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3.4.3 - Acute Cerebrovascular Accident and Its Complications

from Section 3.4 - Neurological Impairment and Injury

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Best outcomes for stroke patients are achieved in well-organised stroke systems which involve pre-hospital care, emergency departments, a stroke service, diagnostic and interventional radiology, critical care, anaesthesia and neurosurgery.

  2. 2. Success of interventions aimed at reducing morbidity and mortality is time-dependent.

  3. 3. Patients may need close monitoring and prompt intervention, particularly for blood pressure control and for neurological deterioration.

  4. 4. Some patients need neurosurgical intervention and may need critical care post-operatively.

  5. 5. Uncertainty remains about patient and treatment selection for intervention, and this is an area of intensive ongoing research.

Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
, pp. 185 - 187
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Gross, H, Grose, N. Emergency neurological life support: acute ischaemic stroke. Neurocrit Care 2017;27(Suppl 1):S102–15.CrossRefGoogle Scholar
National Institute for Health and Care Excellence. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management. London: National Institute for Health and Care Excellence; 2008.Google Scholar
Powers, WJ, Rabinstein, AA, Ackerson, T, et al. 2018 guidelines for the early management of patients with acute stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2018;49:e46110.CrossRefGoogle ScholarPubMed
Steiner, T, Al-Shahi Salman, R, Beer, R, et al. European Stroke Organisation (ESO) guidelines for the management of spontaneous intracerebral hemorrhage. Int J Stroke 2014;9:840–55.Google ScholarPubMed

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