• Anesthesiology clinics · Jun 2012

    Review

    Anesthetic management of patients with acute stroke.

    • Alana M Flexman, Anne L Donovan, and Adrian W Gelb.
    • Department of Anesthesiology, Pharmacology and Therapeutics, Vancouver General Hospital, University of British Columbia,910 West 10th Avenue, Vancouver, British Columbia, Canada. alana.flexman@vch.ca
    • Anesthesiol Clin. 2012 Jun 1;30(2):175-90.

    AbstractStroke is a major cause of death and disability. Anesthesiologists are likely to encounter patients with stroke and must be aware of the anesthetic considerations for these patients. Intravenous thrombolysis and intra-arterial thrombolysis are effective treatments for acuteischemic stroke as well as evolving endovascular techniques such as mechanical clot retrieval. Recent retrospective studies have found an association between general anesthesia and poor clinical outcome. The results of these studies have several limitations, and current evidence is inadequate to guide the choice of anesthesia in patients with acute stroke. The choice of anesthesia must be based on individual patient factors until further research is completed.Copyright © 2012 Elsevier Inc. All rights reserved.

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