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Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
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Acute Ischemic Stroke.

Kate Petty1, Brian P Lemkuil2, Brian Gierl3

  • 1University of Pittsburgh Medical Center, 3550 Terrace Street, Scaife Hall, Suite 600, Pittsburgh, PA 15213, USA.

Anesthesiology Clinics
|February 10, 2021
PubMed
Summary
This summary is machine-generated.

Anesthesiologists are increasingly involved in the care of ischemic stroke (IS) patients due to extended treatment windows for fibrinolytic and endovascular thrombectomy (EVT). This review covers IS management, anesthetic considerations during EVT, and perioperative care.

Keywords:
AlteplaseDecompressive hemicraniectomyHemorrhagic transformationIschemic strokeTenectaplaseThrombectomyThrombolysisTissue plasminogen activator (tPA)

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Area of Science:

  • Neurology
  • Anesthesiology
  • Vascular Medicine

Background:

  • Anesthesiologists play a crucial role in managing patients with acute and subacute ischemic stroke (IS).
  • The frequency of these encounters is rising due to expanded treatment windows for fibrinolytic therapy and endovascular thrombectomy (EVT).
  • The growth of certified stroke centers and telehealth initiatives increases the demand for specialized anesthetic care in IS management.

Purpose of the Study:

  • To provide a comprehensive review of ischemic stroke (IS) pathophysiology, assessment, treatment, and complications.
  • To detail anesthetic management strategies during endovascular thrombectomy (EVT).
  • To discuss perioperative stroke management and the impact of anesthesia on patients with a history of stroke.

Main Methods:

  • Literature review of IS pathophysiology, assessment, and treatment.
  • Analysis of anesthetic techniques for EVT procedures.
  • Examination of perioperative care protocols for stroke patients.

Main Results:

  • The article synthesizes current knowledge on IS management, highlighting the expanding role of anesthesiology.
  • It details critical anesthetic considerations for EVT, emphasizing patient safety and procedural success.
  • The review underscores the importance of perioperative stroke management and understanding anesthesia's impact on stroke survivors.

Conclusions:

  • Anesthesiologists require updated knowledge to manage the evolving landscape of ischemic stroke care.
  • Effective anesthetic management during EVT is vital for optimizing patient outcomes.
  • A thorough understanding of perioperative stroke management benefits both acute IS patients and stroke survivors.