Anaesthesiological Routine Care for Thrombectomy in Cerebral Ischaemia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Ischemia
- Sponsor
- European Society of Anaesthesiology
- Enrollment
- 2500
- Locations
- 1
- Primary Endpoint
- Neurological outcome 90 days after the stroke
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Endovascular thrombectomy is the standard of care for acute ischaemic stroke due to large-vessel occlusion. Current guidelines for periprocedural anaesthesiological care give gross recommendations on management of stroke patients during recanalization, but lack detailed information.
To determine how anaesthesiologists support endovascular thrombectomy with regard to anaesthetic technique, choice of substances, haemodynamic management, and ventilation. With a multivariate analysis, the investigators will look for the factors of anesthetic management that are independently correlated with a good or bad outcome.
Detailed Description
see brief summary
Investigators
Eligibility Criteria
Inclusion Criteria
- •Endovascular stroke treatment involving anaesthesia care
Exclusion Criteria
- •In-hospital onset of stroke
- •Inclusion in an interventional study concerning the anaesthesia protocol
- •Age under 18 years
Outcomes
Primary Outcomes
Neurological outcome 90 days after the stroke
Time Frame: 90 days
Neurological outcome is measured using the modified Rankin Scale \[0-6\], with higher values indicating worse outcome. As a Primary Outcome Measure, the scale will be dichotomized into good (modified Rankin Scale ≤ 2) versus poor (modified Rankin Scale \> 2) outcome.
Secondary Outcomes
- Grade of recanalization(sixty minutes)
- Proportion of patients breathing spontaneously(sixty minutes)
- Mortality(90 days)
- Duration(30 Minutes)