Anesthesia for stroke rescue

Current Opinion in Anaesthesiology
Ayòtúndé B Fadayomi, Oluwaseun Akeju

Abstract

To highlight the potential implications of recent advances in the management of large vessel occlusions for intraprocedural anesthetic management. Stroke remains the leading cause of disability in the United States and the second leading cause of death in the world. Several randomized control trials published within the past decade have helped to make endovascular thrombectomy the standard of care for all eligible patients. However, whether intraprocedural anesthesia care practices may significantly improve in-hospital and out-of-hospital morbidity and mortality outcomes are not clear. Management strategies that shorten the time to intervention and maintain blood pressure to preserve penumbral tissue may be beneficial. Future well powered studies are necessary to enable inferences on what type of anesthetic management is harmless, neurotoxic, or neural plasticity promoting.

References

Dec 13, 2005·Stroke; a Journal of Cerebral Circulation·Jeffrey L Saver
Jun 14, 2013·Journal of Neurointerventional Surgery·Matthew K WhalinRishi Gupta
Jun 12, 2014·Stroke; a Journal of Cerebral Circulation·Vladimir RohanJiri Ferda
Jul 16, 2015·Stroke; a Journal of Cerebral Circulation·Pia Löwhagen HendénSven-Erik Ricksten
Apr 5, 2016·Annals of Neurology·S Thomas Carmichael
Apr 20, 2016·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Oana M DumitrascuPatrick D Lyden
Apr 28, 2016·Journal of Neurointerventional Surgery·Nitin GoyalLucas Elijovich
Jul 14, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Claus Z SimonsenMads Rasmussen
Sep 28, 2016·JAMA : the Journal of the American Medical Association·Jeffrey L SaverUNKNOWN HERMES Collaborators
Nov 12, 2016·Stroke; a Journal of Cerebral Circulation·Patrick LydenUNKNOWN Collaborators
Nov 20, 2016·Stroke; a Journal of Cerebral Circulation·Marjolein GeurtsH Bart van der Worp
Jan 11, 2017·Stroke; a Journal of Cerebral Circulation·Kimon BekelisPascal Jabbour
Jan 13, 2017·Stroke; a Journal of Cerebral Circulation·Patrick Lyden
Mar 3, 2017·Acta Neurologica Scandinavica·A N KhanevskiC E Kvistad
Mar 12, 2017·Neurology·Thomas P ZonneveldUNKNOWN PASS Investigators
Apr 9, 2017·Stroke; a Journal of Cerebral Circulation·Elizabeth OseiUNKNOWN MR CLEAN Investigators
Apr 23, 2017·Stroke; a Journal of Cerebral Circulation·Maxim J H L MulderUNKNOWN Multicenter Randomized Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands (MR CLEAN) Inves
May 20, 2017·Stroke; a Journal of Cerebral Circulation·Pia Löwhagen HendénSven-Erik Ricksten
Jun 22, 2017·The New England Journal of Medicine·Craig S AndersonUNKNOWN HeadPoST Investigators and Coordinators
Jul 19, 2017·Frontiers in Neurology·Robert W RegenhardtThabele M Leslie-Mazwi
Sep 15, 2017·Stroke; a Journal of Cerebral Circulation·Waleed BrinjikjiAlejandro A Rabinstein
Oct 4, 2017·JAMA : the Journal of the American Medical Association·Christine RoffeUNKNOWN Stroke Oxygen Study Investigators and the Stroke OxygenStudy Collaborative Group
Nov 14, 2017·The New England Journal of Medicine·Raul G NogueiraUNKNOWN DAWN Trial Investigators
Jan 25, 2018·The New England Journal of Medicine·Gregory W AlbersUNKNOWN DEFUSE 3 Investigators
Feb 18, 2018·British Journal of Anaesthesia·P E VlisidesG A Mashour

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