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Related Concept Videos

Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
Ischemic Stroke l: Introduction01:15

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Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
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Related Experiment Video

Updated: Jul 9, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Prognosis and decision making in severe stroke.

Robert G Holloway1, Curtis G Benesch, W Scott Burgin

  • 1Department of Neurology, University of Rochester School of Medicine, Rochester, NY 14642, USA. robert_holloway@urmc.rochester.edu

JAMA
|August 11, 2005
PubMed
Summary
This summary is machine-generated.

Prognosis for mechanically ventilated stroke patients is often poor, with high mortality. However, some survivors have good outcomes, necessitating careful, patient-centered decision-making regarding life-sustaining treatments.

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Related Experiment Videos

Last Updated: Jul 9, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke
09:10

Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke

Published on: February 22, 2020

Area of Science:

  • Neurology
  • Critical Care Medicine
  • Medical Ethics

Background:

  • Severe stroke often leads to mechanical ventilation and high mortality.
  • Variations in withdrawal-of-care practices may cause unnecessary suffering or premature death.

Purpose of the Study:

  • To review evidence on prognosis for mechanically ventilated stroke patients.
  • To establish a framework for optimizing clinical decision-making for patients and families.

Main Methods:

  • Systematic literature search of MEDLINE (1980-2005) for relevant English-language articles.
  • Selection of 17 articles from 689 identified.
  • Analysis of factors influencing life-sustaining treatment decisions and potential biases.

Main Results:

  • High overall mortality (approx. 58% at 30 days) in mechanically ventilated stroke patients.
  • Survivors may experience no/slight disability (up to one-third) or severe disability.
  • Prognosis can be refined using stroke type, patient characteristics, and clinical prediction rules.

Conclusions:

  • Prognosis is generally poor, but a subset of patients survive without severe disability.
  • Clinical presentation and patient characteristics aid in prognostic assessment.
  • Improved understanding of care variations and patient-centered decision-making is crucial.