[Stroke Thrombectomy: Anaesthesiologic Aspects].

[Stroke Thrombectomy: Anaesthesiologic Aspects]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2019 Apr;54(4):283-293 Authors: Wolf A, Mölders P, Yilmaz U Abstract Ischemic Stroke is a focal neurological deficit based on an acute ischemia. rt-PA lysis and thrombectomy are therapeutic options. Thrombectomy can be performed under local anaesthesia, sedation or general anaesthesia. Early studies clearly favoured sedation compared to general anaesthesia regarding neurological outcome. The following prospective, randomized trials could not detect harmful effects of general anaesthesia. Nonetheless in anaesthesia care of ischemic stroke patients many (patho-)physiological and pharmacological aspects should be taken into account for the best neurological outcome. PMID: 30978751 [PubMed - in process]
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - Category: Intensive Care Authors: Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research