Anaesthesia for stroke thrombectomy

Technical considerations based on outcome evidence

Seth Nelson, Huong Nguyen, David L McDonagh

Research output: Contribution to journalReview article

Abstract

Purpose of reviewStroke 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 findingsStroke 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 thrombectomy.SummaryAn individualized approach to the patient's anaesthetic management is optimal, and depends on close communication with the neurointerventionalist regarding patient and procedure-specific variables. No specific anaesthetic agent is preferred. Guiding principles are minimization of time delay, and maintenance of cerebral perfusion pressure.

Original languageEnglish (US)
Pages (from-to)585-591
Number of pages7
JournalCurrent Opinion in Anaesthesiology
Volume32
Issue number5
DOIs
StatePublished - Oct 1 2019

Fingerprint

Thrombectomy
Anesthesia
Stroke
Anesthetics
Cerebrovascular Circulation
Conscious Sedation
Perfusion Imaging
Therapeutics
General Anesthesia
Cause of Death
Communication
Tomography
Maintenance
Guidelines
Costs and Cost Analysis

Keywords

  • anaesthesia
  • stroke
  • thrombectomy

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Anaesthesia for stroke thrombectomy : Technical considerations based on outcome evidence. / Nelson, Seth; Nguyen, Huong; McDonagh, David L.

In: Current Opinion in Anaesthesiology, Vol. 32, No. 5, 01.10.2019, p. 585-591.

Research output: Contribution to journalReview article

@article{f975f043e0ba47eca7fb30080381ff1b,
title = "Anaesthesia for stroke thrombectomy: Technical considerations based on outcome evidence",
abstract = "Purpose of reviewStroke 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 findingsStroke 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 thrombectomy.SummaryAn individualized approach to the patient's anaesthetic management is optimal, and depends on close communication with the neurointerventionalist regarding patient and procedure-specific variables. No specific anaesthetic agent is preferred. Guiding principles are minimization of time delay, and maintenance of cerebral perfusion pressure.",
keywords = "anaesthesia, stroke, thrombectomy",
author = "Seth Nelson and Huong Nguyen and McDonagh, {David L}",
year = "2019",
month = "10",
day = "1",
doi = "10.1097/ACO.0000000000000752",
language = "English (US)",
volume = "32",
pages = "585--591",
journal = "Current Opinion in Anaesthesiology",
issn = "0952-7907",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Anaesthesia for stroke thrombectomy

T2 - Technical considerations based on outcome evidence

AU - Nelson, Seth

AU - Nguyen, Huong

AU - McDonagh, David L

PY - 2019/10/1

Y1 - 2019/10/1

N2 - Purpose of reviewStroke 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 findingsStroke 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 thrombectomy.SummaryAn individualized approach to the patient's anaesthetic management is optimal, and depends on close communication with the neurointerventionalist regarding patient and procedure-specific variables. No specific anaesthetic agent is preferred. Guiding principles are minimization of time delay, and maintenance of cerebral perfusion pressure.

AB - Purpose of reviewStroke 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 findingsStroke 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 thrombectomy.SummaryAn individualized approach to the patient's anaesthetic management is optimal, and depends on close communication with the neurointerventionalist regarding patient and procedure-specific variables. No specific anaesthetic agent is preferred. Guiding principles are minimization of time delay, and maintenance of cerebral perfusion pressure.

KW - anaesthesia

KW - stroke

KW - thrombectomy

UR - http://www.scopus.com/inward/record.url?scp=85071437545&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071437545&partnerID=8YFLogxK

U2 - 10.1097/ACO.0000000000000752

DO - 10.1097/ACO.0000000000000752

M3 - Review article

VL - 32

SP - 585

EP - 591

JO - Current Opinion in Anaesthesiology

JF - Current Opinion in Anaesthesiology

SN - 0952-7907

IS - 5

ER -