[Acute therapy of stroke. With these basic measures prognosis can be improved].
Up until a few years ago, the acute management of stroke generated a massive sense of nihilism. Since then, things have changed drastically. In the first place, systemic thrombolysis for infarctions in the anterior cerebral circulation is now approved in Germany--although a number of questions still remain unanswered. In the second place, the consequences of a stroke can be effectively mitigated by the rapid application of apparently commonplace "basic measures". These include the maintenance of a "high/normal" blood pressure, control of respiratory function with aspiration prophylaxis, securement of normal glycemia, optimization of cardiac output and microcirculation, lowering of elevated temperatures, and relief of increased intracerebral pressure, if necessary via a craniotomy. As required by the stroke unit concept--which is now widely established--rapid referral of the patient, and interdisciplinary management by an experienced team is of decisive importance for the prognosis.
Widder
B
B
Klinik für Neurologie und Neurologische Rehabilitation, Bezirkskrankenhaus Günzburg.
D000208:Acute Disease; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003422:Critical Care; D003955:Diagnostic Tests, Routine; D006801:Humans; D007362:Intensive Care Units; D010348:Patient Care Team; D011379:Prognosis