CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2018; 05(03): 150-157
DOI: 10.1055/s-0038-1673549
Review Article
Indian Society of Neuroanaesthesiology and Critical Care

Anesthesia for Patients with Prior Stroke

Hemangi Sanjay Karnik
1   Department of Anaesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India
,
Ruchi Arunkumar Jain
1   Department of Anaesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India
› Author Affiliations
Further Information

Publication History

Received: 07 August 2018

Accepted after revision: 05 September 2018

Publication Date:
02 October 2018 (online)

Abstract

An increasing number of patients with a prior history of stroke present for various types of surgeries. They have varying degree of neurological disability and associated co-morbidities, which pose challenges for their perioperative management. There is paucity in literature about their management guidelines for noncardiac, noncarotid surgeries. The available literature suggests higher risk of perioperative stroke, postoperative neurological deficits, and other morbidities. Measures to reduce perioperative risks are discussed in this review. Prior optimization by improving modifiable risk factors, choosing appropriate timing of elective surgery, and careful titration of anesthesia and close monitoring are needed.