Approach to Risk Management of Perioperative Stroke

Chiao, Sunny S; Zuo, Zhiyi

doi:10.24015/japm.2015.0036

Cited by 4 publications

(20 citation statements)

References 45 publications

(67 reference statements)

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“…These risk factors can be assorted into modifiable factors, namely, antithrombotic drugs, beta blockers, hypotension, and hypercoagulability, and nonmodifiable factors being age, previous stroke, and renal failure. [ 14 ]…”

Section: Prediction By Risk Factors Of Perioperative Strokementioning

confidence: 99%

“…In patients for cardiac or noncardiac surgery, new onset perioperative AF has long-term risk of subsequent stroke and is a comorbid diagnosis. [ 7 14 ]…”

Section: Prediction By Risk Factors Of Perioperative Strokementioning

confidence: 99%

“…Acute renal failure forms an independent risk factor for PS in noncardiac nonneurosurgical patients. [ 14 ]…”

Section: Prediction By Risk Factors Of Perioperative Strokementioning

confidence: 99%

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Perioperative stroke – Prediction, Prevention, and Protection

Nagre¹

2018

Indian J Anaesth

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Stroke culminates into 6.2 million deaths annually and is thereby a leading cause of disability and death worldwide. In patients undergoing noncardiac, nonneurological surgery, perioperative stroke can eventuate into a catastropic aftermath with almost eight-fold rise in mortality. In cardiac, neurological, and carotid surgery, stroke rate accounts to be high (2.2%–5.2%) and is a significant instigator of morbidity and mortality as well. These facts kindle interest to review the predictive parameters, preventive measures, and all the possibilities in the management and protection against perioperative stroke.

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Section: Prediction By Risk Factors Of Perioperative Strokementioning

confidence: 99%

“…In patients for cardiac or noncardiac surgery, new onset perioperative AF has long-term risk of subsequent stroke and is a comorbid diagnosis. [ 7 14 ]…”

Section: Prediction By Risk Factors Of Perioperative Strokementioning

confidence: 99%

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Perioperative stroke – Prediction, Prevention, and Protection

Nagre¹

2018

Indian J Anaesth

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“…4,19,[22][23][24] Reported incidences of perioperative stroke are the highest with cardiac (4.6-27.6%) and carotid surgeries (5.6%). [25][26][27] Hip arthroplasty and head and neck surgeries have higher incidence of stroke than knee or general surgeries. 16,17,28,29 Exposure to anesthesia and surgery has been found to be an independent risk factor for producing stroke even after non-high-risk surgeries.…”

Section: Perioperative Concernsmentioning

confidence: 99%

“…Cardiac surgery is associated with higher risk of cerebral complications-perioperative stroke, delayed recovery, and delayed extubation. 25,27 Optimal cardiopulmonary performance and hemoglobin concentration should be maintained. Intraoperative neuromonitoring such as cerebral electrophysiological monitoring, cerebral oximetry, and TCD, helps to monitor cerebral function, oxygenation, and flow through major vessels, but its utility and efficacy for tailoring the anesthetic management are yet to be ascertained.…”

Section: Cardiac Surgerymentioning

confidence: 99%

Anesthesia for Patients with Prior Stroke

Karnik

Jain

2018

Journal of Neuroanaesthesiology and Critical Care

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An increasing number of patients with a prior history of stroke present for various types of surgeries. They have varying degree of neurological disability and associated co-morbidities, which pose challenges for their perioperative management. There is paucity in literature about their management guidelines for noncardiac, noncarotid surgeries. The available literature suggests higher risk of perioperative stroke, postoperative neurological deficits, and other morbidities. Measures to reduce perioperative risks are discussed in this review. Prior optimization by improving modifiable risk factors, choosing appropriate timing of elective surgery, and careful titration of anesthesia and close monitoring are needed.

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Manajemen Anestesi Stroke Perioperatif

Permatasari¹,

Bisri

Saleh

et al. 2018

JNI

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Stroke perioperatif merupakan suatu kejadian katastropik yang meningkatkan mortalitas dan morbiditas, terutama pada usia di atas 65 tahun. Stroke perioperatif merupakan suatu momok (kejadian yang tidak diharapkan) bagi keluarga dan rekan sejawat yang merawat. Stroke perioperatif dapat bersifat iskemik atau hemoragik yang terjadi selama masa intraoperatif hingga 30 hari pascaoperasi. Faktor risiko terjadinya stroke perioperatif diantaranya adalah: usia lanjut, riwayat stroke dan Transient Ischemic Attack (TIA) sebelumnya, atrial fibrilasi, kelainan pembuluh darah dan metabolik. Umumnya stroke perioperatif tidak terjadi selama masa pembedahan atau saat pulih sadar, tetapi terjadi dalam 24 jam pertama pascabedah. Penanganan stroke perioperatif membutuhkan manajemen yang menyeluruh dan suatu kerjasama tim yang baik. Walaupun kejadiannya tidak banyak namun membutuhkan penanganan tepat karena tingkat morbiditas dan mortalitas yang tinggi serta mengakibatkan lama perawatan memanjang. Identifikasi awal pasien dan manajemen terpadu lintas keilmuan harus dilakukan untuk mencegah luaran yang buruk setelah terjadinya stroke perioperatif.

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Approach to Risk Management of Perioperative Stroke

Cited by 4 publications

References 45 publications

Perioperative stroke – Prediction, Prevention, and Protection

Perioperative stroke – Prediction, Prevention, and Protection

Anesthesia for Patients with Prior Stroke

Manajemen Anestesi Stroke Perioperatif

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