Advances in the Critical Care Management of Ischemic Stroke
Given recent advances in diagnostic modalities and revascularization capabilities, clinicians are not only able to rapidly and accurately identify acute ischemic stroke, but may also be able to aggressively intervene to minimize the extent of infarction. In those cases where revascularization cannot...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2013/510481 |
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| _version_ | 1832547298870034432 |
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| author | Vineeta Singh Nancy J. Edwards |
| author_facet | Vineeta Singh Nancy J. Edwards |
| author_sort | Vineeta Singh |
| collection | DOAJ |
| description | Given recent advances in diagnostic modalities and revascularization capabilities, clinicians are not only able to rapidly and accurately identify acute ischemic stroke, but may also be able to aggressively intervene to minimize the extent of infarction. In those cases where revascularization cannot occur and/or the extent of infarction is large, there are multiple strategies to prevent secondary decompensation as the stroke evolves, for instance, if malignant cerebral edema should develop. In this paper, we will review the indications for specialized ICU care for an ischemic stroke patient, the treatment principles, and strategies employed by neurointensivists to minimize secondary neuronal injury, the literature in support of such strategies (and the questions to be addressed by future studies), all with the ultimate goal of increasing the likelihood of favorable neurologic outcomes in our ischemic stroke population. |
| format | Article |
| id | doaj-art-89d2f49006fb486da7e94b1163a0c535 |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-89d2f49006fb486da7e94b1163a0c5352025-02-03T06:45:18ZengWileyStroke Research and Treatment2090-81052042-00562013-01-01201310.1155/2013/510481510481Advances in the Critical Care Management of Ischemic StrokeVineeta Singh0Nancy J. Edwards1Department of Neurology, University of California-San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USADepartment of Neurology, University of California-San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USAGiven recent advances in diagnostic modalities and revascularization capabilities, clinicians are not only able to rapidly and accurately identify acute ischemic stroke, but may also be able to aggressively intervene to minimize the extent of infarction. In those cases where revascularization cannot occur and/or the extent of infarction is large, there are multiple strategies to prevent secondary decompensation as the stroke evolves, for instance, if malignant cerebral edema should develop. In this paper, we will review the indications for specialized ICU care for an ischemic stroke patient, the treatment principles, and strategies employed by neurointensivists to minimize secondary neuronal injury, the literature in support of such strategies (and the questions to be addressed by future studies), all with the ultimate goal of increasing the likelihood of favorable neurologic outcomes in our ischemic stroke population.http://dx.doi.org/10.1155/2013/510481 |
| spellingShingle | Vineeta Singh Nancy J. Edwards Advances in the Critical Care Management of Ischemic Stroke Stroke Research and Treatment |
| title | Advances in the Critical Care Management of Ischemic Stroke |
| title_full | Advances in the Critical Care Management of Ischemic Stroke |
| title_fullStr | Advances in the Critical Care Management of Ischemic Stroke |
| title_full_unstemmed | Advances in the Critical Care Management of Ischemic Stroke |
| title_short | Advances in the Critical Care Management of Ischemic Stroke |
| title_sort | advances in the critical care management of ischemic stroke |
| url | http://dx.doi.org/10.1155/2013/510481 |
| work_keys_str_mv | AT vineetasingh advancesinthecriticalcaremanagementofischemicstroke AT nancyjedwards advancesinthecriticalcaremanagementofischemicstroke |