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Related Concept Videos

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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...
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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...
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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...
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Updated: Dec 13, 2025

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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[Perioperative stroke].

M Fischer1, U Kahl2

  • 1Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland. mar.fischer@uke.de.

Der Anaesthesist
|August 5, 2020
PubMed
Summary
This summary is machine-generated.

Perioperative stroke, a serious surgical complication, affects up to 11% of patients. Managing blood pressure and carefully assessing surgery timing are key to preventing recurrent ischemic stroke.

Keywords:
AnesthesiaCerebrovascular autoregulationCerebrovascular diseasePerioperative medicinePostoperative complications

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Area of Science:

  • Neurology
  • Cardiology
  • Anesthesiology

Background:

  • Perioperative stroke, occurring within 30 days of surgery, increases patient morbidity and mortality.
  • Up to 11% of surgical patients experience stroke, with higher risks for those with prior ischemic events.
  • Individualized blood pressure management is vital for maintaining cerebral perfusion.

Purpose of the Study:

  • To summarize the epidemiology, risk factors, and causes of perioperative stroke.
  • To review preventive strategies for perioperative stroke, focusing on anesthesiologist relevance.

Main Methods:

  • Literature review on perioperative stroke epidemiology and risk factors.
  • Analysis of preventive strategies applicable to anesthesiology practice.

Main Results:

  • Perioperative stroke is a significant risk, particularly in patients with a history of stroke or transient ischemic attack.
  • Careful evaluation of surgical indications and timing is crucial for high-risk patients.
  • Optimized, individualized blood pressure management is essential for cerebral perfusion.

Conclusions:

  • Understanding perioperative stroke's epidemiology and risk factors is key for prevention.
  • Anesthesiologists play a critical role in implementing preventive strategies.
  • Proactive management of blood pressure and surgical timing can mitigate perioperative stroke risk.