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Condition: Stroke
Procedure: Anesthesia

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Total 3904 results found since Jan 2013.

Intraoperative epiaortic scanning for preventing early stroke after off-pump coronary artery bypass
Conclusions EAS has a significant clinical benefit in reducing the incidence of early stroke in cases of partial aortic clamping in OPCAB. Therefore, EAS should be considered in patients who need partial aortic clamping in OPCAB.
Source: British Journal of Anaesthesia - August 14, 2013 Category: Anesthesiology Authors: Joo, H.- C., Youn, Y.- N., Kwak, Y.- L., Yi, G.- J., Yoo, K.- J. Tags: Cardiovascular Source Type: research

Safety of carotid endarterectomy following thrombolysis for acute ischemic stroke
Conclusions: Despite slightly higher rates of postoperative hemorrhagic strokes than those in randomized trials, CEA appears safe following thrombolysis for acute ischemic stroke. However, more data on the timing of surgery is needed.
Source: Journal of Vascular Surgery - July 29, 2013 Category: Surgery Authors: Yao Pey Yong, John Saunders, Said Abisi, Nikola Sprigg, Krishna Varadhan, Shane MacSweeney, Nishath Altaf Tags: Review articles Source Type: research

Decreased risk of secondary brain herniation with intracranial pressure monitoring in patients with haemorrhagic stroke
In this study, we investigated the clinical value of ICP monitoring in patients with hemorrhagic stroke. Methods: We conducted a randomized, unblinded, controlled trial in which 90 patients with hemorrhagic stroke were randomly assigned to ICP monitoring or a control group. The primary outcome was a composite of incidence rate of hematoma enlargement and secondary brain herniation. The secondary outcome was neurological status assessed using the Glasgow Outcome Scale scores at 6 months post-onset. Characteristics of the patients at baseline and outcome measurements were also compared between the two groups. Results: There ...
Source: BMC Anesthesiology - March 21, 2014 Category: Anesthesiology Authors: Jingsong ZengPing ZhengWusong TongWeimin Fang Source Type: research

Postoperative rescue closure of patent foramen ovale in the clinical setting of acute hypoxemic respiratory failure and stroke following coronary artery bypass surgery.
We describe a case of intraoperative diagnosis and successful deferred percutaneous closure of a patent foramen ovale (PFO) in the clinical setting of acute refractory hypoxemic respiratory failure and new-onset ischemic stroke in an elderly patient after coronary artery bypass graft. Perioperative morbidity (i.e. severe hypoxemia, worsening right ventricular dysfunction, and embolic stroke) that is potentially related to intraoperatively diagnosed PFO during cardiac surgery can complicate management in the Intensive Care Unit and perhaps affect the patient's outcome. Although the PFO closure can be challenging in the clin...
Source: Annals of Cardiac Anaesthesia - January 1, 2015 Category: Anesthesiology Authors: DIaz-Gómez JL, Rodrigues E, Mordecai M, Moss J, Agnew RC, Oken KR Tags: Ann Card Anaesth Source Type: research

The comparison between stroke volume variation and filling pressure as an estimate of right ventricular preload in patients undergoing renal transplantation
Conclusions This study confirmed the theoretical framework of right ventricular preload and ventricular filling pressure and respiratory variation of stroke volume. The result also suggests that SVV can correctly predict preload status compared to pressure-based indices.
Source: Journal of Anesthesia - February 1, 2015 Category: Anesthesiology Source Type: research

Tactile unawareness in acute right hemispheric stroke (P1.207)
CONCLUSIONS:Tactile unawareness is common in acute right MCA stroke. Bedside findings can help dissociate primary sensory deficit from somatosensory hemi-inattention. The importance of spatial attention in tactile awareness is substantiated by the lesion sites associated with the disorder: regions crucial for multi-sensory integration and bodily awareness. Study Supported by:Disclosure: Dr. Antoniello has nothing to disclose. Dr. Gottesman has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Antoniello, D., Gottesman, R. Tags: Aging, Dementia, Cognitive, and Behavioral Neurology: Attention and Aphasia Source Type: research

O-004 the first pass effect: a new measure for stroke thrombectomy devices
ConclusionsThe First Pass Effect was seen in 25.1% of NASA post-marketing registry patients and is the most powerful predictor of clinical outcome with best safety results. FPE is more commonly seen in white patients, MCA occlusion, and balloon guide catheter use; however, ICA terminus occlusion seems to be resistant to FPE. The FPE may also be related to gender, race, and age. Further research is needed to better understand the FPE and to guide future technical advances.DisclosuresO. Zaidat: 1; C; Covidien, Stryker. 2; C; Covidien, Stryker. A. Castonguay: None. R. Gupta: None. C. Sun: None. C. Martin: None. W. Holloway: N...
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Zaidat, O., Castonguay, A., Gupta, R., Sun, C., Martin, C., Holloway, W., Mueller-Kronast, N., English, J., Linfante, I., Dabus, G., Malisch, T., Marden, F., Bozorgchami, H., Xavier, A., Rai, A., Froehler, M., Badruddin, A., Nguyen, T., Taqi, M., Abraham, Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research

