Full details of the evidence and the committee's discussion are in evidence review F: very early mobilisation. 1.8 Avoiding aspiration pneumonia 1.8.1 To avoid aspiration pneumonia, give food, fluids and medication to people with dysphagia in a form that can be swallowed without aspiration, after specialist assessment of swallowing (see 1.9 Surgery for people with acute stroke Acute intracerebral haemorrhage 1.9.1 Stroke services should agree protocols for monitoring, referring and transferring people to regional neurosurgical centres for the management of symptomatic hydrocephalus. [2008] 1.9.2 People with intracerebral haemorrhage should be monitored by specialists in neurosurgical or stroke care for deterioration in function and referred immediately for brain imaging when necessary. [2008] 1.9.3 Previously fit people should be considered for surgical intervention 2022 following primary intracerebral haemorrhage if they have hydrocephalus. 1.9.4 People with any of the following rarely require surgical intervention and should receive medical treatment initially: small deep haemorrhages lobar haemorrhage without either hydrocephalus or rapid neurological deterioration a large haemorrhage and significant comorbidities before the stroke a score on the Glasgow Coma Scale of below 8 unless this is because of hydrocephalus posterior fossa haemorrhage. 