Articles: general-anesthesia.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2020
[Infection Prevention in Anesthesiology during the SARS-CoV 2-pandemic].
It is necessary to discuss the sometimes competing goals of sufficient critical care capacity, maintenance of regular patient care, protection of medical staff, interruption of infectious chains within the general public and individual aspects of patient care in anesthesia and the operating room in times of the SARS CoV-2 pandemic, given the uncertainty of many data on which decisions need to be based. Basic hygiene remains the cornerstone of infection prevention especially when resources are sparse and SARS-CoV-2 specific additional measures need to be taken according to a risk analysis taking the dynamic of the pandemic as well as local factors into account.
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Expert opinion-modified Delphi study. ⋯ 5.
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Management of acute ischemic stroke (AIS) has rapidly improved over the last 10 years, mostly because of the evidence supporting wide adoption of endovascular mechanical thrombectomy (EMT) as first-line therapy. The anesthetic management of patients during EMT and its impact on functional outcomes remain an open discussion. Currently, investigations have only been made to compare general anesthesia with endotracheal intubation (GA) versus conscious sedation (CS), and results are still a matter of debate. ⋯ GA-SAD is a novel anesthetic approach to AIS undergoing EMT which has not been yet widely explored. We discuss its advantages, pitfalls, and suggest how it might be a valid compromise between GA and CS in the management of AIS.