Perioperative Stroke

Author:

Lakshmanan Raja V.,Rajala Baskar,Moore Laurel E.

Publisher

Springer Science and Business Media LLC

Subject

Anesthesiology and Pain Medicine

Reference122 articles.

1. Sacco RL, Kasner SE, Broderick JP, et al. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44:2064–89.

2. Saltman AP, Solver FL, Fang J, Stamplecoski M, Kapral MK. Care and outcomes of patients with in-hospital stroke. JAMA Neurol. 2015;72:749–55.

3. Mashour GA, Shanks AM, Kheterpal S. Perioperative stroke and associated mortality after noncardiac, nonneurologic surgery. Anesthesiology. 2011;114:1289–96.

4. •• Mashour GA, Moore LE, Lele AV, Robicsek SA, Gelb AW. Perioperative care of patients at high risk for stroke during or after non-cardiac, non-neurologic surgery: consensus statement from the Society for Neuroscience in Anesthesiology and Critical Care. J Neurosurg Anesthesiol. 2014;26:273–85. Evidence-based recommendations and opinions regarding the preoperative, intraoperative and postoperative care of patients at high risk of perioperative stroke.

5. •• Sharifpour M, Moore LE, Shanks AM, Didier TJ, Kheterpal S, Mashour GA. Incidence, predictors and outcomes of perioperative stroke in noncarotid major vascular surgery. Anesth Analg. 2013;116:424–34. Large database analysis that identified risk factors associated with perioperative stroke. Demonstrated that none were readily modifiable—advancing age, cardiac history, female sex, history of cerebrovascular disease, acute renal failure or dialysis dependence. Perioperative stroke incidence in this population was 0.6% and associated with 3-fold increase in 30 day all-cause mortality and increased length of stay. Also identifed that majority of strokes occur after postoperative day 1.

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