AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
Wallenberg syndrome powerpoint pica syndrome12/25/2023 ![]() Contralateral leg weakness and sensory loss.Dividing up the tasks with ongoing close communication may allow for rapid and comprehensive patient management. Meanwhile, the ICU team may simultaneously focus on supportive care (e.g., airway assessment, blood pressure control, hemodynamic optimization, vascular access, electrolyte and glucose management). The stroke neurology team will typically focus on issues surrounding neuroimaging, thrombolysis, and endovascular therapy. Some aspects (e.g., when to pursue thrombolysis and/or endovascular therapy) are omitted since they are beyond the scope of practice of most intensivists. ![]() The goal of this chapter is to provide a foundation for understanding stroke care, with an emphasis on supportive therapies. Likewise, major treatment decisions regarding thrombolysis and endovascular therapy have generally already been made (or will be determined by neurology and neuroradiology teams). Most strokes will already be diagnosed prior to ICU arrival. The intensivist's role in stroke care is a humble one – predominantly to assist with supportive management. It would be impossible to provide detailed information about all aspects of ischemic stroke within a single chapter. Consider atorvastatin 80 mg daily, if no contraindication and stroke is thought to be atherosclerotic in origin.Īcute ischemic stroke is an enormously broad topic, which alone is the subject of many textbooks.If febrile (>38C), investigate for infection and start scheduled acetaminophen □ (e.g., 1 gram q6hrs for most patients).If patient received thrombolysis, use sequential compression devices (SCDs) for 24 hours.For patients possibly/definitely receiving thrombolysis or endovascular intervention:.Blood cultures x2 if concern for endocarditis (e.g., fever or history of IV drug use).Anti-Xa for patients on oral Xa inhibitors (e.g., api Xaban).If potential candidate, activate a stroke code.Initial management of acute ischemic stroke in ICU ✅ thrombolysis/endovascular therapy – per stroke team. Cerebellar stroke & posterior fossa syndrome.Hemorrhagic transformation (including post-thrombolysis).Dysphagia evaluation & nutritional support.
0 Comments
Read More
Leave a Reply. |