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Surgical Intensive Care Medicine pp 219–241Cite as

Ischemic Stroke

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Abstract

Ischemic stroke is becoming an increasingly important condition for intensivists to recognize and manage in order to minimize neurologic injury. It is a major public health issue because it is the third leading cause of death and the leading cause of adult disability. Devastating ischemic brain injury often strikes patients who are in the hospital for treatment of an unrelated medical or surgical condition. From 5% to 10% of acute strokes occur in the critical care and postoperative units and on hospital floors. Stroke complicating another illness is a cause of increased in-hospital stay, mortality, and long-term morbidity (1). Stroke in the intensive care unit (ICU) can be classified into three major categories (See Table 1) according to: 1) the presence of a variety of adverse events associated with increased stroke risk; 2) the presence of conditions that cause critical care illnesses as well as ischemic stroke; and 3) stroke as the primary reason for critical care admission, seen much more frequently in the post-thrombolysis era. Postoperative stroke, though rarely seen after general surgery (0.08 to 2.9% of cases), occurs more frequently after cardiac or vascular procedures and in patients with various cerebrovascular risk factors (2).

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Authors and Affiliations

  1. Harvard Medical School, Massachusetts General Hospital, Boston, MA, 02114, USA

    Jamary Oliveira-Filho M.D. & Walter J. Koroshetz M.D.

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  1. Jamary Oliveira-Filho M.D.
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Editors and Affiliations

  1. Surgical Intensive Care Unit, Department of Surgical Critical Care, Lahey Clinic Medical Center, Burlington, MA, USA

    John Merritt O’Donnell M.D. (Director, Chairman) (Director, Chairman)

  2. Department of Surgical Critical Care, Lahey Clinic Medical Center, Burlington, MA, USA

    Flávio Eduardo Nácul M.D. (Senior Fellow) (Senior Fellow)

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Oliveira-Filho, J., Koroshetz, W.J. (2001). Ischemic Stroke. In: O’Donnell, J.M., Nácul, F.E. (eds) Surgical Intensive Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6645-5_14

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