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Editorial
. 2022 Oct;129(4):461-464.
doi: 10.1016/j.bja.2022.06.018. Epub 2022 Jul 20.

End the confusion: general anaesthesia improves patient outcomes in endovascular thrombectomy

Doug Campbell  1 , Elise Butler  2 , P Alan Barber  3
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Free article
Editorial

End the confusion: general anaesthesia improves patient outcomes in endovascular thrombectomy

Doug Campbell et al. Br J Anaesth. 2022 Oct.
Free article

Abstract

Expert physiological and pharmacological care by anaesthetists is required in all stroke endovascular thrombectomy cases. RCTs show clinical benefits in recanalisation rates and functional recovery after endovascular thrombectomy with general anaesthesia compared with sedation. Many stroke centres will require wholesale reorganisation of stroke pathways to ensure anaesthesia services are available for all cases. Anaesthetists have an integral role in improving clinical outcomes in large vessel occlusion stroke.

Keywords: conscious sedation; disability; endovascular thrombectomy; functional recovery; general anaesthesia; ischaemic stroke.

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