Aneurysmal subarachnoid hemorrhage (aSAH) is a life-threatening condition resulting from the rupture of an intracranial aneurysm, leading to bleeding into the subarachnoid space. It carries significant mortality and morbidity and prompt, comprehensive management in the intensive care unit (ICU) is crucial to improve patient outcomes. A multidisciplinary approach involving neurologists, neurosurgeons, interventional neuroradiologists, and critical care specialists is essential. The general management strategy includes prompt diagnosis, stabilization, early aneurysm treatment, vigilant monitoring for complications, and planning for long-term recovery [1] (Ref. Algorithm 9.1).