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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

Using Esophageal Temperature Management to Treat Severe Heat Stroke: A Case Report
CONCLUSION: This nurse-driven technology offers a new means to rapidly deploy cooling to critically ill patients without needing to implement advanced surgical approaches or obstruct access to the patient, freeing the provider to continue optimal care in high-morbidity conditions.
Source: Journal of Neuroscience Nursing - January 7, 2020 Category: Neuroscience Tags: Case Study Source Type: research

Oxygen Saturation and Postoperative Mortality in Patients With Acute Ischemic Stroke Treated by Endovascular Thrombectomy
CONCLUSIONS: GA was associated with a higher Spo2 compared to MAC among those treated by endovascular thrombectomy for AIS. Spo2 values that were higher than the middle tertile were associated with higher odds of mortality. However, GA was not significantly associated with higher odds of death. Spo2 at most constituted a modest mediator role in explaining the relationship between GA versus MAC and mortality.PMID:34609988 | DOI:10.1213/ANE.0000000000005763
Source: Anesthesia and Analgesia - October 5, 2021 Category: Anesthesiology Authors: Ehab Farag Chen Liang Edward J Mascha Gabor Toth Maged Argalious Mariel Manlapaz Joao Gomes Zeyd Ebrahim Muhammad Shazam Hussain Source Type: research

Combination of Dexmedetomidine and Ketamine for Magnetic Resonance Imaging Sedation
Conclusions: The efficacy of DEX–KET sedation was comparable to that of midazolam for MRI examination. DEX–KET was related to shorter scan time and lower occurrence of complications compared to midazolam. Introduction Neurocritically ill patients often require brain magnetic resonance imaging (MRI) in addition to conventional neurological evaluations. Brain MRI can reveal structural lesions with a high sensitivity due to its excellent spatial resolution and enhanced soft tissue contrast (1–3). To acquire MRI images, patients' cooperation is imperative. However, keeping patients with ...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Acute Beneficial Effects of Muscular Counterpulsation in Patients with Coronary Heart Diseases
In conclusion, a one-shot application of MCP prior to anesthesia was associated with an improvement in cardiac pump function and myocardial contractility. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: International Journal of Angiology - November 27, 2016 Category: Cardiology Authors: Lapanashvili, Larry V. Alshibaya, Michael D. Veselova, Julia Bockeria, Leo A. Tags: Original Article Source Type: research

Angioedema in the neurointerventional suite
A 68-year-old woman with acute ischemic stroke presented for mechanical thrombectomy, after failed thrombolysis with intravenous recombinant tissue plasminogen activator. The procedure was completed successfully with dexmedetomidine infusion. However, she developed acute angioedema toward the end of the procedure requiring emergent fiberoptic-guided endotracheal intubation. Angioedema has been reported to occur after administering intravenous recombinant tissue plasminogen activator with an incidence of 1.3%-5.1% in patients with acute stroke.
Source: Journal of Clinical Anesthesia - November 27, 2014 Category: Anesthesiology Authors: Abraham Sonny, Rafi Avitsian, M. Shazam Hussain, Hesham Elsharkawy Tags: Case report Source Type: research

Timing of Tracheostomy in Patients with Intracerebral Haemorrhage: A Propensity-Matched Analysis
CONCLUSION: We recommend ET for high-risk patients with ICH. Although ET cannot reduce in-hospital mortality or improve patient prognosis, it may help reduce hospital costs and ICU LOS as well as the use of antibiotics, sedatives and muscle relaxants.PMID:36125838 | DOI:10.2174/1567202619666220920122935
Source: Current Neurovascular Research - September 20, 2022 Category: Neurology Authors: Bo Luo Hua-Xuan Chen Xu-Dong Song Lin Wang Xue-Yun Deng Xiao-Ping Tang Source Type: research

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