RT  - Signa Vitae
ID  - 10.22514/sv.2021.031
T1  - Anesthetics management strategy for endovascular treatment of acute ischemic stroke. A proposal for anesthetic approach
A1  - Emanuele Russo
A1  - Daniele Bellantonio
A1  - Marco Benni
A1  - Emiliano Gamberini
A1  - Alessandro Circelli
A1  - Lorenzo Viola
A1  - Alessio Cittadini
A1  - Luca Bissoni
A1  - Dell’Amore Cristian
A1  - Martino Costanza
A1  - Giuliano Bolondi
A1  - Domenico Pietro Santonastaso
A1  - Marco Longoni
A1  - Maria Ruggiero
A1  - Vanni Agnoletti on the behalf of the Medical Emergency Team of Ospedale Bufalini
Cesena
K1  - Acute ischemic stroke; Anesthesia; Blood pressure; Endovascular trombectomy; Sedation; Neurocritical care
YR  - 2021
SP  - 234
AB  - <p>Acute ischemic stroke is one of the leading causes of death and long-term disability for adults.</p><p>Endovascular therapy is the standard of care for severe acute ischemic stroke, caused by large-vessel occlusion in the anterior circulation; however, the optimal anaesthetic management during the procedure is still a matter of debate. The best anesthetic treatment should mainly be related to patients’ clinical conditions and the site of arterial occlusion. With this article, we share our experience based on the use of ketamine as the choosen hypnotic drug for general anesthesia, in order to avoid a sudden drop in blood pressure. The core of our proposal approach is the general anesthesia management by the medical emergency team with skills on both time-dependent diseases and neurocritical care.</p><p><br></p>