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Total 1850 results found since Jan 2013.

Outcomes of Anesthesia Selection in Endovascular Treatment of Acute Ischemic Stroke
Conclusions: The data indicated that the selection of GA or CS during EVT had no impact on the independent outcomes of patients with anterior circulation occlusion.
Source: Journal of Neurosurgical Anesthesiology - December 11, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Anesthetic Management of Emergency Endovascular Thrombectomy for Acute Ischemic Stroke, Part 1: Patient Characteristics, Determinants of Effectiveness, and Effect of Blood Pressure on Outcome.
Abstract In the United States, stroke ranks fifth among all causes of death and is the leading cause of serious long-term disability. The 2018 American Heart Association stroke care guidelines consider endovascular thrombectomy to be the standard of care for patients who have acute ischemic stroke in the anterior circulation when arterial puncture can be made within 6 hours of symptom onset or within 6-24 hours of symptom onset when specific eligibility criteria are satisfied. The aim of this 2-part review is to provide practical perspective on the clinical literature regarding anesthesia care of patients treated ...
Source: Anesthesia and Analgesia - March 20, 2019 Category: Anesthesiology Authors: Hindman BJ Tags: Anesth Analg Source Type: research

Intraoperative Stroke During Robotic Totally Endoscopic Coronary Artery Bypass
THE INCIDENCE OF stroke after coronary artery bypass graft (CABG) surgery is between 1% and 5% and is one of the most detrimental complications.1 Off-pump CABG is associated with a lower stroke rate than traditional on-pump CABG (0.7% v 1.4%).2 Stroke after CABG is associated with increased morbidity and mortality and increased cost secondary to longer hospital stays and rehabilitation. The authors ’ presented case demonstrates the complexity of perioperative management of a patient scheduled for elective off-pump total endoscopic coronary artery bypass (TECAB) grafting with recent transient ischemic attack (TIA), stroke...
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 7, 2019 Category: Anesthesiology Authors: Jennette D. Hansen, Mark A. Chaney, Michael Essandoh, Jean Starr, BobbieJean Sweitzer Tags: Case Conference Source Type: research

Anaesthesia for stroke thrombectomy: technical considerations based on outcome evidence
Purpose of review Stroke is the second leading cause of death and the third leading cause of disability worldwide. Treatment is time limited and delays cost lives. This review discusses modern stroke management, during a time when treatments and guidelines are rapidly evolving. Recent findings Stroke thrombectomy has become the therapy of choice for large vessel occlusion (LVO) strokes. Perfusion imaging techniques, both computed tomography (CT) and MRI, now allow treatment beyond a set time window in specific patients. Both general anaesthesia and conscious sedation are options for patients undergoing stroke thrombec...
Source: Current Opinion in Anaesthesiology - August 30, 2019 Category: Anesthesiology Tags: NEUROANESTHESIA: Edited by Lingzhong Meng Source Type: research

Choice of ANesthesia for EndoVAScular Treatment of Acute Ischemic Stroke (CANVAS): Results of the CANVAS Pilot Randomized Controlled Trial
Conclusions: It was feasible to randomize AIS patients receiving either general anesthesia or conscious sedation for EVT.
Source: Journal of Neurosurgical Anesthesiology - December 11, 2019 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Acute management of ischaemic stroke
Publication date: Available online 19 December 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Deborah R. Douglas, Valpuri Luoma, Ugan ReddyAbstractAn acute ischaemic stroke (AIS) is a non-specific state of brain injury with neuronal dysfunction that has several pathophysiologic causes and is time critical. More than 70% of cases are due to thrombotic or embolic causes with resultant focal ischaemia and an accompanying neurological deficit. Initial assessment, stabilization and early imaging are important aspects of effective stroke management. Over the last two decades, thrombolysis and mechanical thrombectomy...
Source: Anaesthesia and intensive care medicine - December 20, 2019 Category: Anesthesiology Source Type: research

