在中风患者中进行血栓切除术的全身麻醉或有意识镇静:更新的系统综述和元分析
Federico Geraldini1, Paolo Diana1, Davide Fregolent2
1UOC Anesthesia and Intensive Care Unit, Institute of Anesthesia and Intensive Care, Padua University Hospital, Via Giustiniani 1, 35127, Padua, Italy.
概括
对于内血管中风治疗的麻醉选择,全身麻醉与有意识镇静,在功能结果中没有显著差异. 试验的顺序分析表明,未来的研究不太可能改变关于三个月后修改的排名表的这一结论.
科学领域:
- 神经学 神经学
- 麻醉学 麻醉学
- 干预性放射学 干预性放射学
背景情况:
- 脑中风的内血管治疗需要麻醉,但最佳麻醉管理仍在争论中.
- 最近的试验 (GASS,CANVAS II,AMETIS) 促使进行了更新的系统审查和元分析.
结论:
- 麻醉策略 (全身麻醉与有意识镇静) 在内血管中风治疗后三个月没有显著影响功能结果.
- 一般麻醉可能会提供更高的成功再输血率.
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