Management of Acute Ischaemic Stroke

Management of Acute Ischaemic Stroke

Abstract

National audits of stroke care in the UK have repeatedly shown deficiencies in basic care. The key to good care is prompt thorough assessment, investigation and management of physiological parameters i.e blood pressure, glycaemia, temperature and oxygenation. Three interventions are of proven benefit in acute ischaemic stroke: admission to an organised stroke service, early aspirin and intravenous thrombolysis. The use of multidisciplinary guidelines and education and audit around these improves care.
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References

  1. Bamford J, Sandercock P, Dennis M et al; Classification and Natural History of Clinically Identifiable Subtypes of Cerebral Infarction. Lancet 1991: 337; 1521-6
  2. International Stroke Trial Collaborative Group (1997). The International Stroke trial (1st): A Randomised Trial of Aspirin, Subcutaneous Heparin, Both or Neither among 19435 Patients with Acute Ischaemic Stroke. Lancet 1997; 349; 1569-81
  3. Chinese Acute Stroke Trial Collaborative Group (CAST) (1997). Randomised, Placebo Controlled Trial of early Aspirin Use in 20000 Patients with Acute Ischaemic Stroke. Lancet 1997; 349; 1641-9
  4. Clinical Effectiveness and Evaluation Unit. National Sentinel Stroke Audit 2004. www.rcplondon.ac.uk
  5. Warlow C. Therapeutic Thrombolysis for Acute Ischaemic Stroke. BMJ 2003; 326; 233-4
  6. Safe Implementation of Thrombolysis in Stroke: A Multinational Multicentre Study of Safety and Efficacy of Thrombolysis in Stroke (SITS-MOST)> www.acutestroke.org
  7. Stroke Unit Triallists Collaboration (2004). Organised inpatient (Stroke Unit) Care for Stroke (Cochrane Review). The Cochrane Library, Issue 1, 2004; Chichester, UK: John Wiley and Sons.
  8. Clark J, Cronswick G, Dennis M S et al; Routine Oral Nutritional Supplementation for Stroke Patients in Hospital (FOOD): A Multicentre Randomised Cotrolled Trial. Lancet 2005; 365; 755-763
  9. Clarke J, Cronswick G, Dennis M S et al; Effect of Timing and Methods of Enteral Feeding for Dysphagic Stroke Patients (FOOD): A Multicentre Randomised Cotrolled Trial. Lancet 2005; 365; 764-772

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Management of Acute Ischaemic Stroke

19th February 2016
Authors Affiliations
David Jarrett FRCP Consultant Geriatrician Queen Alexandra Hospital Cosham Portsmouth PO6 3LY Tel: 02392 286000 Email: DavidDr.Jarrett@ porthosp.nhs.uk
Hemang Dave Specialist Registrar Royal United Hospital Bath

Management of Acute Ischaemic Stroke

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Management of Acute Ischaemic Stroke

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