Ventilation Targets for Patients Undergoing Mechanical Thrombectomy for Acute Ischemic Stroke: A Systematic Review.

ETCO2 acute ischemic stroke end tidal carbon dioxide general anesthetic mechanical thrombectomy mechanical ventilation oxygenation pCO2 pO2 partial pressure of carbon dioxide

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
26 Jul 2023
Historique:
received: 03 06 2023
revised: 30 06 2023
accepted: 24 07 2023
medline: 12 8 2023
pubmed: 12 8 2023
entrez: 12 8 2023
Statut: epublish

Résumé

Mechanical thrombectomy (MT) has become a standard treatment for acute ischemic stroke (AIS) caused by large vessel occlusion (LVO). Recent evidence suggests that general anesthesia (GA) and mechanical ventilation do not lead to inferior neurologic outcomes if compared to non-GA. However, the guidelines lack specific recommendations for ventilation targets during MT under GA. This systematic review aims to identify ventilation strategies correlating with better neurological outcomes in AIS patients undergoing MT, particularly focusing on oxygenation and carbon dioxide (CO

Identifiants

pubmed: 37568327
pii: jcm12154925
doi: 10.3390/jcm12154925
pmc: PMC10420130
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

Neurocrit Care. 2014 Apr;20(2):202-8
pubmed: 24114519
Stroke. 2005 Apr;36(4):797-802
pubmed: 15761201
Lancet Neurol. 2015 Aug;14(8):846-854
pubmed: 26119323
J Appl Physiol (1985). 2008 Apr;104(4):976-81
pubmed: 18218916
Pediatrics. 1995 Jun;95(6):868-74
pubmed: 7761212
Cerebrovasc Dis. 2006;21(3):166-72
pubmed: 16388191
BMJ Open. 2021 Jul 26;11(7):e045057
pubmed: 34312194
JAMA. 2017 Sep 26;318(12):1125-1135
pubmed: 28973619
J Clin Invest. 1948 Jul;27(4):484-92
pubmed: 16695569
Crit Care Med. 2010 May;38(5):1348-59
pubmed: 20228681
J Neurosurg Anesthesiol. 2018 Jul;30(3):223-230
pubmed: 28763432
World Neurosurg. 2021 Jul;151:e871-e879
pubmed: 33974981
J Neurointerv Surg. 2016 Apr;8(4):335-41
pubmed: 25779555
Ann Indian Acad Neurol. 2010 Oct;13(4):284-8
pubmed: 21264137
J Neurosurg Anesthesiol. 2015 Apr;27(2):123-35
pubmed: 25105825
J Cereb Blood Flow Metab. 2007 Sep;27(9):1632-42
pubmed: 17311078
J Appl Physiol (1985). 2003 Dec;95(6):2453-61
pubmed: 12937024
Neurotherapeutics. 2021 Apr;18(2):1188-1197
pubmed: 33410112
Crit Care. 2021 Dec 19;25(1):440
pubmed: 34924022
J Cereb Blood Flow Metab. 2003 Jun;23(6):665-70
pubmed: 12796714
Ann Intensive Care. 2019 May 24;9(1):59
pubmed: 31127402
Interv Neuroradiol. 2022 Dec 4;:15910199221143175
pubmed: 36464668
Lancet Neurol. 2021 Oct;20(10):795-820
pubmed: 34487721
Stroke. 2019 Dec;50(12):e344-e418
pubmed: 31662037
Cochrane Database Syst Rev. 2022 Jul 20;7:CD013690
pubmed: 35857365

Auteurs

Alessandro Scudellari (A)

Anaesthetic Department, Addenbrooke's Hospital, Cambridge CB2 0QQ, UK.

Paula Dudek (P)

2nd Department of Anesthesiology and Intensive Care, Medical University of Warsaw, 02-097 Warsaw, Poland.

Luca Marino (L)

Department of Mechanical and Aerospace Engineering, "Sapienza" University of Rome, 00184 Rome, Italy.

Rafael Badenes (R)

Department of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clínic Universitari de Valencia, University of Valencia, 46010 Valencia, Spain.

Federico Bilotta (F)

Department of Anesthesiology, Critical Care and Pain Medicine, Policlinico Umberto I, "Sapienza" University of Rome, 00185 Rome, Italy.

Classifications MeSH