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Practice Guideline
. 2020 Jul;32(3):210-226.
doi: 10.1097/ANA.0000000000000686.

Perioperative Care of Patients at High Risk for Stroke During or After Non-cardiac, Non-neurological Surgery: 2020 Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care

Phillip E Vlisides  1   2 , Laurel E Moore  1 , Matthew K Whalin  3   4 , Steven A Robicsek  5 , Adrian W Gelb  6 , Abhijit V Lele  7 , George A Mashour  1   2
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Practice Guideline

Perioperative Care of Patients at High Risk for Stroke During or After Non-cardiac, Non-neurological Surgery: 2020 Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care

Phillip E Vlisides et al. J Neurosurg Anesthesiol. 2020 Jul.
Free article

Abstract

Perioperative stroke is associated with considerable morbidity and mortality. Stroke recognition and diagnosis are challenging perioperatively, and surgical patients receive therapeutic interventions less frequently compared with stroke patients in the outpatient setting. These updated guidelines from the Society for Neuroscience in Anesthesiology and Critical Care provide evidence-based recommendations regarding perioperative care of patients at high risk for stroke. Recommended areas for future investigation are also proposed.

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References

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    1. The NeuroVISION Investigators. Perioperative covert stroke in patients undergoing non-cardiac surgery (NeuroVISION): a prospective cohort study. Lancet. 2019;394:1022–1029.
    1. Saltman AP, Silver FL, Fang J, et al. Care and outcomes of patients with in-hospital stroke. JAMA Neurol. 2015;72:749–755.
    1. Vlisides PE, Mashour GA, Didier TJ, et al. Recognition and management of perioperative stroke in hospitalized patients. A A Case Rep. 2016;7:55–56.

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