Monitored Anesthesia Care by Sedation-Trained Providers in Acute Stroke Thrombectomy.

ABSTRACT: Background: Mechanical thrombectomy (MT) for ischemic stroke can be performed under local anesthesia (LA), conscious sedation (CS), or general anesthesia (GA). The need for monitoring by anesthesia providers may be resource intensive. We sought to determine differences in outcomes of MT when sedation is performed by an anesthesia team compared to sedation-trained providers. Methods: We performed a retrospective analysis on patients who were screened by a pre-hospital stroke severity screening tool and underwent MT at two stroke centers. Baseline characteristics, time metrics, sedatives, peri-procedural intubation, complications, and outcomes were recorded. Good outcome was defined as modified Rankin score of ≤2. Results: We analyzed 104 patients (sedation-trained provi

SUBMITTER: Slawski DE 

PROVIDER: S-EPMC6447680 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature