Restoration of cerebral circulation in the ischemic area is the most critical treatment task for reducing irreversible neuronal injury in ischemic stroke patients. The recanalización of appropriately selected patients became indispensable for improving clinical outcomes and resulted in the widespread revascularization techniques. There is no clear answer as to which anesthetic modality to use in ischemic stroke patients undergoing neuro-endovascular procedures. The purpose of this systematic review is to conduct a qualitative analysis of systematic reviews and meta-analyses (RSs & MAs) comparing general anesthesia and non-general anesthesia methods for cerebral endovascular interventions in acute ischemic stroke patients. We developed a protocol with the inclusion and exclusion criteria for matched publications and conducted a literature search in PubMed and Google Scholar. The literature search yielded 52 potential publications. Ten relevant RSs & MAs were included and analysed in this review. The decision about which anesthesia method to use for endovascular procedures in managing acute ischemic stroke patients should be made based on the patient's personal characteristics, pathophysiological phenotypes, clinical characteristics, and institutional experience.

Viderman, D., Bilotta, F., Badenes, R., Abdildin, Y. (2023). Anesthetic management of endovascular neurosurgical procedures in acute ischemic stroke patients: A systematic review of meta-analyses. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 70(10), 580-592 [10.1016/j.redare.2023.02.007].

Anesthetic management of endovascular neurosurgical procedures in acute ischemic stroke patients: A systematic review of meta-analyses

Bilotta, F;
2023-01-01

Abstract

Restoration of cerebral circulation in the ischemic area is the most critical treatment task for reducing irreversible neuronal injury in ischemic stroke patients. The recanalización of appropriately selected patients became indispensable for improving clinical outcomes and resulted in the widespread revascularization techniques. There is no clear answer as to which anesthetic modality to use in ischemic stroke patients undergoing neuro-endovascular procedures. The purpose of this systematic review is to conduct a qualitative analysis of systematic reviews and meta-analyses (RSs & MAs) comparing general anesthesia and non-general anesthesia methods for cerebral endovascular interventions in acute ischemic stroke patients. We developed a protocol with the inclusion and exclusion criteria for matched publications and conducted a literature search in PubMed and Google Scholar. The literature search yielded 52 potential publications. Ten relevant RSs & MAs were included and analysed in this review. The decision about which anesthesia method to use for endovascular procedures in managing acute ischemic stroke patients should be made based on the patient's personal characteristics, pathophysiological phenotypes, clinical characteristics, and institutional experience.
2023
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MEDS-23/A - Anestesiologia
English
Anesthetic management; Endovascular therapy; General anesthesia; Intra-Arterial therapy;
Ischemic stroke; Sedation; Accidente cerebrovascular isquémico; Anestesia general;
Anestesia general; Anestesia general; anestésico; Sedación; Terapia endovascular;
Terapia intraarterial
Viderman, D., Bilotta, F., Badenes, R., Abdildin, Y. (2023). Anesthetic management of endovascular neurosurgical procedures in acute ischemic stroke patients: A systematic review of meta-analyses. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 70(10), 580-592 [10.1016/j.redare.2023.02.007].
Viderman, D; Bilotta, F; Badenes, R; Abdildin, Y
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/452366
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