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Procedure: Anesthesia

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Total 2417 results found since Jan 2013.

Type of anaesthesia for acute ischaemic stroke endovascular treatment
CONCLUSIONS: In early outcomes, general anaesthesia improves target artery revascularisation compared to non-general anaesthesia with moderate-certainty evidence. General anaesthesia may improve adverse events (haemodynamic instability) compared to non-general anaesthesia with low-certainty evidence. We found no evidence of a difference in neurological impairment, stroke-related mortality, all intracranial haemorrhage and haemodynamic instability adverse events between groups with low-certainty evidence. We are uncertain whether general anaesthesia improves functional outcomes and time to revascularisation because the cert...
Source: Cochrane Database of Systematic Reviews - July 20, 2022 Category: General Medicine Authors: Renato Tosello Rachel Riera Giuliano Tosello Caroline Nb Clezar Jorge E Amorim Vladimir Vasconcelos Benedito B Joao Ronald Lg Flumignan Source Type: research

Early stimulation treatment provides complete sensory‐induced protection from ischemic stroke under isoflurane anesthesia
This study demonstrated that the isoflurane‐anesthetised rat pMCAO model can be used for cerebrovascular studies, and allows for highly detailed investigation of potential novel treatments for ischemic stroke using awake, behaving animals. Using a rat model of ischemia (permanent middle cerebral artery occlusion; pMCAO) we demonstrate that whisker stimulation can completely protect the cortex from impending stroke. Furthermore, the broad extent of evoked activity evident under isoflurane anesthesia plays a significant role in the protection from, or deterioration towards infarct. We conclude that the pMCAO model may be ...
Source: European Journal of Neuroscience - April 16, 2013 Category: Neuroscience Authors: Christopher C. Lay, Nathan Jacobs, Aneeka M. Hancock, Yi Zhou, Ron D. Frostig Tags: Research Report Source Type: research

Positive impact of pre-stroke surgery on survival following transient focal ischemia in hypertensive rats
We describe a positive influence of pre-stroke surgery on recovery and survival in a commonly used experimental stroke model. Two groups of male, stroke-prone spontaneously hypertensive rats (SHRSPs) underwent transient middle cerebral artery occlusion (tMCAO). Group 1 underwent the procedure without any prior intervention whilst group 2 had an additional general anaesthetic 6 days prior to tMCAO for a cranial burrhole and durotomy. Post-stroke recovery was assessed using a 32 point neurological deficit score and tapered beam walk and infarct volume determined from haematoxylin–eosin stained sections. In group 2 survival...
Source: Journal of Neuroscience Methods - November 8, 2014 Category: Neuroscience Source Type: research

Stroke identification by criteria based dispatch – a register based study
ConclusionThe sensitivity for identification of stroke patients by the dispatch guidelines is modest, while the specificity is high. The 113 telephone line was initial EMCC access point for less than half of the stroke patients.
Source: Acta Anaesthesiologica Scandinavica - November 1, 2017 Category: Anesthesiology Authors: E. N. Ellensen, H. Naess, T. Wisborg, S. Hunskaar, E. Zakariassen Tags: Original Article Source Type: research

Prognosis of post-stroke status epilepticus: effects of time difference between the two events
ConclusionsThe timing of SE after stroke is associated with different consequences: mortality was higher when SE occurred within the first 72 hours after stroke and this risk persisted at follow-up, whereas risk of functional decline was higher when SE occurred during the first 3 months. Other factors such as the mSTESS score and SE duration were associated with outcome at both discharge and long-term follow-up.
Source: Seizure - July 10, 2018 Category: Neurology Source Type: research

Stroke epidemiology based on experience from Krasnik county in eastern Poland.
CONCLUSIONS: Women aged around 78-years-old were the most likely to suffer a stroke. In men, it occurred eight years earlier. Despite residents of urban areas being hospitalised due to stroke more often, deaths caused by this disease were recorded the most frequently among rural residents. It can be concluded that primary stroke prevention is the only effective measure for reducing morbidity and premature mortality in the population. PMID: 32955229 [PubMed - in process]
Source: Annals of Agricultural and Environmental Medicine : AAEM - September 10, 2020 Category: Environmental Health Authors: Drop B, Marek K, Marzena FN Tags: Ann Agric Environ Med Source Type: research

Effect of Intraoperative Arterial Hypotension on the Risk of Perioperative Stroke After Noncardiac Surgery: A Retrospective Multicenter Cohort Study
CONCLUSIONS: This study found no evidence to conclude that intraoperative hypotension within the range studied was associated with early perioperative stroke within 7 days after surgery. These findings emphasize the importance of perioperative cerebral blood flow autoregulation to prevent ischemic stroke.PMID:34252055 | DOI:10.1213/ANE.0000000000005604
Source: Anesthesia and Analgesia - July 12, 2021 Category: Anesthesiology Authors: Karuna Wongtangman Luca J Wachtendorf Michael Blank Stephanie D Grabitz Felix C Linhardt Omid Azimaraghi Dana Raub Stephanie Pham Samir M Kendale Ying H Low Timothy T Houle Matthias Eikermann Richard J Pollard Source Type: research

Stroke severity quantification by critical care physicians in a mobile stroke unit
Conclusion Critical care physicians in a mobile stroke unit may use the NIHSS as a clinical tool in the assessment of patients experiencing acute stroke. The disagreement in NIHSS scores was mainly for very low values and would not have changed the handling of the patients.
Source: European Journal of Emergency Medicine - May 1, 2019 Category: Emergency Medicine Tags: Original articles Source Type: research

Nerve stimulation could provide new treatment option for most common type of stroke
Research led by a UCLA scientist found that a new nerve stimulation therapy to increase blood flow could help patients with the most common type of stroke up to 24 hours after onset.A study of 1,000 patients found evidence that the technique, called active nerve cell cluster stimulation, reduced the patients ’ degree of disability three months after they suffered an acute cortical ischemic stroke, which affects the surface of the brain.Dr. Jeffrey Saver, director of theUCLA Comprehensive Stroke Center, was the co-principal investigator of the study, which was conducted at 73 medical centers in 18 countries.“We believe ...
Source: UCLA Newsroom: Health Sciences - May 24, 2019 Category: Universities & Medical Training Source Type: news

Neurocognitive, Quality of Life, and Behavioral Outcomes for Patients With Covert Stroke After Cardiac Surgery: Exploratory Analysis of Data From a Prospectively Randomized Trial
CONCLUSIONS: More than one-half of patients undergoing cardiac surgery demonstrated covert stroke. In this exploratory analysis, covert stroke was not found to be significantly associated with neurocognitive dysfunction 1 month after surgery; evidence of impaired quality of life, anxiety, or depression, albeit a type II error, cannot be excluded.PMID:34319914 | DOI:10.1213/ANE.0000000000005690
Source: Anesthesia and Analgesia - July 28, 2021 Category: Anesthesiology Authors: Choy Lewis Annabelle Levine Lauren C Balmert Liqi Chen Saadia S Sherwani Alexander J Nemeth Jordan Grafman Rebecca Gottesman Charles H Brown Charles W Hogue Source Type: research