Cerebrovascular disease in surgical patients

Paul J. Grant
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Abstract

It is well established that patients with a personal history of a cerebrovascular accident (stroke or transient ischemic attack) are at increased risk for perioperative cardiovascular complications, including recurrent stroke. Although the individual patient risk for perioperative stroke is typically low, the overall prevalence is significant, appears to be increasing, and has the potential for devastating complications including death. The perioperative provider must not only be knowledgeable of the elevated risk for patients with a history of stroke undergoing surgery, but also be familiar with perioperative risk reduction strategies. This article provides a general overview of cerebrovascular disease in surgical patients with much of the content being presented at the 2023 Perioperative Medicine Summit in Orlando, Florida.

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手术患者的脑血管疾病
众所周知,有脑血管意外(中风或短暂性脑缺血发作)病史的患者发生围术期心血管并发症(包括复发性中风)的风险更高。虽然围术期中风的个体风险通常较低,但总体发病率却很高,而且似乎还在增加,并有可能导致包括死亡在内的毁灭性并发症。围术期医护人员不仅要了解有中风病史的患者接受手术的高风险,还要熟悉围术期降低风险的策略。本文概述了手术患者的脑血管疾病,其中大部分内容将在佛罗里达州奥兰多举行的 2023 年围术期医学峰会上介绍。
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来源期刊
Perioperative Care and Operating Room Management
Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing
CiteScore
1.30
自引率
0.00%
发文量
52
审稿时长
56 days
期刊介绍: The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.
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