Stroke RSS Page 11

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Total 1850 results found since Jan 2013.

Spinal anesthesia-induced hypotension is caused by a decrease in stroke volume in elderly patients.
Conclusion: CO and blood pressure decreased significantly after the onset of SA in elderly patients. This is mainly caused by a decrease in SV and not by a decrease in SVR. There was no difference in CO and blood pressure change between dosages of 10 or 15 mg bupivacaine. PMID: 30881108 [PubMed]
Source: Local and Regional Anesthesia - March 20, 2019 Category: Anesthesiology Tags: Local Reg Anesth Source Type: research

Anesthesiological management in endovascular stroke treatment.
Abstract Early recanalization of the closed cerebral arteries after acute ischemic stroke (AIS) is the only treatment to minimize long-term disability and to reduce the associated morbidity and mortality. For a long time the only proven causal treatment of AIS was intravenous thrombolysis; however, after the publication of a series of randomized prospective studies concerning endovascular mechanical thrombectomy using stent retriever systems after AIS, new guidelines were published. It was found that endovascular treatment (EVT) dramatically improves the outcome of eligible patients. The stent retriever enables ...
Source: Der Anaesthesist - July 18, 2019 Category: Anesthesiology Authors: Theilen HJ, Gerber JC Tags: Anaesthesist Source Type: research

Changes in plasma volume before and after major abdominal surgery following stroke volume variation-guided fluid therapy: a randomized controlled trial.
CONCLUSIONS: Fluid administration during surgery to maintain SVV below 13% was effective for maintaining the preoperative plasma volume until the end of surgery in patients undergoing major open stomach or colorectal surgery. This result supports the validity of SVV-guided fluid therapy, which maintains the SVV value below 13%, in terms of maintaining patient volume status. PMID: 31808664 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - December 7, 2019 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Anesthetic Management of Endovascular Treatment of Acute Ischemic Stroke During COVID-19 Pandemic: Consensus Statement From Society for Neuroscience in Anesthesiology & Critical Care (SNACC): Endorsed by Society of Vascular & Interventional Neurology (SVIN), Society of NeuroInterventional Surgery (SNIS), Neurocritical Care Society (NCS), European Society of Minimally Invasive Neurological Therapy (ESMINT) and American Association of Neurological Surgeons (AANS) and Congress of Neurological Surgeons (CNS) Cerebrovascular Section
The pandemic of coronavirus disease 2019 (COVID-19) has unique implications for the anesthetic management of endovascular therapy for acute ischemic stroke. The Society for Neuroscience in Anesthesiology and Critical Care appointed a task force to provide timely, consensus-based expert recommendations using available evidence for the safe and effective anesthetic management of endovascular therapy for acute ischemic stroke during the COVID-19 pandemic. The goal of this consensus statement is to provide recommendations for anesthetic management considering the following (and they are): (1) optimal neurological outcomes for ...
Source: Journal of Neurosurgical Anesthesiology - June 9, 2020 Category: Anesthesiology Tags: SNACC Clinical Guidelines and Consensus Statement Source Type: research

Hemodynamic Changes via the Lung Recruitment Maneuver Can Predict Fluid Responsiveness in Stroke Volume and Arterial Pressure During One-Lung Ventilation
CONCLUSIONS: ΔSVRM and ΔMAPRM could predict hemodynamic responses after volume expansion during OLV.PMID:33687175 | DOI:10.1213/ANE.0000000000005375
Source: Anesthesia and Analgesia - March 9, 2021 Category: Anesthesiology Authors: Aya Kimura Koichi Suehiro Takashi Juri Yohei Fujimoto Hisako Yoshida Katsuaki Tanaka Takashi Mori Kiyonobu Nishikawa Source Type: research

Puerperium Stroke and Subsequent Tissue-Type Plasminogen Activator–Induced Hemorrhage: A Case Report
We report a case of ischemic stroke in an apparently healthy 35-year-old gravida 2 para 1 who was treated with tissue-type plasminogen activator (tPA) 9 hours after vaginal delivery that resulted in severe hemorrhage. Limited data suggest use of thrombolytics in pregnancy is safe, but there is a paucity of evidence assessing their use immediately postpartum. We describe successful combination of tPA with endovascular mechanical thrombectomy (EMT) for treatment of postpartum stroke, which was followed by extensive uterine bleeding.
Source: A&A Case Reports - May 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research

Management of Endovascular Treatment for Acute Ischemic Stroke During the COVID-19 Pandemic at a Single Institution in Beijing, China: A Brief Report
Background: The coronavirus disease (COVID-19) pandemic is currently a major challenge for health care systems around the world. For a time-sensitive emergency such as acute ischemic stroke (AIS), streamlined workflow times are essential to ensure good clinical outcomes. Methods: The aim of this single-center, retrospective, observational study was to describe changes in stroke workflow patterns and clinical care during the COVID-19 pandemic. Data from AIS patients undergoing emergent endovascular treatment (EVT) between 23 January and 8 April 2020 were retrospectively collected and compared with data from patie...
Source: Journal of Neurosurgical Anesthesiology - June 18, 2021 Category: Anesthesiology Tags: Short Reports Source Type: research

Effect of Leg Lift on Stroke Volume Index in Children 11-17 Years Old Before and After Induction of General Anesthesia
CONCLUSIONS: 96% of normal 11 to 17-year-old children were fluid responsive while awake and 79% after induction of general anesthesia.PMID:34233078 | DOI:10.1111/pan.14254
Source: Paediatric Anaesthesia - July 7, 2021 Category: Anesthesiology Authors: Andrew F Stasic Bethany J Wolf Stephen F Dierdorf Nicole D Horn Korey Vecchione Brian N Egan Michael A Acquaviva Source Type: research

New-onset Atrial Fibrillation after Cardiac Surgery is a Significant Risk Factor for Long-term Stroke: An 8-Year Prospective Cohort Study
This study sought to determine the incidence and significance of new-onset atrial fibrillation as a risk factor for long-term stroke and mortality after cardiac surgery.Design: A prospective cohort study.Setting: 2 large tertiary public hospitalsParticipants: The study comprised 3008 patients who underwent coronary artery bypass grafting and/or valve surgery from 2008 to 2012.Interventions: None.Measurements and Main Results: new-onset atrial fibrillation was analysed as a risk factor for postoperative stroke using a multivariable logistic regression model following adjustment for potential confounders.
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 8, 2021 Category: Anesthesiology Authors: Kevin K.P. Wang, Weiling Liu, Sophia T.H. Chew, Lian Kah Ti, Liang Shen Source Type: research

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