Critical care management of acute ischemic stroke.

Abstract:

PURPOSE OF REVIEW:To review and examine the efficacy of recently described medical and surgical interventions after acute ischaemic stroke using data from well conducted, clinical trials and systematic reviews. This review will consider recently published or updated articles. RECENT FINDINGS:As therapeutic options evolve, including thrombolysis and anti-platelet therapy, prevention of secondary insults, becomes increasingly important during periods of acute cerebral ischaemia in order to prevent worsening of the neurological injury. As in other acute medical conditions, urgent management of patients with acute ischaemic stroke should begin with the assessment and treatment of the airway, breathing, circulation, temperature, and blood glucose control. SUMMARY:It is estimated that there will be 8.5 million patients with acute ischaemic stroke in the European Union and the USA over the next decade, and of these, about one and a half million will die within six months of stroke onset. Of those who survive, about one third will depend on other people for help with their activities of daily living. Future treatment strategies are likely to involve agents that re-canalise vessels and minimise further neuronal damage.

journal_name

Curr Opin Crit Care

authors

Andrews PJ

doi

10.1097/00075198-200404000-00006

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

110-5

issue

2

eissn

1070-5295

issn

1531-7072

pii

00075198-200404000-00006

journal_volume

10

pub_type

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