From preoperative evaluation to stroke center: Management of postoperative acute ischemic stroke - 02/06/16
Cet article a été publié dans un numéro de la revue, cliquez ici pour y accéder
Abstract |
Perioperative acute ischaemic stroke is a rare complication with potentially catastrophic outcomes. It has been shown that paying attention to perioperative neurological deficits and acute ischaemic stroke prevention proves to be beneficial in avoiding these catastrophic outcomes and may lead to determining early therapeutic interventions. This article reviews the perioperative management (covering diagnosis and treatment), prevention (covering surgery postponement, management with anticoagulant/antiplatelet and the growing interest in statins and beta-blockers) and intraoperative recommendations (covering anaesthetic techniques, ventilation strategies, transfusion and blood pressure management) specifically for the general surgical population. A summary of current treatments is enlightened by recently described evidence for the effectiveness of mechanical thrombectomy.
Le texte complet de cet article est disponible en PDF.Keywords : Stroke, Neurologic complication, Non-cardiac surgery, Mechanical thrombectomy
Abbreviations : aPTT, ACE i, AF, AIS, BMI, CPAP, CS, CT-scan, ECG, GA, GCS, HBP, INR, LMWH, LVH, MAP, MRA, MRI, NIBP, NIDDM, NIRS, NPV, PPV, PT, rtPA, TOF
Plan
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?