دورية أكاديمية
Assessing Practice Variation of Anesthetic Management for Endovascular Thrombectomy in Acute Ischemic Stroke: A Comprehensive Multicenter Survey.
| العنوان: | Assessing Practice Variation of Anesthetic Management for Endovascular Thrombectomy in Acute Ischemic Stroke: A Comprehensive Multicenter Survey. |
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| المؤلفون: | Sharma S; Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA., Dube SK; Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India., Esmail T; Department of Anesthesiology and Pain Medicine, Toronto Western Hospital, University Health Network, University of Toronto, ON, Canada., Hoefnagel AL; Department of Anesthesiology, University of Florida College of Medicine, Jacksonville, FL., Jangra K; Department of Anaesthesia and Intensive Care, Postgraduate Institute, Chandigarh, India., Mejia-Mantilla J; Department of Critical Care Medicine, Fundación Valle del Lili, University Hospital, Cali, Colombia., Shiferaw AA; Department of Anesthesiology, Addis Ababa Medical Center, Addis Ababa, Ethiopia., De Sloovere V; Department of Anaesthesiology, University Hospitals Leuven, Leuven, Belgium., Wright D; Department of Anesthesiology and Pain Medicine, Harborview Medical Center, University of Washington, Seattle, WA., Lele AV; Department of Anesthesiology and Pain Medicine, Harborview Medical Center, University of Washington, Seattle, WA., Blacker SN; Department of Anesthesiology, University of North Carolina, Chapel Hill, NC. |
| المصدر: | Journal of neurosurgical anesthesiology [J Neurosurg Anesthesiol] 2024 Jul 08. Date of Electronic Publication: 2024 Jul 08. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8910749 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-1921 (Electronic) Linking ISSN: 08984921 NLM ISO Abbreviation: J Neurosurg Anesthesiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [New York, N.Y.] : Raven Press, [c1989- |
| مستخلص: | Objective: This study explored the current global landscape of periprocedural care of acute ischemic stroke patients undergoing endovascular thrombectomy (EVT). Methods: An anonymous, 54-question electronic survey was sent to 354 recipients in hospitals worldwide. The responses were stratified by World Bank country income level into high-income (HICs) and low/middle-income (LMICs) countries. Results: A total of 354 survey invitations were issued. Two hundred twenty-three respondents started the survey, and 87 fully completed surveys were obtained from centers in which anesthesiologists were routinely involved in EVT care (38 in HICs; 49 in LMICs). Respondents from 35 (92.1%) HICs and 14 (28.6%) LMICs reported that their centers performed >50 EVTs annually. Respondents from both HICs and LMICs reported low rates of anesthesiologist involvement in pre-EVT care, though a communication system was in place in 100% of HIC centers and 85.7% of LMIC centers to inform anesthesiologists about potential EVTs. Respondents from 71.1% of HIC centers and 51% of LMIC centers reported following a published guideline during EVT management, though the use of cognitive aids was low in both (28.9% and 24.5% in HICs and LMICs, respectively). Variability in multiple areas of practice, including choice of anesthetic techniques, monitoring and management of physiological variables during EVT, and monitoring during intrahospital transport, were reported. Quality metrics were rarely tracked or reported to the anesthesiology teams. Conclusions: This study demonstrated variability in anesthesiology involvement and in clinical care during and after EVT. Centers may consider routinely involving anesthesiologists in pre-EVT care, using evidence-based recommendations for EVT management, and tracking adherence to published guidelines and other quality metrics. Competing Interests: A.V.L. reports salary support as a medical advisor for LifeCenter Northwest, which is not relevant to this work. The remaining authors have no conflicts of interest to declare. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| References: | Katan M, Luft A. Global burden of stroke. Semin Neurol. 2018;38:208–211. doi:10.1055/s-0038-1649503. (PMID: 10.1055/s-0038-1649503) Feigin VL, Brainin M, Norrving B, et al. World Stroke Organization (WSO): global stroke fact sheet 2022. Int J Stroke. 