E-030 clinical and angiographic outcomes in endovascular treatment of tandem vessel occlusions in acute ischemic stroke
ConclusionEndovascular treatment of tandem arterial occlusions in acute ischemic stroke is feasible, safe, and yields excellent angiographic and good clinical outcomesDisclosuresM. Grigoryan: None. D. Haussen: None. A. Lima: None. J. Grossberg: None. A. Anderson: None. S. Belagaje: None. F. Nahab: None. M. Frankel: None. R. Nogueira: 2; C; Covidien, Steering Committee for the SWIFT and SWIFT Prime Trials and Core Lab for the STAR Trial, Stryker, PI for the TREVO-2 and DAWN Trials, Penumbra, Executive Committee for the 3D Separator Trial.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Grigoryan, M., Haussen, D., Lima, A., Grossberg, J., Anderson, A., Belagaje, S., Nahab, F., Frankel, M., Nogueira, R. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

Peri-interventional management of acute endovascular stroke treatment.
Abstract Due to the ground breaking consistent evidence that supports the effect of endovascular stroke treatment (EST), many acute care hospitals and stroke centers will have to be prepared to provide this treatment in an optimal way within the coming years. In addition to the intervention itself, patient preparation, stabilization and monitoring during the treatment as well as the aftercare represent significant challenges and have mostly not yet been sufficiently investigated. Under these aspects, the questions of optimal sedation and airway management have received the highest attention. Based on retrospective...
Source: Der Nervenarzt - August 28, 2015 Category: Neurology Authors: Schönenberger S, Bösel J Tags: Nervenarzt Source Type: research

Cerebral protection during neurosurgery and stroke
This article reviews the recent evidence on perioperative neuroprotection in patients undergoing brain surgery and in patients with acute stroke. Recent findings: With varying degrees of success, numerous pharmacological and nonpharmacological therapies have been employed to provide neuroprotection for patients during the perioperative period and after acute ischemic stroke (IAS). Recent studies have failed to demonstrate neuroprotective effects of intraoperative remifentanil or propofol use, although hypertonic saline may provide better brain relaxation than mannitol during elective intracranial surgery for tumor. Magnesi...
Source: Current Opinion in Anaesthesiology - September 3, 2015 Category: Anesthesiology Tags: NEUROANESTHESIA: Edited by Keith J. Ruskin Source Type: research

Randomized controlled trial of stroke volume optimization during elective major abdominal surgery in patients stratified by aerobic fitness
Conclusions Algorithm-driven stroke volume optimization is of no benefit when superimposed on a liberal baseline fluid regimen in patients having elective major abdominal surgery, when stratified to minimize differences in fitness and surgical approach between groups. Clinical trial registration ISRCTN21597243.
Source: British Journal of Anaesthesia - September 18, 2015 Category: Anesthesiology Authors: Lai, C. W., Starkie, T., Creanor, S., Struthers, R. A., Portch, D., Erasmus, P. D., Mellor, N., Hosie, K. B., Sneyd, J. R., Minto, G. Tags: Clinical Practice Source Type: research

Pulse pressure variation and stroke volume variation under different inhaled concentrations of isoflurane, sevoflurane and desflurane in pigs undergoing hemorrhage
CONCLUSION: The effects of desflurane, sevoflurane and isoflurane on pulse pressure variation and stroke volume variation were not different during normovolemia or hypovolemia.
Source: Clinics - January 12, 2016 Category: Journals (General) Source Type: research

Stroke : How can "time is brain" be translated into clinical practice?
DISCUSSION: Measures to optimize therapy times are mostly organizational and cause little or no extra costs. When implemented these measures can lead to a significant improvement in therapy times and functional patient outcome. PMID: 26728155 [PubMed - as supplied by publisher]
Source: Der Radiologe - January 4, 2016 Category: Radiology Authors: Ragoschke-Schumm A Tags: Radiologe Source Type: research

An Unusual Case of Acquired Alexia without Agraphia Caused by Perioperative Stroke (P4.368)
Conclusions: Though rare, perioperative strokes occur and are often unidentified. Proceduralists and anesthesiologists should not delay emergent neurological assessment for fear of treatment futility. Though many postoperative patients are not candidates for intravenous thrombolysis, endovascular catheter-based interventions can be considered.Disclosure: Dr. Sener has nothing to disclose. Dr. Siegel has nothing to disclose. Dr. Eidelman has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sener, U., Siegel, J., Eidelman, B. Tags: Cerebrovascular Case Reports Source Type: research

Protamine Reduces Bleeding Complications without Increasing the Risk of Stroke after Carotid Endarterectomy: A Meta-analysis.
CONCLUSION: On the basis of the available data, heparin reversal with protamine seems to reduce the risk of wound haematoma, without increasing the risk of procedural stroke. However, taking into account the limitations of the analysis, further studies are needed to increase the level of evidence provided by the current meta-analysis. PMID: 27389942 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - July 3, 2016 Category: Surgery Authors: Kakisis JD, Antonopoulos CN, Moulakakis KG, Schneider F, Geroulakos G, Ricco JB Tags: Eur J Vasc Endovasc Surg Source Type: research