Evidence map›Paper›PMID 31813569›Full record

ReviewBritish journal of anaesthesia2020

Pathophysiological and clinical considerations in the perioperative care of patients with a previous ischaemic stroke: a multidisciplinary narrative review.

Jatinder S Minhas, William Rook, Ronney B Panerai, Ryan L Hoiland, Phil N Ainslie, Jonathan P Thompson, Amit K Mistri, Thompson G Robinson

Open access · bronzeAbstract readReview
In one paragraph

Review in British journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Cerebrovascular responses to somatomotor stimulation in Parkinson's disease: A multivariate analysis.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Vascular and haemodynamic issues of brain ageing.Pflugers Archiv : European journal of physiology · 2021
    Review
  12. Postoperative Neurologic Deficits in a Veteran With Recent COVID-19.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2021
    Article
  13. Review
  14. [Perioperative stroke].Der Anaesthesist · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Jatinder S MinhasCerebral Haemodynamics in Ageing and Stroke Medicine (CHIASM) Research Group, Leicester Biomedical Research Centre, University of Leicester, Leicester, UK. Electronic address: jm591@le.ac.uk.
William RookAcademic Department of Anaesthesia, Critical Care, Pain, and Resuscitation, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Ronney B PaneraiCerebral Haemodynamics in Ageing and Stroke Medicine (CHIASM) Research Group, Leicester Biomedical Research Centre, University of Leicester, Leicester, UK; National Institute for Health Research, Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Ryan L HoilandCentre for Heart, Lung, and Vascular Health, University of British Columbia, Kelowna, BC, Canada.
Phil N AinslieCentre for Heart, Lung, and Vascular Health, University of British Columbia, Kelowna, BC, Canada.
Jonathan P ThompsonAnaesthesia and Critical Care, Department of Cardiovascular Sciences, Leicester Biomedical Research Centre, University of Leicester, Leicester, UK; University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, UK.
Amit K MistriUniversity Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, UK.
Thompson G RobinsonCerebral Haemodynamics in Ageing and Stroke Medicine (CHIASM) Research Group, Leicester Biomedical Research Centre, University of Leicester, Leicester, UK; National Institute for Health Research, Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
University of Leicester · GBUniversity of British Columbia · CALeicester Royal Infirmary · GBUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With an ageing population and increasing incidence of cerebrovascular disease, an increasing number of patients presenting for routine and emergency surgery have a prior history of stroke. This presents a challenge for pre-, intra-, and postoperative management as the neurological risk is considerably higher. Evidence is lacking around anaesthetic practice for patients with vascular neurological vulnerability. Through understanding the pathophysiological changes that occur after stroke, insight into the susceptibilities of the cerebral vasculature to intrinsic and extrinsic factors can be developed. Increasing understanding of post-stroke systemic and cerebral haemodynamics has provided improved outcomes from stroke and more robust secondary prevention, although this knowledge has yet to be applied to our delivery of anaesthesia in those with prior stroke. This review describes the key pathophysiological and clinical considerations that inform clinicians providing perioperative care for patients with a prior diagnosis of stroke.

Indexed as

Surgical Procedures, OperativeAnesthesiaBrain IschemiaHumansPerioperative CareStrokeacute ischaemic strokeanaesthesiablood pressurecerebral perfusionendovascular therapyhaemodynamicspreventionthrombolysis

Identifiers

PMID31813569
PMCPMC7034810
OpenAlexW2993149667

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.