Abstract
OPINION article Front. Med., 22 July 2021Sec. Intensive Care Medicine and Anesthesiology Volume 8 - 2021 | https://doi.org/10.3389/fmed.2021.674034
Highlights
There is increasing evidence of a higher incidence of stroke in patients with coronavirus disease 2019 (COVID-19) infection (1, 2)
Due to the increased chances of infectivity, and in order to minimize exposure and reduce the delay, it is recommended that patients presenting with a stroke during a pandemic should be directly referred to a tertiary care facility where endovascular thrombectomy (EVT) can be performed under monitored anesthesia care (MAC) or General anesthesia (GA) in a negative pressure suite with ample availability of personnel protective equipment (PPE) kits without delay
Smith et al suggested that the decision to intubate a patient for EVT must be a delicate balance that would justify the patient’s need for a definitive airway, the risks involved for the personnel, the ventilator capacity of the hospital system, and the success of the procedure, which would establish cerebral perfusion (19)
Summary
There is increasing evidence of a higher incidence of stroke in patients with coronavirus disease 2019 (COVID-19) infection (1, 2). This poses significant implications for anesthesiologists in the management of this complex patient population for emergency management of acute ischemic stroke (AIS). We would like to shed light on this topic by critically appraising the current literature addressing anesthetic management during interventional treatment of ischemic stroke in patients with COVID-19
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