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Updated: May 28, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Critical care management in acute ischemic stroke.
Michael De Georgia1, Vishal Patel
1University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio, USA. michael.degeorgia@uhhospitals.org
Journal of Neurointerventional Surgery
|October 13, 2011
Summary
Neurocritical care advances show promise with induced hypertension and hypothermia for stroke patients. Further research is needed on red blood cell transfusion thresholds and glycemic control for optimal outcomes.
Area of Science:
- Neurology
- Neurosurgery
- Critical Care Medicine
Background:
- Neurocritical care has advanced significantly over the last two decades.
- Developments in neurology and neurosurgery have paralleled critical care medicine growth.
Purpose of the Study:
- To review current advancements and ongoing research in neurocritical care.
- To highlight areas requiring further investigation for stroke patient management.
Main Methods:
- Review of preliminary evidence for therapeutic interventions.
- Discussion of ongoing research needs in stroke care.
Main Results:
- Preliminary evidence suggests induced hypertension and hypothermia may improve outcomes.
- Optimal red blood cell transfusion thresholds for ischemic stroke are undetermined.
- Further studies are needed on glycemic control and aggressive insulin therapy benefits.
Conclusions:
- Optimization of medical treatment is crucial for stroke patients.
- Caution is advised when making early prognoses in acute stroke.
- The impact of 'do not resuscitate' status on patient outcomes requires consideration.
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