Journal of Clinical Anesthesia
Volume 21, Issue 8 , Pages 602-605 , December 2009

Perioperative management of acute ischemic stroke: a case report

  • Hla Phon, MD (Chief Resident, Anesthesiology)
  • ,
  • Jeremy Jaffe, MD (Affiliated Faculty, Anesthesiology)
  • ,
  • Jay Horrow, MD, MS (Professor of Anesthesiology)

      Affiliations

    • Corresponding Author InformationCorresponding author.

Received 19 November 2007 ,Revised 3 January 2009 ,Accepted 5 January 2009.

References 

  1. Plum F, Posner JB. In: The diagnosis of stupor and coma. Philadelphia: Davis; 1966;p. 92–93
  2. Leon-Carrion J, Van Eeckhout P, Dominguez-Morales MR, Perez-Santamaria FJ. The locked-in syndrome: a syndrome looking for a therapy. Brain Inj. 2002;16:571–582
  3. Adams H, Adams R, Del Zoppo G, Goldsten LB. Guidelines for the early management of patients with ischemic stroke. 2005 guidelines update. Stroke. 2005;36:916–921
  4. Hoffman WE, Charbel FT, Gonzalez-Portillo G, et al. Measurement of ischemia by changes in tissue oxygen, carbon dioxide, and pH. Surg Neurol. 1999;51:654–658
  5. Cross DT, Moran CJ, Akins PT, et al. Collateral circulation and outcome after basilar artery thrombolysis. AJNR Am J Neuroradiol. 1998;19:1557–1563
  6. Lee CZ, Litt L, Hashimoto T, Young WL. Physiologic monitoring and anesthesia considerations in acute ischemic stroke. J Vasc Interv Radiol. 2004;15(1 Pt 2):S13–S19
  7. Hart RG, Benavente O, McBride R, Pearce LA. Antithrombotic therapy to prevent stroke in patients with atrial fibrillation. A meta-analysis. Ann Intern Med. 1999;131:492–501
  8. Dunn AS, Turpie AG. Perioperative management of patients receiving oral anticoagulants. A systematic review. Arch Intern Med. 2003;163:901–908
  9. Savitz SI, Caplan LR. Vertebrobasilar disease. N Engl J Med. 2005;352:2618–2626
  10. Janjua N, Wartenberg KE, Meyers PM, Mayer SA. Reversal of locked-in syndrome with anticoagulation, induced hypertension, and intravenous t-PA. Neurocrit Care. 2005;2:296–299
  11. Wijdicks EF, Scott JP. Outcome in patients with acute basilar artery occlusion requiring mechanical ventilation. Stroke. 1996;27:1301–1303
  12. Schaller BJ, Graf R, Jacobs AH. Pathophysiological changes of the gastrointestinal tract in ischemic stroke.. Am J Gastroenterol. 2006;101:1655–1665
  13. Levy DE, Brott TG, Haley EC, et al. Factors related to intracranial hematoma formation in patients receiving tissue-type plasminogen activator for acute ischemic stroke. Stroke. 1994;25:291–297
  14. Oliveria-Filho J, Sailva SC, Trabuco CC, Pedreira BB, Sousa EU, Bacellar A. Detrimental effect of blood pressure reduction in the first 24 hours of acute stroke onset. Neurology. 2003;61:1047–1051
  15. Castillo J, Leira R, Barcia MM, Serena J, Blanco M, Davalos A. Blood pressure decrease during the acute phase of ischemic stroke is associated with brain injury and poor stroke outcome. Stroke. 2004;35:520–526
  16. Schell RM, Cole DJ. Cerebral protection and neuroanesthesia. Anesth Clin North America. 1992;10:453–469
  17. Patel PM, Drummond JC. Cerebral physiology and the effects of anesthetics and techniques. In:  Miller RD editors. Anesthesia. 6th ed.. New York: Churchill Livingstone; 2000;p. 813–857
  18. Azzimondi G, Bassein L, Nonino F, et al. Fever in acute stroke worsens prognosis: a prospective study. Stroke. 1995;26:2040–2043
  19. Clifton GL, Miller ER, Choi SC, et al. Lack of effect of induction of hypothermia after acute brain injury. N Engl J Med. 2001;344:556–563
  20. Ezekowitz MD, Bridgers SL, James KE, et al. Warfarin in the prevention of stroke associated with nonrheumatic atrial fibrillation. Veterans Affairs Stroke Prevention in Nonrheumatic Atrial Fibrillation Investigators. N Engl J Med. 1992;327:1406–1412
  21. Petersen P, Boysen G, Godtfredsen J, Andersen ED, Andersen B. Placebo-controlled, randomised trial of warfarin and aspirin for prevention of thromboembolic complications in chronic atrial fibrillation. The Copenhagen AFASAK study.. Lancet. 1989;1(8631):175–179
  22. European Heart Rhythm Association; Heart Rhythm Society , Fuster V, Rydén LE, Cannom DS, et al. ACC/AHA/ESC 2006 Guidelines for the management of patients with atrial fibrillation--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation). J Am Coll Cardiol. 2006;48:854–906
  23. Connolly SJ, Ezekowitz MD, Yusuf S, et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med. 2009;351:1139–1151

PII: S0952-8180(09)00271-2

doi: 10.1016/j.jclinane.2009.01.010

Journal of Clinical Anesthesia
Volume 21, Issue 8 , Pages 602-605 , December 2009