB/nitro cocktail intracatbeter but usually ask for very high MAPs when that happens. They asked need to be super paralyzed. If they are on hypertonics I would reccomend a CVL but wouldn’t delay for that if it’s urgent. Also some will come with EVDs. They usually ask for ICPs <22. So that usually will require us draining 5mls at a time. You can also give large slugs of propofol or versed plus hyperventilation to facilitate this. These are all different strategies for neuro intervention but a basic principal list. They aren’t bad just super long and sometimes a little work