- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Part 9.1 Anatomy and physiology
- Part 9.2 Neurological monitoring
- Part 9.3 Sleep disturbance
- Part 9.4 Agitation, confusion, and delirium
- Part 9.5 The unconscious patient
- Part 9.6 Seizures
- Part 9.7 Intracranial hypertension
- Part 9.8 Stroke
- Chapter 234 Epidemiology of stroke
- Chapter 235 Diagnosis and assessment of stroke
- Chapter 236 Management of ischaemic stroke
- Chapter 237 Management of parenchymal haemorrhage
- Part 9.9 Non-traumatic subarachnoid haemorrhage
- Part 9.10 Meningitis and encephalitis
- Part 9.11 Non-traumatic spinal injury
- Part 9.12 Neuromuscular syndromes
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care
(p. 1117) Management of ischaemic stroke
- Chapter:
- (p. 1117) Management of ischaemic stroke
- Author(s):
Sully Xiomara Fuentes Patarroyo
and Craig Anderson
- DOI:
- 10.1093/med/9780199600830.003.0236
Ischaemic stroke is the most common cause of stroke around the world. It is a complex disease with a range of causes, manifestations, outcomes, and treatments. As the therapeutic time window to rescue or ‘protect’ the brain from ischaemic damage is extremely short, effective treatment requires coordinated systems of care, which commence in the prehospital paramedical setting and continue through the emergency department into the critical care environment, neurology ward, rehabilitation, and re-settlement back home. Successful outcomes from ischaemic stroke can be achieved through the effective use of thrombolytic therapy to re-canalize an occluded vessel and re-perfuse the ‘at risk’ area of the brain. Other aspects of management include the prevention of complications of the neurological (cerebral) disability, timely introduction of rehabilitation, realistic goal-setting towards satisfactory recovery, and secondary prevention measures to reduce the high risk of recurrent stroke and other serious vascular events.
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- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Part 9.1 Anatomy and physiology
- Part 9.2 Neurological monitoring
- Part 9.3 Sleep disturbance
- Part 9.4 Agitation, confusion, and delirium
- Part 9.5 The unconscious patient
- Part 9.6 Seizures
- Part 9.7 Intracranial hypertension
- Part 9.8 Stroke
- Chapter 234 Epidemiology of stroke
- Chapter 235 Diagnosis and assessment of stroke
- Chapter 236 Management of ischaemic stroke
- Chapter 237 Management of parenchymal haemorrhage
- Part 9.9 Non-traumatic subarachnoid haemorrhage
- Part 9.10 Meningitis and encephalitis
- Part 9.11 Non-traumatic spinal injury
- Part 9.12 Neuromuscular syndromes
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care