Evidence map›Paper›PMID 39410517›Full record

ReviewDiagnostics (Basel, Switzerland)2024

Anesthetic Management of Acute Ischemic Stroke Undergoing Mechanical Thrombectomy: An Overview.

Alessandro De Cassai, Nicolò Sella, Tommaso Pettenuzzo, Annalisa Boscolo, Veronica Busetto, Burhan Dost, Serkan Tulgar, Giacomo Cester, Nicola Scotti, Alessandro di Paola and 2 more

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Alessandro De CassaiSant'Antonio Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy.ORCID 0000-0002-9773-1832
Nicolò SellaUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy.ORCID 0000-0001-9338-4995
Tommaso PettenuzzoUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy.
Annalisa BoscoloUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy.
Veronica BusettoCardiac Surgery Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy.
Burhan DostDepartment of Anesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun 55220, Türkiye.
Serkan TulgarDepartment of Anesthesiology and Reanimation, Samsun Training and Research Hospital, Samsun University Faculty of Medicine, Samsun 55280, Türkiye.ORCID 0000-0003-1996-7505
Giacomo CesterDepartment of Neruoradiology, University Hospital of Padua, 35128 Padua, Italy.
Nicola ScottiDepartment of Neruoradiology, University Hospital of Padua, 35128 Padua, Italy.
Alessandro di PaolaDepartment of Neruoradiology, University Hospital of Padua, 35128 Padua, Italy.ORCID 0000-0002-7957-3092
Paolo NavalesiUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy.ORCID 0000-0002-3733-3453
Marina MunariSant'Antonio Anesthesia and Intensive Care Unit, University Hospital of Padua, 35128 Padua, Italy.ORCID 0009-0008-2865-2429

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic stroke, caused by the interruption of the blood supply to the brain, requires prompt medical intervention to prevent irreversible damage. Anesthetic management is pivotal during surgical treatments like mechanical thrombectomy, where precise strategies ensure patient safety and procedural success. This narrative review highlights key aspects of anesthetic management in ischemic stroke, focusing on preoperative evaluation, anesthetic choices, and intraoperative care. A rapid yet thorough preoperative assessment is crucial, prioritizing essential diagnostic tests and cardiovascular evaluations to determine patient frailty and potential complications. The decision between general anesthesia (GA) and conscious sedation (CS) remains debated, with GA offering better procedural conditions and CS enabling continuous neurological assessment. The selection of anesthetic agents-such as propofol, sevoflurane, midazolam, fentanyl, remifentanil, and dexmedetomidine-depends on local protocols and expertise balancing neuroprotection, hemodynamic stability, and rapid postoperative recovery. Effective blood pressure management, tailored airway strategies, and vigilant postoperative monitoring are essential to optimize outcomes. This review underscores the importance of coordinated care, incorporating multimodal monitoring and maintaining neuroprotection throughout the perioperative period.

Indexed as

acute strokeairway managementanesthesiahemodynamichospital rapid response team

Identifiers

PMID39410517
PMCPMC11475121

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.