메뉴 건너뛰기
.. 내서재 .. 알림
소속 기관/학교 인증
인증하면 논문, 학술자료 등을  무료로 열람할 수 있어요.
한국대학교, 누리자동차, 시립도서관 등 나의 기관을 확인해보세요
(국내 대학 90% 이상 구독 중)
로그인 회원가입 고객센터 ENG
주제분류
인문학
인문학 일반 역사학 철학 종교학 어문학 기타 인문학
사회과학
사회과학 일반 경영학 관광학 교육학 군사학 문헌정보학 법학 사회학 신문방송학 심리과학 정치외교학 지리학 행정학 경제학 무역학 인류학 기타 사회과학
자연과학
자연과학 일반 물리학 생물학 생활과학 수학·통계학 천문학 지구과학 화학 기타 자연과학
공학
공학 일반 건축공학 기계공학 산업공학 재료·에너지공학 전기전자공학 조선해양공학 화학공학 컴퓨터학 기타공학
의약학
의학 일반 간호학 수의학 약학 한의학 기초의학 임상의학 기타 의약학
농수해양학
농수해양학 일반 농학 수산학 식품과학 임학 축산학 해상운송학 기타 농수해양학
예술체육학
예술 일반 디자인 미술 미용 사진 음악학 의상 체육 공연매체예술 기타 예술체육학
복합학
학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

ENG

추천
검색

논문 기본 정보

자료유형
학술저널
저자정보
Katharina Feil (Department of Neurology Ludwig Maximilian University (LMU) Munich Germany) Moriz Herzberg (Institute of Neuroradiology Ludwig Maximilian University (LMU) Munich Germany) Franziska Dorn (Institute of Neuroradiology Ludwig Maximilian University (LMU) Munich Germany) Steffen Tiedt (Institute for Stroke and Dementia Research Ludwig Maximilian University (LMU) Munich Germany) Clemens Kupper (Department of Neurology Ludwig Maximilian University (LMU) Munich Germany) Dennis C. Thunstedt (Department of Neurology Ludwig Maximilian University (LMU) Munich Germany) Ludwig C. Hinske (Department of Anesthesiology Ludwig Maximilian University (LMU) Munich Germany) Konstanze Muhlbauer (Department of Anesthesiology Ludwig Maximilian University (LMU) Munich Germany) Sebastian Goss (Department of Anesthesiology Ludwig Maximilian University (LMU) Munich Germany) Thomas Liebig (Institute of Neuroradiology Ludwig Maximilian University (LMU) Munich Germany) Marianne Dieterich (Department of Neurology Ludwig Maximilian University (LMU) Munich Germany) Andreas Bayer (Department of Anesthesiology Ludwig Maximilian University (LMU) Munich Germany) Lars Kellert (Department of Neurology Ludwig Maximilian University (LMU) Munich Germany)
저널정보
대한뇌졸중학회 대한뇌졸중학회지 대한뇌졸중학회지 제23권 제1호
발행연도
2021.1
수록면
103 - 112 (10page)

이용수

표지
📌
연구주제
📖
연구배경
🔬
연구방법
🏆
연구결과
AI에게 요청하기
추천
검색

초록· 키워드

오류제보하기
Background and Purpose: Anesthesia regimen in patients undergoing mechanical thrombectomy (MT) is still an unresolved issue. Methods: We compared the effect of anesthesia regimen using data from the German StrokeRegistry- Endovascular Treatment (GSR-ET) between June 2015 and December 2019. Degreeof disability was rated by the modified Rankin Scale (mRS), and good outcome was defined as mRS 0?2. Successful reperfusion was assumed when the modified thrombolysis in cerebral infarction scale was 2b?3. Results: Out of 6,635 patients, 67.1% (n=4,453) patients underwent general anesthesia (GA), 24.9% (n=1,650) conscious sedation (CS), and 3.3% (n=219) conversion from CS to GA. Rate of successful reperfusion was similar across all three groups (83.0% vs. 84.2% vs. 82.6%, P=0.149). Compared to the CA-group, the GA-group had a delay from admission to groin (71.0 minutes vs. 61.0 minutes, P<0.001), but a comparable interval from groin to flow restoration (41.0 minutes vs. 39.0 minutes). The CS-group had the lowest rate of periprocedural complications (15.0% vs. 21.0% vs. 28.3%, P<0.001). The CS-group was more likely to have a good outcome at follow-up (42.1% vs. 34.2% vs. 33.5%, P<0.001) and a lower mortality rate (23.4% vs. 34.2% vs. 26.0%, P<0.001). In multivariable analysis, GA was associated with reduced achievement of good functional outcome (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.71 to 0.94; P=0.004) and increased mortality (OR, 1.42; 95% CI, 1.23 to 1.64; P<0.001). Subgroup analysis for anterior circulation strokes (n=5,808) showed comparable results. Conclusions: We provide further evidence that CS during MT has advantages over GA in terms of complications, time intervals, and functional outcome.
#Conscious sedation #Stroke #Reperfusion #Thrombectomy #Anesthesia #Thrombolytic therapy

목차

등록된 정보가 없습니다.

참고문헌 (21)

참고문헌 신청
Schönenberger S / 2019 / Association of general anesthesia vs procedural sedation with functional outcome among patients with acute ischemic stroke undergoing thrombectomy : a systematic review and meta-analysis / JAMA 322:1283~1293 google schola Campbell BCV / 2018 / Effect of general anaesthesia on functional outcome in patients with anterior circulation ischaemic stroke having endovascular thrombectomy versus standard care : a meta-analysis of individual patient data / Lancet Neurol 17:47~53 google schola Cappellari M / 2020 / General anesthesia versus conscious sedation and local anesthesia during thrombectomy for acute ischemic stroke / Stroke 51:2036~2044 google schola Wollenweber FA / 2019 / Functional outcome following stroke thrombectomy in clinical practice / Stroke 50:2500~2506 google schola Alegiani AC / 2019 / Systematic evaluation of stroke thrombectomy in clinical practice : the German stroke registry endovascular treatment / Int J Stroke 14:372~380 google schola

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

최근 본 자료

전체보기

댓글(0)

0