Physiologic monitoring and anesthesia considerations in acute ischemic stroke.
Acute ischemic stroke is considered a neurologic emergency. The perioperative anesthesia management of acute ischemic stroke is challenging owing to the dynamic pathophysiology of the disease itself and the patients' comorbid factors and conditions. Herein, the authors review preoperative assessment, intraoperative and postoperative physiologic monitoring, and anesthesia management, with a focus on the control of the cerebrovascular and cardiovascular circulations. Issues specific to anesthesia monitoring and management in the radiology suite are emphasized.
Lee
Chanhung Z
CZ
Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California 94110, USA.
Litt
Lawrence
L
Hashimoto
Tomoki
T
Young
William L
WL
D000208:Acute Disease; D000758:Anesthesia; D002545:Brain Ischemia / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*; D005746:Gastric Emptying / Q000502:physiology; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D008991:Monitoring, Physiologic; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D020521:Stroke / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*