Management of TIAs and Ischemic Stroke
First Things First (assess & treat for the following)
- Stroke
- Definition: sudden & acute onset of focal neuro symptoms
- U.S.: ~750,000 strokes annually
- 3rd leading cause of death for adults
- Leading cause of disability in adults
- 2% occur in people <age 65
- Urgent attention
- Airway & breathing
- Cardiac arrhythmias
- HTN
- Seizure
- Goals: emergency evaluation
- Confirm ischemic stroke.
- Rule out hemorrhage or other disorder.
- Assess possible reversibility.
- Yield info re: etiology.
- Assess likelihood of complications.
- Begin appropriate treatment.
- Etiologies addressed in ICU
- Ischemic strokes
- Large-vessel thrombosis status post treatment w/ thrombolytics
- Crescendo TIAs: recurrent & increasing frequency of TIAs
- Most commonly due to carotid disease
- Heparinize & stabilize while preparing for urgent surgery (CEA).
- Malignant MCA: very large stroke associated w/ decline in mental status
- May require surgical decompression
- Cardioembolic etiology
- Watershed infarct: involves border zones between arterial distributions
- Due to generalized hypoperfusion
- Hemorrhagic strokes
- Intracerebral hemorrhage
- Subarachnoid hemorrhage
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Last updated: May 6, 2010
Citation
"Management of TIAs and Ischemic Stroke." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534073/all/Management_of_TIAs_and_Ischemic_Stroke.
Management of TIAs and Ischemic Stroke. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534073/all/Management_of_TIAs_and_Ischemic_Stroke. Accessed August 31, 2024.
Management of TIAs and Ischemic Stroke. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534073/all/Management_of_TIAs_and_Ischemic_Stroke
Management of TIAs and Ischemic Stroke [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 August 31]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534073/all/Management_of_TIAs_and_Ischemic_Stroke.
* Article titles in AMA citation format should be in sentence-case
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