Related Experiment Video
Updated: May 28, 2026
08:18
Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model
Published on: February 8, 2022
Periprocedural blood pressure management in neurointerventional surgery
Thabele M Leslie-Mazwi1, John R Sims, Joshua A Hirsch
1Department of Neurologic Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA. rnoguei@emory.edu
Journal of Neurointerventional Surgery
|October 13, 2011
Summary
Managing blood pressure during neurointerventional procedures is crucial for patient outcomes. This review covers cerebral blood flow, monitoring, and agents for blood pressure control in endovascular therapies.
Area of Science:
- Neurology
- Cardiology
- Anesthesiology
Background:
- Endovascular therapies are increasingly used for various neurological conditions.
- Effective periprocedural blood pressure management is vital for neurointerventional surgeons.
- Understanding cerebral blood flow dynamics is essential.
Purpose of the Study:
- To review essential knowledge for neurointerventional surgeons regarding blood pressure management.
- To discuss practical decision-making for blood pressure control during procedures.
- To provide evidence-based parameters for typical neurointerventional conditions.
Main Methods:
- Literature review focusing on cerebral blood flow physiology.
- Discussion of blood pressure monitoring options.
- Analysis of agents for blood pressure elevation and reduction.
- Review of neuroanesthetic considerations.
Main Results:
- Comprehensive overview of cerebral blood flow and blood pressure physiology.
- Detailed examination of monitoring techniques and pharmacological agents.
- Guidance on practical decision-making for blood pressure management.
- Evidence-based parameters for various neurointerventional scenarios.
Conclusions:
- Knowledge of blood pressure management is essential for neurointerventional procedures.
- The review provides practical guidance for managing blood pressure before, during, and after therapy.
- Optimal blood pressure control enhances outcomes in endovascular neurointerventions.
Related Concept Videos
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
01:26Cardiac Catheterization IV: Nursing Management
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...