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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671542/ https://www.ncbi.nlm.nih.gov/pubmed/23766928 http://dx.doi.org/10.1155/2013/510481 |
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author | Singh, Vineeta Edwards, Nancy J. |
author_facet | Singh, Vineeta Edwards, Nancy J. |
author_sort | Singh, Vineeta |
collection | PubMed |
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 | Online Article Text |
id | pubmed-3671542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-36715422013-06-13 Advances in the Critical Care Management of Ischemic Stroke Singh, Vineeta Edwards, Nancy J. Stroke Res Treat Review Article 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. Hindawi Publishing Corporation 2013 2013-05-16 /pmc/articles/PMC3671542/ /pubmed/23766928 http://dx.doi.org/10.1155/2013/510481 Text en Copyright © 2013 V. Singh and N. J. Edwards. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Singh, Vineeta Edwards, Nancy J. Advances in the Critical Care Management of Ischemic Stroke |
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 |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671542/ https://www.ncbi.nlm.nih.gov/pubmed/23766928 http://dx.doi.org/10.1155/2013/510481 |
work_keys_str_mv | AT singhvineeta advancesinthecriticalcaremanagementofischemicstroke AT edwardsnancyj advancesinthecriticalcaremanagementofischemicstroke |