2022;17:18–29. doi:10.1177/17474930211065917. (PMID: 10.1177/17474930211065917) Powers WJ, Rabinstein AA, Ackerson T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2019;50:e344–e418. doi:10.1161/STR.0000000000000211. (PMID: 10.1161/STR.0000000000000211) Rusy DA, Hofer A, Rasmussen M, et al. Assessment of anesthesia practice patterns for endovascular therapy for acute ischemic stroke: a Society for Neuroscience in Anesthesiology and Critical Care (SNACC) Member Survey. J Neurosurg Anesthesiol. 2021;33:343–346. doi:10.1097/ANA.0000000000000661. (PMID: 10.1097/ANA.0000000000000661) Talke PO, Sharma D, Heyer EJ, et al. Society for Neuroscience in Anesthesiology and Critical Care Expert consensus statement: anesthetic management of endovascular treatment for acute ischemic stroke*: endorsed by the Society of NeuroInterventional Surgery and the Neurocritical Care Society. J Neurosurg Anesthesiol. 2014;26:95–108. doi:10.1097/ANA.0000000000000042. (PMID: 10.1097/ANA.0000000000000042) Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377–381. doi:10.1016/j.jbi.2008.08.010. (PMID: 10.1016/j.jbi.2008.08.010) Ng JC, Churojana A, Pongpech S, et al. Current state of acute stroke care in Southeast Asian countries. Interv Neuroradiol. 2019;25:291–296. doi:10.1177/1591019918811804. (PMID: 10.1177/1591019918811804) McCusker RJ, Chinchilli VM, Fritch CD, et al. Demonstrating the value of routine anesthesiologist involvement in acute stroke care: a retrospective chart review. J Neurosurg Anesthesiol. 2023;35:406–411. doi:10.1097/ANA.0000000000000927. (PMID: 10.1097/ANA.0000000000000927) Menon BK, Sajobi TT, Zhang Y, et al. Analysis of workflow and time to treatment on thrombectomy outcome in the endovascular treatment for small core and proximal occlusion ischemic stroke (ESCAPE) randomized, controlled trial. Circulation. 2016;133:2279–2286. doi:10.1161/CIRCULATIONAHA.115.019983. (PMID: 10.1161/CIRCULATIONAHA.115.019983) Sentinel Event Data Summary. Accessed January 4, 2024 https://www.jointcommission.org/resources/sentinel-event/sentinel-event-data-summary/. Petrovic MA, Martinez EA, Aboumatar H. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38:135–142. doi:10.1016/s1553-7250(12)38018-5. (PMID: 10.1016/s1553-7250(12)38018-5) Khazaal O, Cox M, Grodinsky E, et al. Highly Visible Wall-Timer to Reduce Endovascular Treatment Time for Stroke. Stroke Vasc Interv Neurol. 2022;2:e000300. doi:10.1161/svin.121.000300. (PMID: 10.1161/svin.121.000300) Campbell D, Butler E, Campbell RB, et al. General anesthesia compared with non-GA in endovascular thrombectomy for ischemic stroke: a systematic review and meta-analysis of randomized controlled trials. Neurology. 2023;100:e1655–e1663. doi:10.1212/WNL.0000000000207066. (PMID: 10.1212/WNL.0000000000207066) Ilyas A, Chen CJ, Ding D, et al. Endovascular Mechanical thrombectomy for acute ischemic stroke under general anesthesia versus conscious sedation: a systematic review and meta-analysis. World Neurosurg. 2018;112:e355–e367. doi:10.1016/j.wneu.2018.01.049. (PMID: 10.1016/j.wneu.2018.01.049) Zhao J, Tan X, Wu X, et al. The efficacy and safety of general anesthesia vs. conscious sedation for endovascular treatment in patients with acute ischemic stroke: a systematic review and meta-analysis. Front Neurol. 2023;14:1291730. doi:10.3389/fneur.2023.1291730. (PMID: 10.3389/fneur.2023.1291730) Fan B, Qiu LQ, Zhang LC, et al. General anesthesia vs. conscious sedation and local anesthesia for endovascular treatment in patients with posterior circulation acute ischemic stroke: An updated systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2024;33:107471. doi:10.1016/j.jstrokecerebrovasdis.2023.107471. (PMID: 10.1016/j.jstrokecerebrovasdis.2023.107471) Sivasankar C, Stiefel M, Miano TA, et al. Anesthetic variation and potential impact of anesthetics used during endovascular management of acute ischemic stroke. J Neurointerv Surg. 2016;8:1101–1106. doi:10.1136/neurintsurg-2015-011998. (PMID: 10.1136/neurintsurg-2015-011998) Vinay B, Manohara N, Lobo FA, et al. Inhalational versus intravenous general anesthesia for mechanical thrombectomy for stroke: a single centre retrospective study. Clin Neurol Neurosurg. 2023;229:107719. doi:10.1016/j.clineuro.2023.107719. (PMID: 10.1016/j.clineuro.2023.107719) Diprose WK, Wang MTM, Campbell D, et al. Intravenous propofol versus volatile anesthetics for stroke endovascular thrombectomy. J Neurosurg Anesthesiol. 2021;33:39–43. doi:10.1097/ANA.0000000000000639. (PMID: 10.1097/ANA.0000000000000639) Finlayson O, Kapral M, Hall R, et al. Risk factors, inpatient care, and outcomes of pneumonia after ischemic stroke. Neurology. 