Acute ischemic stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: This trial included patients aged =18 years, with anterior circulation occlusive stroke confirmed by CT angiography (CTA), magnetic resonance angiography (MRA) or digital subtraction angiography (DSA), involving occlusions of the terminal internal carotid artery (ICA) or M1 segment of the middle cerebral artery (MCA).
Exclusion criteria
Exclusion criteria: Subjects who meet one of the following criteria will be excluded: (1) stroke onset 6-24 h with a mismatched area < 15 ml as assessed by CT perfusion imaging (CTP), (2) NIHSS score = 5 at admission, (3) significant dysfunction before stroke (modified Rankin scale [mRS] =2). (4) Complicated with severe agitation and seizures, (5) evidence of intracranial hemorrhage at admission, (6) complicated with chronic obstructive pulmonary disease, obstructive sleep apnea and acute respiratory distress syndrome, (7) oxygen mask or ventilator must be used before anesthesia to maintain SpO2=94%, (8) loss of airway protective reflex or vomiting aspiration upon admission.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the incidence of early neurological improvement (ENI); | — |
Secondary
| Measure | Time frame |
|---|---|
| ?NIHSS at 24 hours after onset;overall mRS distribution at 90 days;favorable functional outcome; early neurological deterioration (END);PPCs, defined as a composite measure encompassing pulmonary infections, atelectasis, pleural effusion, respiratory failure, bronchospasm, and pneumothorax.; | — |
Countries
China
Contacts
Anesthesiology Department of Beijing Tiantan Hospital,Capital Medical University