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Stroke – The Bottom Line https://staging-thebottomlineh.kinsta.cloud A compendium of critical appraisals in Intensive Care Medicine research and related specialties Fri, 19 Jun 2020 14:34:16 +0000 en-GB hourly 1 https://wordpress.org/?v=5.8.14 https://staging-thebottomlineh.kinsta.cloud/wp-content/uploads/2016/05/cropped-tbl-favicon-2-32x32.png Stroke – The Bottom Line https://staging-thebottomlineh.kinsta.cloud 32 32 DIRECT-MT https://staging-thebottomlineh.kinsta.cloud/summaries/icm/direct-mt/?utm_source=rss&utm_medium=rss&utm_campaign=direct-mt https://staging-thebottomlineh.kinsta.cloud/summaries/icm/direct-mt/#respond Fri, 19 Jun 2020 14:34:16 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=8526 In patients with acute anterior ischaemic stroke, is endovascular thrombectomy alone, compared with endovascular thrombectomy preceded by intravenous alteplase, noninferior with respect to modified Rankin score at 90 days?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/icm/direct-mt/feed/ 0 PAUSE https://staging-thebottomlineh.kinsta.cloud/summaries/icm/pause/?utm_source=rss&utm_medium=rss&utm_campaign=pause https://staging-thebottomlineh.kinsta.cloud/summaries/icm/pause/#respond Fri, 13 Sep 2019 13:31:06 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=7820 In patients with atrial fibrillation (AF) on direct oral anticoagulant (DOAC) medications, does a standard approach to therapy interruption and resumption in the perioperative period result in an acceptable risk for bleeding and thromboembolic events?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/icm/pause/feed/ 0 EXTEND https://staging-thebottomlineh.kinsta.cloud/summaries/extend/?utm_source=rss&utm_medium=rss&utm_campaign=extend https://staging-thebottomlineh.kinsta.cloud/summaries/extend/#respond Fri, 31 May 2019 15:21:07 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=7370 In patients with acute ischaemic stroke, with salvageable brain tissue, does alteplase compared with placebo, administered between 4.5 - 9 hours post stroke onset, improve functional outcome at 90 days?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/extend/feed/ 0 MAPAS https://staging-thebottomlineh.kinsta.cloud/summaries/icm/mapas/?utm_source=rss&utm_medium=rss&utm_campaign=mapas https://staging-thebottomlineh.kinsta.cloud/summaries/icm/mapas/#respond Fri, 10 May 2019 23:10:19 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=7484 Early Manipulation of Arterial Blood Pressure in Acute Ischemic Stroke(MAPAS):Results of a Randomized Controlled Trial Luiz Antonio Nasi. Neurocritical Care 2019; doi: https://doi.org/10.1007/s12028-018-0642-5 Clinical Question In adult patients presenting within 12 hours of an acute ischaemic stroke (AIS), which of three targeted and pre-specified systolic blood pressure (SBP) ranges results in an improved functional outcome at 90 days? Background Significant […]]]> https://staging-thebottomlineh.kinsta.cloud/summaries/icm/mapas/feed/ 0 TICH-2 https://staging-thebottomlineh.kinsta.cloud/summaries/icm/tich-2/?utm_source=rss&utm_medium=rss&utm_campaign=tich-2 https://staging-thebottomlineh.kinsta.cloud/summaries/icm/tich-2/#respond Fri, 08 Mar 2019 12:00:45 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=6583 In adults with acute, spontaneous intra-cerebral haemorrhage (ICH), does the administration of tranexamic acid (TXA) compared to a placebo improve functional status at 90 days?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/icm/tich-2/feed/ 0 EXTEND IA TNK https://staging-thebottomlineh.kinsta.cloud/summaries/icm/extend-ia-tnk/?utm_source=rss&utm_medium=rss&utm_campaign=extend-ia-tnk https://staging-thebottomlineh.kinsta.cloud/summaries/icm/extend-ia-tnk/#respond Fri, 08 Jun 2018 12:00:01 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=5830 In patients with anterior circulation strokes undergoing endovascular thrombectomy, is IV thrombolysis within 4.5 hours of stroke onset with tenecteplase, non-inferior to alteplase, at establishing reperfusion?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/icm/extend-ia-tnk/feed/ 0 DAWN https://staging-thebottomlineh.kinsta.cloud/summaries/dawn/?utm_source=rss&utm_medium=rss&utm_campaign=dawn https://staging-thebottomlineh.kinsta.cloud/summaries/dawn/#respond Fri, 11 May 2018 12:22:46 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=5892 In patients who are 6-24 hours post acute stroke, and have a mismatch between clinical deficit and infarct, does thrombectomy plus standard medical care, compared to standard medical care alone, improve functional outcomes at 90 days?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/dawn/feed/ 0 DEFUSE 3 https://staging-thebottomlineh.kinsta.cloud/summaries/em/defuse-3/?utm_source=rss&utm_medium=rss&utm_campaign=defuse-3 https://staging-thebottomlineh.kinsta.cloud/summaries/em/defuse-3/#respond Fri, 30 Mar 2018 17:59:39 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=5509 In patients with proximal internal carotid (ICA) or middle cerebral artery (MCA) occlusion with likely salvageable ischaemic brain tissue,  does thrombectomy, at 6-16 hours post ischaemic stroke, in addition to medical therapy, compared to medical therapy alone, improve functional outcome  at 90 days?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/em/defuse-3/feed/ 0 POCUS: Moretti https://staging-thebottomlineh.kinsta.cloud/summaries/icm/pocus-moretti/?utm_source=rss&utm_medium=rss&utm_campaign=pocus-moretti https://staging-thebottomlineh.kinsta.cloud/summaries/icm/pocus-moretti/#respond Tue, 15 Nov 2016 12:00:28 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=1465 In mechanically ventilated patients with subarachnoid hemorrhage (SAH), does the distensibility of IVC on ultrasound, predict fluid responsiveness measured by thermodilution?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/icm/pocus-moretti/feed/ 0 Anderson https://staging-thebottomlineh.kinsta.cloud/summaries/icm/anderson/?utm_source=rss&utm_medium=rss&utm_campaign=anderson https://staging-thebottomlineh.kinsta.cloud/summaries/icm/anderson/#comments Fri, 27 May 2016 15:57:19 +0000 http://staging-thebottomlineh.kinsta.cloud/?p=1538 In patients with acute ischaemic stroke, is low-dose thrombolysis therapy with intravenous alteplase non-inferior to standard-dose therapy with respect to death and disability at 90 days?]]> https://staging-thebottomlineh.kinsta.cloud/summaries/icm/anderson/feed/ 3