Ischemic Stroke Mechanisms, Prevention, and Treatment: The Anesthesiologist’s Perspective

McCrary, Myles R.; Wang, Song; Wei, Ling

doi:10.24015/japm.2017.0022

Cited by 1 publication

(2 citation statements)

References 85 publications

(186 reference statements)

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“…Common risk factors for the acute ischemic stroke and their preventive measures are listed in ►Table 1. [6][7][8] Disabilities following acute stroke include hemiplegia, hemiparesis, focal motor deficits, autonomic, sensory and speech disturbances, comprehension, memory and emotional problems, nutritional derangements, etc. Immediately after an acute ischemic stroke, cerebral autoregulation is impaired often bilaterally for 1 to 3 months, and cerebral perfusion is affected by even minor changes in blood pressure or alteration in position.…”

Section: Pathophysiology Management and Recovery Of Acute Ischemic mentioning

confidence: 99%

“…14,15 Main factors that affect the level of recovery are severity of stroke, time elapsed after stroke, care given in acute phase, motivation, environment, and post-stroke rehabilitative training. A recurrent stroke in these patients is associated with poor outcome, and measures for secondary prevention should be employed [5][6][7]16,17 (►Table1).…”

Section: Pathophysiology Management and Recovery Of Acute Ischemic mentioning

confidence: 99%

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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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Section: Pathophysiology Management and Recovery Of Acute Ischemic mentioning

confidence: 99%