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For mechanical thrombectomy stroke patients, consensus guidelines favoring general anesthesia over conscious sedation during the pandemic might need revisiting.
That was the argument presented at the virtual International Stroke Conference (ISC) in a debate over what should be the first-line strategy.
Conscious sedation minimizes delays to treatment, which have been a problem for COVID-19 patients, and provides at least as good outcomes, argued Tudor Jovin, MD, of the Cooper Neurological Institute in Cherry Hill, New Jersey.
He pointed to a prospective study of the Stroke Thrombectomy and Aneurysm Registry (STAR) and Endovascular Neurosurgery Research Group (ENRG) registries showing that 53% of thrombectomy patients who underwent general anesthesia during the pandemic had longer door to reperfusion times (138 vs 100 minutes) and nearly double the mortality risk, as well as lower functional independence scores at discharge. ....

New Jersey , United States , Tudor Jovin , Deepak Sharma , International Stroke Conference , University Of Washington , Cooper Neurological Institute In Cherry Hill , Society For Neuroscience , Endovascular Neurosurgery Research Group , Society Of Vascular , Cooper Neurological Institute , Cherry Hill , Stroke Thrombectomy , Aneurysm Registry , Critical Care , Interventional Neurology , Grady Memorial Hospital , General Anesthesia , Conscious Sedation , புதியது ஜெர்சி , ஒன்றுபட்டது மாநிலங்களில் , தீபக் ஷர்மா , சர்வதேச பக்கவாதம் மாநாடு , பல்கலைக்கழகம் ஆஃப் வாஷிங்டன் , கூப்பர் நரம்பியல் நிறுவனம் இல் செர்ரி மலை , சமூகம் க்கு நரம்பியல் ,