2011;77:1338–1345. doi:10.1212/WNL.0b013e31823152b1. (PMID: 10.1212/WNL.0b013e31823152b1) Kalanuria AA, Ziai W, Mirski M. Ventilator-associated pneumonia in the ICU. Crit Care. 2014;18:208. doi:10.1186/cc13775. (PMID: 10.1186/cc13775) Taccone FS, Crippa IA, Vincent JL. Normobaric hyperoxia after stroke: a word of caution. Expert Rev Neurother. 2018;18:91–93. doi:10.1080/14737175.2018.1414600. (PMID: 10.1080/14737175.2018.1414600) Robba C, Bonatti G, Battaglini D, et al. Mechanical ventilation in patients with acute ischaemic stroke: from pathophysiology to clinical practice. Crit Care. 2019;23:388. doi:10.1186/s13054-019-2662-8. (PMID: 10.1186/s13054-019-2662-8) Nikoubashman O, Schürmann K, Probst T, et al. Clinical impact of ventilation duration in patients with stroke undergoing interventional treatment under general anesthesia: the shorter the better? AJNR Am J Neuroradiol. 2016;37:1074–1079. doi:10.3174/ajnr.A4680. (PMID: 10.3174/ajnr.A4680) Fandler-Höfler S, Heschl S, Kneihsl M, et al. Ventilation time and prognosis after stroke thrombectomy: the shorter, the better! Eur J Neurol. 2020;27:849–855. doi:10.1111/ene.14178. (PMID: 10.1111/ene.14178) Rodgers ML, Fox E, Abdelhak T, et al; American Heart Association Council on Cardiovascular and Stroke Nursing and the Stroke Council. Care of the patient with acute ischemic stroke (endovascular/intensive care unit-postinterventional therapy): update to 2009 comprehensive nursing care scientific statement: a scientific statement from the American Heart Association. Stroke. 2021;52:e198–e210. doi:10.1161/STR.0000000000000358. (PMID: 10.1161/STR.0000000000000358) Goyal N, Tsivgoulis G, Pandhi A, et al. Blood pressure levels post mechanical thrombectomy and outcomes in large vessel occlusion strokes. Neurology. 2017;89:540–547. doi:10.1212/WNL.0000000000004184. (PMID: 10.1212/WNL.0000000000004184) Ghozy S, Mortezaei A, Elfil M, et al. Intensive vs conventional blood pressure control after thrombectomy in acute ischemic stroke: a systematic review and meta-analysis. JAMA Netw Open. 2024;7:e240179. doi:10.1001/jamanetworkopen.2024.0179. (PMID: 10.1001/jamanetworkopen.2024.0179) Marzan AS, Hungerbühler HJ, Studer A, et al. Feasibility and safety of norepinephrine-induced arterial hypertension in acute ischemic stroke. Neurology. 2004;62:1193–1195. doi:10.1212/01.wnl.0000118303.45735.04. (PMID: 10.1212/01.wnl.0000118303.45735.04) Mundiyanapurath S, Stehr A, Wolf M, et al. Pulmonary and circulatory parameter-guided anesthesia in patients with ischemic stroke undergoing endovascular recanalization. J Neurointerv Surg. 2016;8:335–341. doi:10.1136/neurintsurg-2014-011523. (PMID: 10.1136/neurintsurg-2014-011523) Strømsnes TA, Kaugerud Hagen TJ, Ouyang M, et al. Pressor therapy in acute ischaemic stroke: an updated systematic review. Eur Stroke J. 2022;7:99–116. doi:10.1177/23969873221078136. (PMID: 10.1177/23969873221078136) Cheng Z, Geng X, Tong Y, et al. Adjuvant high-flow normobaric oxygen after mechanical thrombectomy for anterior circulation stroke: a randomized clinical trial. Neurotherapeutics. 2021;18:1188–1197. doi:10.1007/s13311-020-00979-3. (PMID: 10.1007/s13311-020-00979-3) López HV, Vivas MF, Ruiz RN, et al. Association between post-procedural hyperoxia and poor functional outcome after mechanical thrombectomy for ischemic stroke: an observational study. Ann Intensive Care. 2019;9:59. doi:10.1186/s13613-019-0533-8. (PMID: 10.1186/s13613-019-0533-8) Scudellari A, Dudek P, Marino L, et al. Ventilation Targets for Patients Undergoing Mechanical Thrombectomy for Acute Ischemic Stroke: a Systematic Review. J Clin Med. 2023;12:4925. doi:10.3390/jcm12154925. (PMID: 10.3390/jcm12154925) Saxena M, Young P, Pilcher D, et al. Early temperature and mortality in critically ill patients with acute neurological diseases: trauma and stroke differ from infection. Intensive Care Med. 2015;41:823–832. doi:10.1007/s00134-015-3676-6. (PMID: 10.1007/s00134-015-3676-6) Li WA, Moore-Langston S, Chakraborty T, et al. Hyperglycemia in stroke and possible treatments. Neurol Res. 2013;35:479–491. doi:10.1179/1743132813Y.0000000209. (PMID: 10.1179/1743132813Y.0000000209) |
| تواريخ الأحداث: | Date Created: 20240708 Latest Revision: 20240708 |
| رمز التحديث: | 20240708 |
| DOI: | 10.1097/ANA.0000000000000976 |
| PMID: | 38973631 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1537-1921 |
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| DOI: | 10.1097/ANA.0000000000000976 |