High neutrophil-to-lymphocyte ratio is associated with poor clinical outcome in patients with critically ill stroke.
CONCLUSIONS: Inflammatory markers like NLR, LMR and CAR on admission were associated with increased risks of 30-day mortality and 90-day poor outcome in patients with critically ill stroke. Especially, high NLR is independently associated with 90-day poor outcome. PMID: 32486607 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - June 4, 2020 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Perioperative Care of Patients at High Risk for Stroke During or After Non-cardiac, Non-neurological Surgery: 2020 Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care
Perioperative stroke is associated with considerable morbidity and mortality. Stroke recognition and diagnosis are challenging perioperatively, and surgical patients receive therapeutic interventions less frequently compared with stroke patients in the outpatient setting. These updated guidelines from the Society for Neuroscience in Anesthesiology and Critical Care provide evidence-based recommendations regarding perioperative care of patients at high risk for stroke. Recommended areas for future investigation are also proposed.
Source: Journal of Neurosurgical Anesthesiology - June 9, 2020 Category: Anesthesiology Tags: SNACC Clinical Guidelines and Consensus Statement Source Type: research

Anesthetic Management of Acute Ischemic Stroke in the Interventional Neuro-Radiology Suite: State of the Art
Purpose of review This review discusses the general anesthetic approach of endovascular stroke therapy and highlights recent advances and considerations for optimal intraoperative management of acute ischemic stroke. Recent findings Recent randomized controlled trials have shown no differences in clinical outcomes between monitored anesthesia care with sedation compared with general anesthesia for endovascular stroke therapy. The COVID-19 pandemic has complicated decision-making in the neurointerventional setting. Advances in imaging techniques have extended the window of treatment for endovascular therapy. S...
Source: Current Opinion in Anaesthesiology - July 29, 2021 Category: Anesthesiology Tags: NON-OPERATING ROOM ANESTHESIA (NORA): Edited by Richard D. Urman Source Type: research

Stroke volume‐directed administration of hydroxyethyl starch or Ringer's acetate in sitting position during craniotomy
ConclusionFluid filling with HES boluses resulted in a positive response in CI and SVI during the sitting position. The 34% smaller volume of HES than crystalloid and less positive fluid balance in the HES group might be important in craniotomy patients with decreased brain compliance.
Source: Acta Anaesthesiologica Scandinavica - April 3, 2013 Category: Anesthesiology Authors: A.‐C. B. LINDROOS, T. NIIYA, M. SILVASTI‐LUNDELL, T. RANDELL, J. HERNESNIEMI, T. T. NIEMI Tags: Original Article Source Type: research

Stroke volume optimization after anaesthetic induction: An open randomized controlled trial comparing 0.9% NaCl versus 6% hydroxyethyl starch 130/0.4.
CONCLUSIONS: Our study suggests that after induction, crystalloid and colloid expand the intravascular volume with equivalent efficacy immediately after administration and correct in a similar way the postinduction hypotension. PMID: 23867539 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - July 15, 2013 Category: Anesthesiology Authors: L'hermite J, Muller L, Cuvillon P, Bousquet PJ, Lefrant JY, de La Coussaye JE, Ripart J Tags: Ann Fr Anesth Reanim Source Type: research

Acute management of stroke – I: ischaemic stroke
Abstract: The adage that ‘Time is Brain’ remains a cornerstone of acute stroke treatment, and reflects the importance of timely diagnosis and treatment in order to minimise long-term consequences. The greatest advance in the management of ischaemic stroke has come in the form of reperfusion strategies, the success of which relies upon appropriate patient selection and the prompt initiation of therapy. The benefits of intravenous thrombolysis up to 4.5 hours are now firmly established, with trials underway to determine whether certain subgroups may benefit from thrombolysis beyond this timeframe. Intra-arterial thrombol...
Source: Anaesthesia and intensive care medicine - September 1, 2013 Category: Anesthesiology Authors: Trevor T.-J. Chong, Marco Fedi Tags: Neurointensive care Source Type: research

Acute management of stroke – II: haemorrhagic stroke
Abstract: Haemorrhagic strokes are relatively less common compared to ischaemic strokes, with the vast majority of haemorrhages being intracerebral as opposed to subarachnoid. The definitive diagnosis of a haemorrhagic stroke is based on non-contrast CT imaging of the brain. Acute care should focus on prompt identification of the cause, minimizing the risk of haemorrhage expansion by controlling blood pressure and correcting any underlying coagulopathy, and obliterating vascular lesions with a high risk of rebleeding. Patients should be closely monitored, and emergent surgery should be considered in those patients who disp...
Source: Anaesthesia and intensive care medicine - September 1, 2013 Category: Anesthesiology Authors: Trevor T.-J. Chong, Marco Fedi Tags: Neurointensive care Source Type: research

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